go back

Sacroiliac Joint X-ray

Utah rates for HCPCS 72200

This is an X-ray of the sacroiliac joints, the joints where the base of the spine connects to the pelvis, using a limited number of views. It is used to look for signs of arthritis, injury, or inflammation in these joints, which can be a source of low back pain.

Rates data updated October 2026.

How much does Sacroiliac Joint X-ray cost?

$30.90

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $209 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.90$26.30 to $35.48
FacilityA hospital or hospital-owned outpatient department$209$37.15 to $275

How much rates vary

Facilitymedian $209 · 10th to 90th $32 to $407Professionalmedian $31 · 10th to 90th $23 to $55
$20$50$100$200$500$1Kfacility $209professional $31

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$37.15
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$28.18
Median
$32.36
Typical High
$46.77
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.41
Median
$9.33
Typical High
$13.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$22.91
Typical High
$33.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$190.55
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$28.84
Median
$28.84
Typical High
$52.48
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.33
Median
$9.33
Typical High
$13.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.50
Median
$19.50
Typical High
$38.90
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$22.91
Median
$28.18
Typical High
$34.67
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$229.09
Typical High
$407.38
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$47.86
Median
$54.95
Typical High
$64.57
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.75
Median
$13.18
Typical High
$16.60
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$35.48
Median
$39.81
Typical High
$46.77
Select Health
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.90
Median
$38.02
Typical High
$57.54
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$33.11
Typical High
$61.66
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$28.84
Median
$32.36
Typical High
$58.88
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.13
Median
$9.12
Typical High
$14.79
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$23.44
Typical High
$38.90
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.22
Median
$16.22
Typical High
$25.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.46
Median
$6.46
Typical High
$10.00
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$25.70
Median
$25.70
Typical High
$29.51

Where Utah sits

The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 46th of 51

$30.90

AK $95.50FL $25.70

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.