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Iowa rates for HCPCS 72133

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

Facilitymedian $95 · 10th–90th $60$5620%20%40%10th90th$95Professionalmedian $178 · 10th–90th $60$4070%5%10%10th90th$178$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
$60.26 / $60.26 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $251.19 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $64.57 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $173.78 / $346.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $478.63 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $138.04 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $338.84 / $512.86
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $380.19 / $1,230.27
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $107.15 / $338.84
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $281.84 / $954.99
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$436.52 / $562.34 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $446.68 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $93.33 / $524.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $316.23 / $2,398.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $562.34 / $831.76
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $147.91 / $204.17
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $398.11 / $724.44
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $562.34 / $630.96
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $147.91 / $208.93
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $398.11 / $512.86
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $141.25 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $346.74 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $77.62 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $251.19 / $501.19
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $457.09
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $114.82 / $134.90
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $269.15 / $316.23