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Sacroiliac Joint X-ray

Iowa rates for HCPCS 72200

This is an X-ray of the sacroiliac joints, the joints where the base of the spine connects to the pelvis, using a limited number of views. It is used to look for signs of arthritis, injury, or inflammation in these joints, which can be a source of low back pain.

Rates data updated October 2026.

How much does Sacroiliac Joint X-ray cost?

$53.70

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $85.11 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$50.12$32.36 to $72.44
FacilityA hospital or hospital-owned outpatient department$85.11$64.57 to $195

How much rates vary

Facilitymedian $85 · 10th to 90th $54 to $282Professionalmedian $50 · 10th to 90th $25 to $85
$10$20$50$100$200facility $85professional $50

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$67.61
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$26.92
Median
$29.51
Typical High
$52.48
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.08
Median
$7.76
Typical High
$13.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.50
Median
$21.88
Typical High
$44.67
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$74.13
Typical High
$100.00
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.00
Median
$18.20
Typical High
$23.99
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$54.95
Typical High
$75.86
Hally Health
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$45.71
Typical High
$97.72
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.76
Median
$13.80
Typical High
$25.70
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$30.90
Typical High
$58.88
Medica
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$85.11
Typical High
$275.42
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$32.36
Median
$60.26
Typical High
$208.93
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.91
Median
$16.22
Typical High
$83.18
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$39.81
Typical High
$158.49
Midlands
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$74.13
Typical High
$85.11
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$18.20
Typical High
$20.42
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$54.95
Typical High
$64.57
Midlands
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$60.26
Median
$79.43
Typical High
$102.33
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$8.91
Median
$28.18
Typical High
$61.66
United
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$263.03
Typical High
$331.13
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$29.51
Median
$37.15
Typical High
$60.26
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.51
Median
$10.72
Typical High
$17.38
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$26.30
Typical High
$42.66
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$58.88
Median
$58.88
Typical High
$67.61
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.79
Median
$14.79
Typical High
$16.60
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$44.67
Median
$44.67
Typical High
$51.29
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.13
Median
$14.79
Typical High
$21.38
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.62
Median
$5.89
Typical High
$8.51
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$22.39
Median
$23.44
Typical High
$25.12

Where Iowa sits

The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 10th of 51

$53.70

AK $95.50FL $25.70

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.