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Nebraska rates for HCPCS 70496

Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $170 · 10th–90th $105$7590%10%10th90th$170Professionalmedian $186 · 10th–90th $76$5010%10%10th90th$186$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $169.82 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $407.38 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $89.13 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $295.12 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $151.36 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $478.63 / $501.19
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $154.88 / $165.96
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $316.23 / $371.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $602.56 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $177.83 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $407.38 / $724.44
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $602.56 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $154.88 / $213.80
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $426.58 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $562.34 / $912.01
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $181.97 / $275.42
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $389.05 / $630.96
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $660.69 / $912.01
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $162.18 / $275.42
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $537.03 / $724.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $199.53 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $562.34 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $158.49 / $213.80
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $398.11 / $616.60