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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 July 2026.

Facilitymedian $178 · 10th–90th $32$2570%20%10th90th$178Professionalmedian $76 · 10th–90th $32$1450%10%10th90th$76$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
$32.36
Median
$177.83
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$144.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$36.31
Typical High
$61.66
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$363.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$51.29
Typical High
$85.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$208.93
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$54.95
Typical High
$66.07
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$218.78
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$40.74
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$316.23
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$44.67
Typical High
$79.43