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North Carolina rates for HCPCS 72133

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

Facilitymedian $107 · 10th–90th $60$2400%10%20%10th90th$107Professionalmedian $200 · 10th–90th $65$6920%5%10th90th$200$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 / $100.00 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $67.61 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $213.80 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $131.83 / $181.97
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $616.60 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $478.63 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $91.20 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $363.08 / $630.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $181.97 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $371.54 / $645.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $75.86 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $288.40 / $478.63
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,398.83 / $2,398.83
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83