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Lower Back Disc Contrast Imaging

North Dakota 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 $43 · 10th–90th $41$710%50%10th90th$43Professionalmedian $102 · 10th–90th $38$2820%10%10th90th$102$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
$40.74
Median
$42.66
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$323.59
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$38.90
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$281.84
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$69.18
Median
$89.13
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$363.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$58.88
Typical High
$102.33
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$79.43
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$194.98
Typical High
$295.12
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$74.13
Typical High
$104.71