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New York rates for HCPCS 72133

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

Facilitymedian $91 · 10th–90th $60$1950%20%10th90th$91Professionalmedian $195 · 10th–90th $62$4570%5%10th90th$195$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
$70.79 / $91.20 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $281.84 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $74.13 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $213.80 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $275.42 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $204.17 / $524.81
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $213.80 / $302.00
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.45 / $67.61 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $436.52 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $89.13 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $323.59 / $1,096.48
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $269.15 / $416.87
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $83.18 / $251.19
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $199.53 / $288.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $501.19
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $87.10 / $151.36
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $229.09 / $354.81
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $251.19
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $72.44 / $123.03
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $316.23 / $537.03
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $87.10 / $158.49
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $223.87 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $79.43 / $213.80
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $213.80 / $630.96
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$48.98 / $70.79 / $204.17
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $588.84
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $87.10 / $173.78
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $218.78 / $407.38