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Texas rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Facilitymedian $8 · 10th–90th $7$1000%20%10th90th$8Professionalmedian $27 · 10th–90th $9$630%5%10th90th$27$2.0$5.0$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
$6.92 / $7.94 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.90 / $117.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $10.96 / $27.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $26.30 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.47 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $26.92 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $29.51 / $40.74
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $42.66 / $72.44
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.63 / $12.30 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $74.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $11.48 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $28.84 / $53.70
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $331.13
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $245.47 / $245.47
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.08 / $8.71 / $14.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $43.65 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $12.30 / $25.12
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $30.90 / $61.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $37.15 / $75.86
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.63 / $12.30 / $17.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $83.18
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $10.96 / $19.50
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $27.54 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $36.31 / $77.62
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $11.22 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $26.30 / $53.70
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $38.90 / $46.77
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.47 / $12.59
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $28.18 / $33.88