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Lower Back Disc Contrast Imaging

West Virginia 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 $39 · 10th–90th $13$680%20%40%10th90th$39Professionalmedian $93 · 10th–90th $35$1910%10%10th90th$93$10.0$20.0$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
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$125.89
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$40.74
Typical High
$44.67
CareSource
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$10.23
Median
$47.86
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$213.80
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$60.26
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$177.83
Typical High
$457.09
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$47.86
Typical High
$87.10