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Illinois rates for HCPCS 72133

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

Facilitymedian $107 · 10th–90th $65$2820%10%20%10th90th$107Professionalmedian $191 · 10th–90th $63$4370%5%10th90th$191$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
$64.57 / $107.15 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $269.15 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $67.61 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $190.55 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $47.86 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $218.78 / $407.38
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $338.84 / $602.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $85.11 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $245.47 / $489.78
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $537.03 / $1,737.80
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $120.23 / $575.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $398.11 / $1,258.93
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $263.03
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $74.13 / $77.62
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $169.82 / $181.97
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $346.74 / $575.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $75.86 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $263.03 / $467.74