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Lower Back Disc Contrast Imaging

Indiana 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 $47 · 10th–90th $37$680%20%10th90th$47Professionalmedian $81 · 10th–90th $35$2340%10%10th90th$81$10.0$50.0$200.0$1.0K$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
26 · Professional part
Typical Low
$37.15
Median
$46.77
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$128.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$38.02
Typical High
$47.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$275.42
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$54.95
Typical High
$85.11
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
$81.28
Median
$169.82
Typical High
$489.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$52.48
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$338.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$43.65
Typical High
$74.13