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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 July 2026.

Facilitymedian $47 · 10th–90th $47$650%50%90th$47Professionalmedian $98 · 10th–90th $36$2290%5%10%10th90th$98$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$707.95
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$40.74
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$257.04
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$54.95
Typical High
$87.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$181.97
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$208.93
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$64.57
Typical High
$93.33
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Select Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$199.53
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$60.26
Typical High
$67.61
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$229.09
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$43.65
Typical High
$72.44