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Lower Back Disc Contrast Imaging

Maine 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.

Professionalmedian $93 · 10th–90th $41$2510%5%10%10th90th$93$50.0$200.0$1.0K$5.0K$20.0K

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
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$131.83
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$40.74
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$57.54
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$57.54
Typical High
$100.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$346.74
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$61.66
Typical High
$114.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$120.23
Typical High
$208.93
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$47.86
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$346.74
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$61.66
Typical High
$114.82