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Nebraska rates for HCPCS 70553

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences

Facilitymedian $234 · 10th–90th $135$9770%20%10th90th$234Professionalmedian $269 · 10th–90th $107$7760%5%10th90th$269$20.0$100.0$500.0$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
$134.90 / $234.42 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $478.63 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $194.98 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $316.23 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $588.84 / $741.31
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $186.21 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $154.88 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $602.56 / $645.65
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $199.53 / $213.80
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $389.05 / $537.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $758.58 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $229.09 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $501.19 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $691.83 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $204.17 / $281.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $501.19 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $724.44 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $239.88 / $363.08
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $478.63 / $724.44
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,096.48 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $229.09 / $363.08
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $724.44 / $1,659.59
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $234.42 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $676.08 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $208.93 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $457.09 / $870.96