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Contrast Spine Imaging Supervision, Mid-Back

New Hampshire 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?

$166

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $141 to $257.

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

Facilitymedian $589 · 10th to 90th $229 to $3,548Professionalmedian $162 · 10th to 90th $115 to $331
$50$100$200$500$1K$2K$5Kfacility $589professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
$75.86
Median
$138.04
Typical High
$162.18
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$43.65
Typical High
$63.10
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$93.33
Typical High
$93.33
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$645.65
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$104.71
Median
$151.36
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$60.26
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$89.13
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$426.58
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$154.88
Typical High
$331.13
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$60.26
Typical High
$128.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$100.00
Typical High
$223.87
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$186.21
Typical High
$363.08
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$74.13
Typical High
$134.90
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$112.20
Typical High
$208.93
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$141.25
Median
$177.83
Typical High
$281.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$64.57
Typical High
$120.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$100.00
Typical High
$177.83
Well Sense
Setting
Facility
Modifier
TC · Technical part
Typical Low
$54.95
Median
$54.95
Typical High
$66.07
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.02
Median
$69.18
Typical High
$81.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.14
Median
$27.54
Typical High
$32.36
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$60.26
Median
$109.65
Typical High
$109.65

Where New Hampshire 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.

New Hampshire· 17th of 51

$166

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.