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Alaska rates for HCPCS 72133

Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections

Facilitymedian $339 · 10th–90th $191$3390%50%10th$339Professionalmedian $214 · 10th–90th $62$6460%5%10th90th$214$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$190.55 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $275.42 / $794.33
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $190.55 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $616.60 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $117.49 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $467.74 / $676.08
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $338.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $562.34 / $1,288.25
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $173.78 / $436.52
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $371.54 / $831.76
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $954.99 / $1,445.44
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $239.88 / $398.11
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $724.44 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $512.86 / $831.76
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $117.49 / $275.42
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $407.38 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $616.60 / $2,041.74
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $177.83 / $562.34
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $512.86 / $1,584.89