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New Hampshire rates for HCPCS 72131

Computed tomography, lumbar spine; without contrast material

Facilitymedian $81 · 10th–90th $47$2140%20%10th90th$81Professionalmedian $129 · 10th–90th $49$3090%5%10th90th$129$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $81.28 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $223.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $57.54 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $141.25 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $37.15 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $309.03 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $107.15 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $194.98 / $309.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $331.13 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $91.20 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $208.93 / $489.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $239.88 / $363.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $83.18 / $123.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $151.36 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $269.15 / $478.63
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $75.86 / $144.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $169.82 / $309.03
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $38.02 / $45.71