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Missouri rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $17 · 10th–90th $8$260%20%10th90th$17Professionalmedian $23 · 10th–90th $7$580%5%10th90th$23$2.0$5.0$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.76 / $16.60 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $33.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $8.91 / $23.99
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $23.99 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.76 / $6.76 / $13.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $10.72 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $24.55 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $37.15 / $45.71
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $9.33 / $12.30
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $27.54 / $33.88
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.04 / $9.55 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $64.57
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $11.22 / $19.95
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $27.54 / $53.70
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $42.66 / $208.93
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $12.02 / $83.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.20 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $69.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $10.23 / $22.91
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $25.12 / $51.29