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Sacroiliac Joint X-ray

North Dakota 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 $8$150%50%10th90th$9Professionalmedian $27 · 10th–90th $8$740%5%10th90th$27$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
$8.13
Median
$8.91
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$74.13
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.24
Median
$7.94
Typical High
$15.14
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.50
Median
$22.91
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$87.10
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.45
Median
$19.05
Typical High
$21.38
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$57.54
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$51.29
Typical High
$81.28
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.76
Median
$12.30
Typical High
$20.89
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$38.90
Typical High
$60.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$208.93
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.71
Median
$16.22
Typical High
$83.18
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$38.90
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$58.88
Typical High
$100.00
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.71
Median
$15.49
Typical High
$28.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$44.67
Typical High
$100.00