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Sacroiliac Joint X-ray

Montana 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?

$47.86

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $47.86 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$47.86$31.62 to $52.48
FacilityA hospital or hospital-owned outpatient department$47.86$13.49 to $58.88

How much rates vary

Facilitymedian $48 · 10th to 90th $13 to $68Professionalmedian $48 · 10th to 90th $13 to $58
$10$20$50$100facility $48professional $48

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
Professional
Modifier
None (both parts)
Typical Low
$26.92
Median
$29.51
Typical High
$66.07
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.41
Median
$7.76
Typical High
$16.98
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$21.88
Typical High
$44.67
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$181.97
BCBS Montana
Setting
Professional
Modifier
None (both parts)
Typical Low
$12.59
Median
$12.59
Typical High
$52.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$47.86
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$37.15
Median
$52.48
Typical High
$67.61
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.75
Median
$12.59
Typical High
$18.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.12
Median
$39.81
Typical High
$48.98
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$43.65
Typical High
$63.10
MountainHealth Co-op
Setting
Professional
Modifier
None (both parts)
Typical Low
$8.13
Median
$13.49
Typical High
$61.66
MountainHealth Co-op
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1.48
Median
$1.78
Typical High
$28.18
Providence
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$47.86
Typical High
$69.18
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$31.62
Median
$52.48
Typical High
$74.13
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.76
Median
$11.75
Typical High
$12.88
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.99
Median
$36.31
Typical High
$39.81
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$28.84
Median
$32.36
Typical High
$57.54
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.91
Median
$9.12
Typical High
$15.85
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$23.44
Typical High
$40.74

Where Montana 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.

Montana· 14th of 51

$47.86

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.