Lumbosacral spine X-ray, 2 to 3 views

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC XR LUMBAR SPINE AP/LAT 2-3VWS

Payers reporting CPT 72100

72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare fee schedule · outpatient · +41 other terms	799	$172.88	$167.45	$1.00 – $4,564
2	Aetna fee schedule · outpatient · +38 other terms	725	$111.75	$174.95	$1.00 – $5,234
3	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	546	$137.28	$176.94	$1.00 – $2,358
4	Cigna fee schedule · outpatient · +34 other terms	544	$152.64	$206.02	$8.42 – $1,892
5	Humana fee schedule · outpatient · +34 other terms	436	$106.49	$125.19	$1.10 – $3,260
6	Molina fee schedule · outpatient · +35 other terms	269	$98.35	$84.75	$1.05 – $308.20
7	Anthem fee schedule · outpatient · +33 other terms	204	$109.29	$86.50	$2.07 – $881.25
8	WellCare fee schedule · outpatient · +28 other terms	195	$111.67	$107.81	$8.42 – $420.00
9	MultiPlan fee schedule · outpatient · +25 other terms	136	$420.00	$430.94	$14.26 – $1,851
10	Kaiser fee schedule · outpatient · +28 other terms	111	$148.83	$196.83	$10.97 – $1,123
11	Ambetter fee schedule · outpatient · +26 other terms	106	$178.42	$137.13	$8.10 – $376.20
12	Devoted facility · fee schedule · outpatient · +20 other terms	106	$104.86	$132.88	$6.02 – $4,863
13	Aetna Better Health fee schedule · outpatient · +21 other terms	92	$43.31	$61.82	$24.49 – $385.49
14	Medica fee schedule · outpatient · +27 other terms	88	$90.44	$131.11	$8.58 – $809.28
15	Tricare facility · fee schedule · outpatient · +23 other terms	87	$104.71	$132.32	$5.55 – $4,573
16	Caresource fee schedule · outpatient · +23 other terms	79	$104.31	$93.12	$1.08 – $346.64
17	Highmark facility · fee schedule · outpatient · +23 other terms	74	$120.25	$121.37	$3.42 – $481.50
18	Oscar facility · fee schedule · outpatient · +23 other terms	71	$152.82	$143.35	$41.68 – $351.00
19	First Health fee schedule · outpatient · +21 other terms	66	$184.14	$290.04	$13.16 – $1,326
20	Medicaid facility · fee schedule · outpatient · +21 other terms	63	$47.69	$69.87	$22.50 – $165.86
21	Optum fee schedule · outpatient · +27 other terms	62	$97.64	$241.34	$11.81 – $1,685
22	Amerihealth Caritas facility · fee schedule · outpatient · +19 other terms	54	$50.78	$73.41	$22.50 – $354.00
23	Medicare other · both · +23 other terms	52	$110.61	$132.40	$40.12 – $682.00
24	Cigna Healthspring fee schedule · outpatient · +11 other terms	47	$98.52	$79.92	$33.79 – $134.63
25	Clover facility · fee schedule · outpatient · +16 other terms	36	$107.04	$105.27	$85.23 – $125.23

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