go back

Sacroiliac Joint X-ray

Massachusetts 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 July 2026.

Facilitymedian $9 · 10th–90th $6$380%20%10th90th$9Professionalmedian $26 · 10th–90th $8$810%5%10th90th$26$10.0$20.0$50.0$100.0$200.0

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
$6.46
Median
$8.51
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$30.90
Typical High
$100.00
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6.46
Median
$8.71
Typical High
$26.92
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.49
Median
$21.88
Typical High
$74.13
AllWays Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$18.62
Median
$100.00
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$42.66
Typical High
$208.93
AllWays Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.41
Median
$11.75
Typical High
$85.11
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.42
Median
$33.11
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$32.36
Typical High
$32.36
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.18
Median
$16.60
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$48.98
Typical High
$93.33
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6.76
Median
$12.02
Typical High
$23.99
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$36.31
Typical High
$74.13
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$36.31
Typical High
$61.66
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$104.71
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.51
Median
$12.59
Typical High
$21.88
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$37.15
Typical High
$69.18
Health New England
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.13
Typical High
$52.48
Mass General Brigham
Setting
Facility
Modifier
26 · Professional part
Typical Low
$18.62
Median
$100.00
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$42.66
Typical High
$208.93
Mass General Brigham
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.41
Median
$11.75
Typical High
$85.11
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.42
Median
$33.11
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$46.77
Typical High
$112.20
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.51
Median
$12.88
Typical High
$34.67
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$34.67
Typical High
$85.11