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Texas rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $7 · 10th–90th $5$1000%10%20%10th90th$7Professionalmedian $22 · 10th–90th $7$470%5%10%10th90th$22$2.0$5.0$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
$5.01 / $6.03 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $67.61
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.75 / $7.94 / $17.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $21.88 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.31 / $7.94 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $25.70 / $34.67
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $35.48 / $54.95
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.51
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.04 / $9.55 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $63.10
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.76 / $9.55 / $18.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $24.55 / $46.77
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
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.01 / $7.24 / $11.22
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $74.13
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.75 / $9.33 / $19.05
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $25.70 / $52.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $32.36 / $66.07
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.14 / $9.77 / $14.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $70.79
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.76 / $8.91 / $15.85
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $23.44 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.90 / $64.57
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.24 / $8.51 / $22.39
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $22.39 / $47.86
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.88 / $40.74
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $8.51 / $10.23
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $25.12 / $30.20