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Utah rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Facilitymedian $49 · 10th–90th $10$490%50%10th$49Professionalmedian $32 · 10th–90th $10$1290%5%10th90th$32$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 / $48.98 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $47.86 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $14.13 / $41.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $30.90 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $45.71 / $79.43
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $12.88 / $22.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $30.90 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $32.36 / $42.66
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $74.13
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $17.78 / $21.38
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $46.77 / $53.70
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $60.26 / $74.13
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $16.98 / $23.99
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $43.65 / $51.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $39.81 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $37.15 / $63.10
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $11.22 / $18.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $26.92 / $44.67