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Lower Back Disc Contrast Imaging

Rhode Island 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 $257 · 10th–90th $204$2570%50%10th$257Professionalmedian $76 · 10th–90th $32$1450%10%10th90th$76$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$204.17
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$223.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$38.90
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$213.80
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$48.98
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$169.82
Typical High
$363.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$58.88
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$363.08
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$47.86
Typical High
$64.57