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Lower Back Disc Contrast Imaging

Alaska rates for HCPCS 72295

This is a diagnostic imaging study of a disc in the lower back, performed after contrast dye is injected directly into the disc under X-ray guidance. The images and the pattern of any pain reproduced during the injection help determine whether that disc is a source of back pain.

Rates data updated July 2026.

Facilitymedian $126 · 10th–90th $126$1260%50%100%$126Professionalmedian $135 · 10th–90th $38$4470%5%10%10th90th$135$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$338.84
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$38.02
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$67.61
Typical High
$138.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$707.95
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$128.82
Typical High
$288.40
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$660.69
Premera BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$151.36
Median
$158.49
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$338.84
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$58.88
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$288.40
Typical High
$575.44
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$120.23
Typical High
$257.04