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Virginia

Cost of a Lower Back MRI Visit
in Virginia

Reviewed by Momentary Medical Group West PC

Virginia's healthcare market operates roughly 3% above national cost averages, with Medicaid expansion providing broader coverage access across the Commonwealth's diverse urban and rural regions. Lower Back MRI patients typically pay between $49 and $553, with a median out-of-pocket cost of $157 across Virginia's 3,167 active providers. Virginia maintains a substantial network of Lower Back MRI specialists, allowing patients to browse all providers throughout the state for optimal cost and convenience comparisons.

Average

$253

Median

$157

Lowest

$49

Highest

$553

Providers

3,167

National avg: $383Virginia: $253

34% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$76$265$9703,183
MRI Knee

MRI of the knee without contrast

73721$45$172$5693,190
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$60$214$5142,957
CT Chest

CT scan of the chest with contrast

71260$41$134$3712,895

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 Virginia

Virginia's healthcare costs run approximately 3% above national averages, driven by the state's proximity to high-cost Washington DC metro markets while maintaining more affordable rural regions throughout Appalachian and Southside counties. The Commonwealth's unique geographic position creates distinct cost corridors, with Northern Virginia imaging centers charging premium rates while rural facilities offer more competitive pricing structures.

Urban vs. Rural Provider Availability

Virginia's Lower Back MRI providers concentrate heavily in metropolitan areas like Richmond, Norfolk, and Northern Virginia, creating longer travel distances and higher costs for patients in rural Appalachian counties and the Northern Neck region. Urban imaging centers benefit from higher patient volumes and can offer extended hours and advanced MRI technology, while rural facilities may have limited scheduling availability but often provide more personalized service. The state's mountainous western regions and rural eastern counties face particular challenges accessing specialized imaging services locally.

Facility Type and Overhead Costs

Hospital-based outpatient imaging centers in Virginia typically charge higher facility fees due to increased overhead costs and regulatory requirements, particularly at major health systems like VCU Health, Sentara, and Inova. Independent imaging centers and outpatient facilities often provide the same quality MRI services at lower costs, benefiting from streamlined operations and lower administrative expenses. Virginia's growing network of ambulatory surgery centers and standalone imaging facilities increases competition and provides cost alternatives to traditional hospital-based services.

Insurance Market Competition in Virginia

Virginia's insurance market features moderate competition with Anthem Blue Cross Blue Shield holding significant market share alongside regional players like Optima Health and national insurers including UnitedHealthCare and Aetna. This competitive landscape helps negotiate reasonable rates for Lower Back MRI services, though Northern Virginia's proximity to Washington DC creates upward pricing pressure from higher regional cost expectations. The state's Medicaid expansion has increased insurer participation in lower-income markets, providing more coverage options for diagnostic imaging services.

Physician Supply and Demand in Virginia

With 3,167 active Lower Back MRI providers, Virginia maintains adequate radiologist supply relative to its population, though distribution favors urban areas over rural counties where recruitment remains challenging. This substantial provider network indicates healthy market competition that can help moderate pricing, particularly in metropolitan areas where patients have multiple facility options. Rural regions may experience longer wait times and limited weekend availability, but generally maintain reasonable access to diagnostic imaging services within acceptable travel distances.

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 Virginia

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

Lower Back MRI costs in Virginia range from $49 to $553 without insurance, with a median cost of $157 based on negotiated rates across 3,167 providers statewide. Self-pay patients often qualify for cash discounts of 20-40% off standard rates, particularly at independent imaging centers. Many Virginia facilities offer payment plans to help manage these costs for uninsured patients.

Does Virginia Medicaid cover Lower Back MRI visits?

Yes, Virginia Medicaid covers medically necessary Lower Back MRI studies following the state's Medicaid expansion in 2019. Coverage typically requires prior authorization and a referral from your primary care provider, with specific approval based on clinical symptoms and failed conservative treatments. Expanded Medicaid in Virginia has significantly improved diagnostic imaging access for lower-income residents across all 95 counties.

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

Compare costs between hospital-based imaging centers and independent facilities, as standalone centers often charge 30-50% less than hospital outpatient departments. Ask about self-pay discounts, which many Virginia providers offer for uninsured patients, and consider community health centers in rural areas that may provide sliding-scale pricing. Traveling to imaging centers outside major metropolitan areas like Northern Virginia can also result in significant cost savings.

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

Based on Virginia's negotiated rates, initial Lower Back MRI consultations typically cost more than follow-up visits due to the comprehensive nature of first-time evaluations and longer appointment times. Follow-up MRI studies for monitoring known conditions often qualify for better insurance coverage since they're considered ongoing care rather than new diagnostic workups. The specific cost difference depends on your insurance plan's copay structure and whether you've met your annual deductible.

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

Yes, Lower Back MRI visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) when ordered by a physician for diagnostic purposes. You can use these tax-advantaged funds to pay for copays, deductibles, and any out-of-network costs associated with your imaging study. Keep all receipts and documentation from your Virginia provider for tax and reimbursement purposes.

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

While the actual MRI scan requires in-person imaging, many Virginia radiologists now offer telehealth consultations for discussing results and follow-up care, typically costing 20-30% less than in-person visits. Telemedicine consultations can be particularly valuable for patients in rural Virginia counties who face long travel distances to imaging centers. Some insurers cover telehealth follow-ups at the same rate as in-person visits, making ongoing care more convenient and affordable.

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