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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 July 2026.

Facilitymedian $46 · 10th–90th $32$2510%20%10th90th$46Professionalmedian $85 · 10th–90th $32$1450%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
$32.36
Median
$44.67
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$114.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$32.36
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$104.71
Typical High
$144.54
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$37.15
Median
$37.15
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$302.00
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$40.74
Typical High
$67.61
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$93.33
Median
$177.83
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$43.65
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$114.82
Typical High
$251.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$41.69
Typical High
$61.66