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Ohio rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $11 · 10th–90th $8$290%20%10th90th$11Professionalmedian $23 · 10th–90th $8$520%10%10th90th$23$0.1$0.5$2.0$10.0$50.0$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 / $11.48 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $35.48 / $81.28
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $10.96 / $23.99
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $24.55 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.46 / $8.51 / $11.48
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.88 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $11.75 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $21.88 / $37.15
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $63.10
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $9.33 / $16.60
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $26.30 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $38.02 / $72.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $10.96 / $19.05
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $28.18 / $53.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.04 / $9.55 / $13.49
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $63.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $10.96 / $19.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $27.54 / $46.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $72.44
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $10.72 / $19.05
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $30.20 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $32.36 / $64.57
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $9.55 / $21.38
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $23.44 / $48.98