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Lower Back Disc Contrast Imaging

Michigan 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 $59 · 10th–90th $47$590%20%40%10th$59Professionalmedian $85 · 10th–90th $35$1910%5%10%10th90th$85$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
$46.77
Median
$46.77
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$177.83
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$40.74
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$204.17
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$66.07
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$158.49
Typical High
$389.05
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$53.70
Typical High
$100.00
Health Alliance Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$36.31
Median
$85.11
Typical High
$100.00
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$199.53
Health Alliance Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$42.66
Typical High
$66.07
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$407.38
Priority Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$51.29
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$338.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$45.71
Typical High
$75.86