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Lower Back Disc Contrast Imaging

Arizona 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 $174 · 10th–90th $81$1910%20%10th90th$174Professionalmedian $74 · 10th–90th $34$1580%10%10th90th$74$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$123.03
Median
$173.78
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$151.36
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$38.02
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$204.17
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$38.90
Typical High
$63.10
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$10.23
Median
$47.86
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$316.23
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$47.86
Typical High
$89.13
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$93.33
Median
$177.83
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$44.67
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$251.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$43.65
Typical High
$66.07