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Minnesota rates for HCPCS 72133

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

Facilitymedian $195 · 10th–90th $62$4370%10%10th90th$195Professionalmedian $229 · 10th–90th $76$5500%5%10th90th$229$10.0$50.0$200.0$1.0K

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
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $257.04 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $66.07 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $181.97 / $371.54
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $501.19 / $724.44
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $147.91 / $213.80
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $380.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$97.72 / $213.80 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $389.05 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $112.20 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $275.42 / $501.19
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $208.93 / $416.87
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $549.54
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $158.49
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $218.78 / $389.05
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $478.63 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $112.20 / $524.81
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $354.81 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $436.52 / $707.95
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $102.33 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $331.13 / $524.81