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Illinois

Cost of a Lower Back MRI Visit
in Illinois

Reviewed by Momentary Medical Group West PC

Illinois's healthcare market concentration around the Chicago metropolitan area creates significant cost variations for medical imaging services across the state. Lower Back MRI patients typically pay between $76 and $553, with a median out-of-pocket cost of $186 based on negotiated insurance rates. With over 6,000 active Lower Back MRI providers statewide, Illinois offers extensive options for patients seeking spinal imaging services throughout both urban and rural regions.

Average

$271

Median

$186

Lowest

$76

Highest

$553

Providers

6,155

National avg: $383Illinois: $271

29% below national average

Compare Similar Procedures

How does mri lumbar spine compare to related procedures in Illinois?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$93$317$8425,703
MRI Knee

MRI of the knee without contrast

73721$69$221$5957,078
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$80$289$5378,716
CT Chest

CT scan of the chest with contrast

71260$64$167$3467,047

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 72148MRI lumbar spine without contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 72148 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 72148 (MRI lumbar spine without contrast), as mandated by the CMS Price Transparency Rule.

What CPT 72148 covers: the provider's professional fee for mri lumbar spine. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Lower Back MRI Visit Costs Vary Across Illinois

Illinois healthcare costs run approximately 10% above the national average, driven largely by Chicago's concentration of academic medical centers and high operational expenses. The state's economic hub creates a two-tier market where downstate regions offer more affordable options compared to the expensive Chicagoland corridor.

Urban vs. Rural Provider Availability

Chicago and its suburbs contain the majority of Illinois's advanced MRI facilities, while rural counties often have limited imaging options requiring patients to travel significant distances. This geographic disparity creates cost pressures as rural patients may pay premium rates at the few available local facilities or incur additional travel expenses to reach urban centers.

Facility Type and Overhead Costs

Major health systems like Northwestern Medicine, Rush University Medical Center, and University of Chicago Medicine operate numerous hospital-based imaging centers with higher overhead costs reflected in pricing. Independent radiology groups throughout Illinois often provide identical MRI quality at substantially lower rates due to reduced administrative and facility expenses.

Insurance Market Competition in Illinois

The presence of Blue Cross Blue Shield of Illinois, UnitedHealthcare, and Aetna creates moderate competition in urban markets, though rural areas may have limited insurer participation. This competitive dynamic in Chicago helps keep negotiated rates reasonable, while less competitive downstate markets may see higher or more variable pricing structures.

Physician Supply and Demand in Illinois

With over 6,000 active Lower Back MRI providers statewide, Illinois maintains adequate radiologist supply in metropolitan areas but faces shortages in rural regions. This abundance in urban centers helps control wait times and pricing, while rural shortages can drive up costs and extend scheduling delays for spinal imaging services.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Lower Back MRI Costs in Illinois

What is the average cost of a Lower Back MRI visit in Illinois without insurance?

Uninsured patients in Illinois typically pay between $76 and $553 for a Lower Back MRI, with a median cost of $186 based on negotiated insurance rates. Independent imaging centers often offer the lower end of this range, while hospital-based facilities may charge toward the higher end. Many facilities provide cash-pay discounts of 20-40% for patients paying upfront without insurance coverage.

Does Illinois Medicaid cover Lower Back MRI visits?

Yes, Illinois expanded Medicaid covers Lower Back MRI when medically necessary with appropriate physician referral and clinical documentation. Patients must meet specific criteria such as persistent symptoms after conservative treatment or neurological deficits suggesting nerve compression. Prior authorization is typically required, and coverage extends to qualifying low-income adults under the expansion program.

How do I find an affordable Lower Back MRI near me in Illinois?

Compare prices between independent radiology clinics and hospital-based imaging centers, as independents often charge 40-60% less for identical services. Ask about self-pay discounts if uninsured, and consider community health centers or federally qualified health centers that may offer sliding fee scales. Rural patients might find better rates by traveling to larger cities with more competitive markets.

What is the difference in cost between an initial consultation and a follow-up visit?

Lower Back MRI is typically a one-time diagnostic imaging procedure rather than consultation-based care, so the $76-$553 range applies to the complete imaging study and interpretation. However, if you need to see a specialist to discuss results, initial consultations with spine specialists cost more than follow-up visits, though specific consultation pricing varies by provider and insurance coverage.

Can I use an HSA or FSA to pay for a Lower Back MRI visit in Illinois?

Yes, Lower Back MRI qualifies as an eligible medical expense for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) when prescribed by a physician. You can use these pre-tax dollars to pay deductibles, copays, or the full cost if uninsured. Keep receipts and physician orders for documentation, as the IRS requires medical necessity for reimbursement.

How does telemedicine affect the cost of seeing a Lower Back MRI in Illinois?

Telemedicine can reduce overall costs by enabling remote consultation with specialists to determine if Lower Back MRI is necessary before ordering expensive imaging. Many Illinois spine specialists offer virtual follow-up appointments to discuss MRI results at lower cost than in-person visits. However, the actual MRI must still be performed at an imaging facility, so telemedicine mainly reduces associated consultation expenses rather than the imaging cost itself.

Click a state to compare costs

Average Visit Cost

$181
$1,925

Office visit (CPT 72148)

Compare With Other States

RankStateAverage
1Alaska
Range: $73$2,851
$1,925
2Montana
Range: $73$2,851
$1,097
3Washington
Range: $65$2,851
$1,095
4Idaho
Range: $65$2,851
$1,068
5North Dakota
Range: $145$2,450
$987
6Minnesota
Range: $88$2,450
$969
7Wisconsin
Range: $73$1,477
$577
8Georgia
Range: $69$949
$416
9Nevada
Range: $102$750
$400
10Hawaii
Range: $85$577
$373
11Louisiana
Range: $60$702
$372
12Massachusetts
Range: $74$590
$344
13Maine
Range: $116$659
$344
14New Mexico
Range: $62$720
$323
15Wyoming
Range: $65$663
$320
16Nebraska
Range: $129$477
$310
17Colorado
Range: $65$663
$305
18Oregon
Range: $88$447
$301
19Utah
Range: $65$603
$298
20South Dakota
Range: $142$368
$293
21West Virginia
Range: $79$418
$289
22New Hampshire
Range: $85$579
$288
23North Carolina
Range: $72$572
$285
24Iowa
Range: $85$513
$284
25Illinois
Range: $76$553
$271
26Indiana
Range: $64$554
$269
27Vermont
Range: $63$583
$267
28Rhode Island
Range: $65$527
$261
29District of Columbia
Range: $59$527
$259
30Michigan
Range: $67$527
$258
31Tennessee
Range: $72$499
$253
32Virginia
Range: $49$553
$253
33Kentucky
Range: $64$516
$249
34Kansas
Range: $71$502
$244
35New York
Range: $53$529
$243
36Pennsylvania
Range: $55$527
$238
37South Carolina
Range: $63$465
$229
38Alabama
Range: $59$452
$223
39Oklahoma
Range: $61$473
$222
40Texas
Range: $65$447
$220
41New Jersey
Range: $52$459
$218
42Missouri
Range: $76$415
$218
43Maryland
Range: $29$447
$217
44Ohio
Range: $49$457
$214
45California
Range: $72$470
$213
46Mississippi
Range: $58$447
$213
47Delaware
Range: $66$363
$211
48Connecticut
Range: $55$456
$206
49Arkansas
Range: $72$380
$205
50Florida
Range: $35$473
$189
51Arizona
Range: $65$356
$181
MRI Lumbar Spine in Other States