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Oregon rates for HCPCS 72133

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

Facilitymedian $129 · 10th–90th $85$1510%20%10th90th$129Professionalmedian $214 · 10th–90th $63$5010%5%10th90th$214$10.0$20.0$50.0$100.0$200.0$500.0$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
$85.11 / $128.82 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $281.84 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $67.61 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $213.80 / $407.38
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
$208.93 / $371.54 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $85.11 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $295.12 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $446.68 / $537.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $128.82 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $316.23 / $389.05
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $128.82 / $151.36
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $457.09 / $691.83
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $120.23 / $181.97
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $316.23 / $524.81
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $588.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $478.63 / $676.08
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $123.03 / $173.78
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $380.19 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $489.78 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $128.82 / $169.82
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $354.81 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $363.08 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $79.43 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $275.42 / $501.19