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Virginia rates for HCPCS 72133

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

Facilitymedian $100 · 10th–90th $52$3890%20%10th90th$100Professionalmedian $186 · 10th–90th $60$4070%5%10th90th$186$20.0$100.0$500.0$2.0K$10.0K

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
$52.48 / $100.00 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $263.03 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $190.55 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $75.86 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $194.98 / $323.59
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $281.84 / $1,258.93
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $77.62 / $109.65
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $229.09 / $309.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $380.19 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $74.13 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $281.84 / $478.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $229.09 / $309.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $66.07 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $165.96 / $223.87
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $616.60 / $630.96
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $112.20 / $128.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $338.84
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $316.23 / $1,023.29
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $81.28 / $131.83
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $263.03 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $316.23 / $616.60
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $70.79 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $245.47 / $524.81