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Lower Back Disc Contrast Imaging

Oklahoma 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?

$115

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $245 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$105$87.10 to $145
FacilityA hospital or hospital-owned outpatient department$245$120 to $372

How much rates vary

Facilitymedian $245 · 10th to 90th $120 to $1,230Professionalmedian $105 · 10th to 90th $54 to $1,950
$50$100$200$500$1K$2K$5Kfacility $245professional $105

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
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$85.11
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$251.19
Typical High
$346.74
BCBS Oklahoma
Setting
Professional
Modifier
None (both parts)
Typical Low
$42.66
Median
$104.71
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$446.68
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$95.50
Typical High
$177.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$35.48
Typical High
$54.95
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$58.88
Typical High
$97.72
Medica
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$120.23
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$97.72
Median
$208.93
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$93.33
Typical High
$549.54
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$295.12
Typical High
$1,737.80
United
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$3,162.28
Typical High
$5,011.87
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$87.10
Median
$109.65
Typical High
$229.09
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$41.69
Typical High
$57.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$64.57
Typical High
$186.21
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
$42.66
Median
$43.65
Typical High
$52.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.98
Median
$17.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$69.18
Median
$69.18
Typical High
$75.86

Where Oklahoma 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.

Oklahoma· 45th of 51

$115

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.