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North Carolina 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 $148 · 10th–90th $110$3390%20%10th90th$148Professionalmedian $324 · 10th–90th $110$1,0230%5%10th90th$324$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 / $147.91 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $524.81 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $194.98 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $363.08 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $186.21 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $275.42 / $331.13
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $1,000.00 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $851.14 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $165.96 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $575.44 / $1,380.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $295.12 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $630.96 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $138.04 / $316.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $446.68 / $1,023.29
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40