go back

New Hampshire rates for HCPCS 72220

Radiologic examination, sacrum and coccyx, minimum of 2 views

Facilitymedian $74 · 10th–90th $16$3800%5%10%10th90th$74Professionalmedian $26 · 10th–90th $8$680%5%10th90th$26$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
Typical Low / Median / Typical High
$29.51 / $190.55 / $436.52
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.32 / $12.02 / $30.90
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $57.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $100.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $10.96 / $21.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $23.99 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.76 / $10.72 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $181.97 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $12.88 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $38.02 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $204.17 / $524.81
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $89.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $13.80 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $37.15 / $74.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $57.54 / $87.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $14.79 / $21.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $42.66 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $48.98 / $114.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $13.18 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $34.67 / $72.44
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $32.36
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.31 / $6.92 / $8.51
Well Sense
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $21.38 / $23.99