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Contrast Spine Imaging Supervision, Mid-Back

Hawaii rates for HCPCS 72255

This service is the physician's supervision and interpretation of a contrast study of the spinal canal in the middle of the back, where contrast dye is introduced into the fluid space around the spinal cord and its movement is followed with imaging. It helps evaluate the spinal canal and nerve roots in that region for blockages or structural problems.

Rates data updated October 2026.

How much does Contrast Spine Imaging Supervision, Mid-Back cost?

$200

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $151 to $275.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $200 · 10th to 90th $115 to $295
$100$200professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$81.28
Median
$97.72
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$151.36
Typical High
$169.82
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$95.50
Typical High
$104.71
HMSA
Setting
Professional
Modifier
None (both parts)
Typical Low
$72.44
Median
$281.84
Typical High
$295.12
HMSA
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$58.88
Typical High
$61.66
HMSA
Setting
Professional
Modifier
TC · Technical part
Typical Low
$218.78
Median
$218.78
Typical High
$229.09
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$134.90
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$51.29
Typical High
$64.57
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$85.11
Typical High
$104.71
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
University Health Alliance
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$218.78
Typical High
$346.74
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$75.86
Typical High
$83.18
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$141.25
Typical High
$263.03

Where Hawaii sits

The same service costs 4.6 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 11th of 51

$200

AK $347UT $75.86

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.