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MRI Of The Lower Back Spine, With And Without Contrast

Maine rates for HCPCS 72158

This is an MRI scan of the spinal canal and its contents in the lower back, performed first without contrast dye and then again after contrast dye is given, to provide two sets of detailed images. It is used to evaluate conditions such as tumors, infections, or inflammation affecting the spinal cord or nerves in the lower back.

Facilitymedian $166 · 10th–90th $151$2,4550%20%40%10th90th$166Professionalmedian $288 · 10th–90th $112$7410%10%10th90th$288$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$151.36
Median
$2,454.71
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$102.33
Median
$165.96
Typical High
$323.59
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$218.78
Median
$316.23
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$158.49
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$213.80
Median
$309.03
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$933.25
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$109.65
Median
$162.18
Typical High
$323.59
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$295.12
Median
$676.08
Typical High
$1,258.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$912.01
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$128.82
Median
$162.18
Typical High
$302.00
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$257.04
Median
$323.59
Typical High
$602.56
Martin's Point
Setting
Facility
Modifier
26 · Professional part
Typical Low
$134.90
Median
$165.96
Typical High
$14,791.08
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$1,071.52
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$162.18
Typical High
$269.15
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$257.04
Median
$371.54
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$512.86
Typical High
$1,230.27
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$104.71
Median
$162.18
Typical High
$416.87
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$218.78
Median
$354.81
Typical High
$831.76