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Minnesota 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 $355 · 10th–90th $110$7940%10%10th90th$355Professionalmedian $347 · 10th–90th $115$9550%5%10th90th$347$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
$109.65 / $109.65 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $478.63 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $181.97 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $870.96
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $91.20 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $812.83 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $269.15 / $389.05
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $588.84 / $776.25
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $389.05 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $630.96 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $204.17 / $338.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $426.58 / $912.01
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$309.03 / $380.19 / $758.58
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $1,047.13
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $162.18 / $288.40
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $338.84 / $691.83
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $912.01 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $251.19 / $912.01
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $562.34 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $912.01 / $2,818.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $288.40 / $891.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $616.60 / $1,905.46