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Tennessee rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $45 · 10th–90th $12$1000%20%10th90th$45Professionalmedian $24 · 10th–90th $7$540%5%10%10th90th$24$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
$8.13 / $12.88 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.11 / $67.61
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.03 / $8.91 / $24.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $23.99 / $39.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.91 / $37.15
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.46 / $7.94 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $31.62 / $64.57
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $13.18 / $20.89
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.20 / $56.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $35.48 / $63.10
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.24 / $11.22 / $19.50
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $25.70 / $47.86
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $281.84 / $281.84
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $213.80 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $60.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $10.00 / $17.38
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $23.99 / $43.65