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Wisconsin rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Facilitymedian $23 · 10th–90th $16$1000%20%10th90th$23Professionalmedian $40 · 10th–90th $12$1450%5%10th90th$40$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
$15.85 / $22.39 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $57.54 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $19.50 / $87.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $36.31 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $58.88 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $16.22 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $42.66 / $144.54
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $33.88 / $47.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $32.36 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $107.15 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $28.18 / $43.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $77.62 / $114.82
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $112.20
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $23.99 / $30.90
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $60.26 / $79.43
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $69.18 / $251.19
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $22.39 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $48.98 / $181.97
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $72.44 / $158.49
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $20.89 / $33.88
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $50.12 / $112.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $97.72 / $144.54
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $181.97 / $251.19
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $57.54 / $97.72
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $125.89 / $181.97
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $194.98 / $245.47
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $26.30 / $51.29
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $54.95 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $117.49 / $288.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $70.79 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $95.50 / $199.53