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Utah rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $9 · 10th–90th $9$90%50%$9Professionalmedian $26 · 10th–90th $8$660%5%10%10th90th$26$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $8.91 / $19.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $23.99 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $38.90 / $67.61
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $11.48 / $17.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $26.92 / $47.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $32.36 / $36.31
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $54.95 / $63.10
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $13.18 / $19.50
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $40.74 / $45.71
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $63.10
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $13.18 / $18.20
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $38.02 / $44.67
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $35.48 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $32.36 / $53.70
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $9.12 / $14.79
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $23.44 / $38.90