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North Dakota rates for HCPCS 72133

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

Facilitymedian $62 · 10th–90th $44$1020%20%40%10th90th$62Professionalmedian $191 · 10th–90th $62$4170%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
$43.65 / $61.66 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $275.42 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $64.57 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $190.55 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $467.74 / $512.86
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $138.04 / $151.36
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $323.59 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $89.13 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $275.42 / $489.78
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 / $467.74 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $117.49 / $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
$234.42 / $436.52 / $562.34
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $109.65 / $158.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $323.59 / $436.52