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Lower Back Disc Contrast Imaging

Vermont 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.

Professionalmedian $76 · 10th–90th $33$1350%20%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$134.90
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$40.74
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$57.54
Typical High
$131.83
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$263.03
Typical High
$398.11
MVP Health Care
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$380.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$54.95
Typical High
$104.71