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Lower Back Disc Contrast Imaging

South Carolina 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 $34 · 10th–90th $34$340%50%$34Professionalmedian $76 · 10th–90th $34$1410%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
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$141.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$36.31
Typical High
$46.77
BCBS
Setting
Facility
Modifier
26 · Professional part
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$407.38
Typical High
$575.44
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$64.57
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$467.74
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$54.95
Typical High
$89.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$389.05
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$47.86
Typical High
$87.10