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Utah rates for HCPCS 72147

Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)

Facilitymedian $129 · 10th–90th $129$1290%50%$129Professionalmedian $269 · 10th–90th $89$6170%10%10th90th$269$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $478.63 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $141.25 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $512.86 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $107.15 / $181.97
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $467.74 / $691.83
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $138.04 / $199.53
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $436.52 / $891.25
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $194.98 / $398.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $295.12 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $81.28 / $162.18