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Indiana rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Facilitymedian $13 · 10th–90th $10$170%20%10th90th$13Professionalmedian $28 · 10th–90th $10$740%5%10th90th$28$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
$10.00 / $12.88 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $52.48 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $15.85 / $28.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $28.84 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $11.22 / $16.60
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $26.30 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $35.48 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $12.88 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $22.39 / $39.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $31.62 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $45.71 / $81.28
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $13.18 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $33.11 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $70.79
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $11.75 / $23.99
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $26.92 / $51.29