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Wisconsin rates for HCPCS 72200

Radiologic examination, sacroiliac joints; less than 3 views

Facilitymedian $17 · 10th–90th $12$1000%20%10th90th$17Professionalmedian $31 · 10th–90th $8$950%5%10th90th$31$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
$12.02 / $13.80 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.90 / $83.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $10.96 / $25.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $26.30 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $48.98 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $12.88 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $37.15 / $125.89
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $23.99 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $91.20 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $21.38 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $69.18 / $102.33
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $74.13 / $97.72
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $18.62 / $23.99
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $54.95 / $74.13
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $57.54 / $208.93
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $17.78 / $83.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $42.66 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $61.66 / $131.83
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $19.50 / $31.62
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $42.66 / $97.72
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $85.11 / $125.89
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $154.88 / $208.93
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $43.65 / $83.18
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $109.65 / $158.49
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $169.82 / $208.93
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $24.55 / $47.86
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $51.29 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $95.50 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $52.48 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $95.50 / $173.78