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Idaho rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Facilitymedian $28 · 10th–90th $15$290%20%40%10th90th$28Professionalmedian $29 · 10th–90th $10$720%5%10%10th90th$29$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
$15.49 / $27.54 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $93.33
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $14.13 / $27.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $30.20 / $66.07
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $72.44 / $100.00
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $20.42 / $26.92
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $51.29 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $56.23 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $16.60 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $39.81 / $56.23
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $112.20
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.50 / $52.48 / $52.48
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.49 / $27.54 / $28.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $67.61 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $19.05 / $28.84
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $50.12 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $30.20 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $81.28 / $93.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $21.88 / $26.30
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $58.88 / $67.61
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $37.15 / $85.11
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.00 / $23.44
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $31.62 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $38.90 / $72.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $12.02 / $20.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $27.54 / $50.12