go back

Ohio rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Facilitymedian $13 · 10th–90th $10$200%20%40%10th90th$13Professionalmedian $28 · 10th–90th $10$650%10%10th90th$28$0.1$0.5$2.0$10.0$50.0$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
$10.47 / $13.18 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $45.71 / $97.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $16.22 / $31.62
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $30.90 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.90 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $12.59 / $14.13
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $26.30 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $39.81 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $12.88 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $26.92 / $43.65
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $44.67 / $46.77
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.59 / $13.18
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $31.62 / $33.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $31.62 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $45.71 / $83.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $13.18 / $22.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $33.11 / $61.66
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.63 / $12.30 / $17.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $74.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $13.80 / $25.12
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $32.36 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $46.77 / $83.18
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $13.18 / $23.44
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $33.88 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $38.90 / $77.62
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $11.75 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $26.92 / $53.70