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Tennessee 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 $174 · 10th–90th $158$6920%20%40%10th90th$174Professionalmedian $331 · 10th–90th $112$8510%5%10th90th$331$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
$147.91 / $173.78 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $537.03 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $173.78 / $363.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $363.08 / $741.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $281.84 / $676.08
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $112.20 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $154.88 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $426.58 / $977.24
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $173.78 / $275.42
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $446.68 / $812.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $645.65 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $154.88 / $269.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $446.68 / $1,071.52
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $588.84 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $134.90 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $389.05 / $912.01