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Contrast Spine Imaging Supervision, Mid-Back

Pennsylvania 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 July 2026.

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

$115

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$110$100 to $132
FacilityA hospital or hospital-owned outpatient department$380$191 to $468

How much rates vary

Facilitymedian $380 · 10th to 90th $120 to $1,023Professionalmedian $110 · 10th to 90th $87 to $204
$100$200$500$1K$2Kfacility $380professional $110

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$239.88
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$141.25
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$107.15
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$204.17
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$269.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$186.21
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$245.47
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$229.09
Typical High
$467.74
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$229.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$93.33
Typical High
$190.55
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$645.65
Typical High
$1,023.29
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,862.09
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$239.88

Where Pennsylvania sits

The same service costs 2.6 times more in Alaska than in Florida. 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.

Pennsylvania· 43rd of 51

$115

AK $263FL $100

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.