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Nebraska rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $110 · 10th–90th $65$4370%10%10th90th$110Professionalmedian $100 · 10th–90th $47$3020%10%10th90th$100$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$64.57 / $107.15 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $204.17 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $54.95 / $131.83
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $147.91 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $104.71 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $95.50 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $154.88 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $251.19 / $269.15
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $95.50 / $97.72
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $151.36 / $223.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $316.23 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $112.20 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $194.98 / $398.11
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $295.12 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $97.72 / $138.04
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $204.17 / $1,380.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $295.12 / $457.09
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $112.20 / $173.78
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $181.97 / $288.40
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $457.09 / $512.86
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $112.20 / $173.78
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $288.40 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $107.15 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $275.42 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $100.00 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $181.97 / $380.19