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Lower Back Disc Contrast Imaging

Utah 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?

$95.50

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $3,548 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$53.70 to $129
FacilityA hospital or hospital-owned outpatient department$3,548$141 to $4,786

How much rates vary

Facilitymedian $3,548 · 10th to 90th $141 to $5,888Professionalmedian $95 · 10th to 90th $35 to $162
$50$100$200$500$1K$2K$5Kfacility $3,548professional $95

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
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$141.25
Typical High
$223.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$46.77
Typical High
$66.07
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$93.33
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$2,630.27
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$134.90
Typical High
$204.17
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$44.67
Typical High
$67.61
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$91.20
Typical High
$128.82
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$66.07
Typical High
$128.82
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$4,168.69
Typical High
$6,025.60
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$158.49
Median
$181.97
Typical High
$229.09
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$63.10
Typical High
$89.13
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$109.65
Typical High
$147.91
Select Health
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$177.83
Typical High
$199.53
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$104.71
Typical High
$245.47
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$100.00
Median
$131.83
Typical High
$218.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$43.65
Typical High
$72.44
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$67.61
Typical High
$158.49
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
$56.23
Median
$70.79
Typical High
$83.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$28.18
Typical High
$33.11
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$91.20
Median
$112.20
Typical High
$112.20

Where Utah 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.

Utah· 48th of 51

$95.50

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.