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Illinois rates for HCPCS 72158

Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar

Facilitymedian $186 · 10th–90th $115$3310%10%10th90th$186Professionalmedian $309 · 10th–90th $112$9550%5%10th90th$309$20.0$100.0$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $186.21 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $537.03 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $190.55 / $524.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $102.33 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $128.82 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $380.19 / $660.69
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $537.03 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $158.49 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $371.54 / $1,122.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $1,000.00 / $4,073.80
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $218.78 / $1,023.29
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $478.63 / $3,311.31
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $389.05 / $426.58
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $134.90 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $257.04 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $562.34 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $173.78 / $380.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $389.05 / $1,096.48