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Massachusetts rates for HCPCS 72133

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

Facilitymedian $100 · 10th–90th $47$2400%20%10th90th$100Professionalmedian $182 · 10th–90th $62$4900%5%10th90th$182$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 / $100.00 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $257.04 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $72.44 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $177.83 / $478.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $380.19 / $380.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $389.05 / $2,398.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $83.18 / $549.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $316.23 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $117.49 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $436.52 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $87.10 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $338.84 / $575.44
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $204.17 / $389.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $575.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $85.11 / $154.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $229.09 / $389.05
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $380.19 / $380.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $389.05 / $2,398.83
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $83.18 / $549.54
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $316.23 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $380.19 / $660.69
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $83.18 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $269.15 / $537.03