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Texas rates for HCPCS 72133

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

Facilitymedian $62 · 10th–90th $50$3800%20%40%10th90th$62Professionalmedian $174 · 10th–90th $56$3800%5%10th90th$174$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
$50.12 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $251.19 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $61.66 / $107.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $173.78 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $158.49 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $56.23 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $162.18 / $208.93
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $60.26
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
$186.21 / $302.00 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $75.86 / $128.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $229.09 / $478.63
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,398.83
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $61.66 / $79.43
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $275.42 / $524.81
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $134.90
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $190.55 / $380.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $162.18
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $186.21 / $537.03
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.79 / $69.18 / $100.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $302.00 / $602.56
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $72.44 / $117.49
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $218.78 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $302.00 / $562.34
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $218.78 / $436.52
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $194.98 / $234.42
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $58.88 / $70.79
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $138.04 / $162.18