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Nebraska rates for HCPCS 71275

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

Facilitymedian $186 · 10th–90th $107$7940%10%20%10th90th$186Professionalmedian $186 · 10th–90th $79$5130%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
$102.33 / $177.83 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $912.01
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $91.20 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $295.12 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $151.36 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $288.40 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $478.63 / $512.86
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $158.49 / $169.82
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
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $616.60 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $181.97 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $407.38 / $691.83
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $575.44 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $162.18 / $208.93
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $426.58 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $575.44 / $912.01
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $190.55 / $288.40
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
$478.63 / $478.63 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $776.25 / $933.25
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $181.97 / $288.40
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $630.96 / $724.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $204.17 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $549.54 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $165.96 / $223.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $398.11 / $501.19