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South Carolina rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $7 · 10th–90th $6–$120%20%10th90th$7Professionalmedian $22 · 10th–90th $7–$440%5%10%10th90th$22$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
$6.03 / $6.76 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $63.10
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $7.94 / $18.62
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $21.88 / $39.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $36.31 / $61.66
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $11.48 / $21.38
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $25.12 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $58.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $11.22 / $16.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.12 / $41.69
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $34.67 / $61.66
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $10.00 / $16.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $24.55 / $44.67