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Contrast Spine Imaging Supervision, Mid-Back

South Carolina 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.

Facilitymedian $240 · 10th–90th $98$2,2390%5%10%10th90th$240Professionalmedian $105 · 10th–90th $78$2240%10%20%10th90th$105$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,258.93
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$251.19
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$1,230.27
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$295.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$707.95
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$269.15