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South Carolina rates for HCPCS 72133

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

Facilitymedian $83 · 10th–90th $83$870%50%100%90th$83Professionalmedian $191 · 10th–90th $60$3890%5%10th90th$191$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
$83.18 / $83.18 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $275.42 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $190.55 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $426.58 / $707.95
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $81.28 / $151.36
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $186.21 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $380.19 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $83.18 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $309.03 / $549.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $354.81 / $645.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $74.13 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $281.84 / $537.03