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Lower Back Disc Contrast Imaging

New Jersey 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 October 2026.

How much does Lower Back Disc Contrast Imaging cost?

$126

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $282 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$97.72 to $141
FacilityA hospital or hospital-owned outpatient department$282$178 to $1,413

How much rates vary

Facilitymedian $282 · 10th to 90th $135 to $7,943Professionalmedian $123 · 10th to 90th $81 to $234
$100$200$500$1K$2K$5K$10Kfacility $282professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$134.90
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$75.86
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$32.36
Typical High
$42.66
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$44.67
Median
$102.33
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$245.47
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$77.62
Median
$91.20
Typical High
$323.59
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$30.20
Typical High
$77.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$58.88
Typical High
$229.09
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$173.78
Typical High
$181.97
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$54.95
Typical High
$61.66
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$117.49
Typical High
$120.23
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$3,981.07
Typical High
$8,511.38
Horizon BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$125.89
Typical High
$229.09
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$46.77
Typical High
$66.07
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$77.62
Typical High
$128.82
United
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$8,128.31
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$91.20
Median
$109.65
Typical High
$288.40
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$39.81
Typical High
$74.13
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$70.79
Typical High
$158.49
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.02
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.14
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$74.13
Median
$107.15
Typical High
$107.15

Where New Jersey sits

The same service costs 4.0 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 42nd of 51

$126

AK $339FL $85.11

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.