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Nebraska rates for HCPCS 72100

Radiologic examination, spine, lumbosacral; 2 or 3 views

Facilitymedian $288 · 10th–90th $41$5750%5%10%10th90th$288Professionalmedian $32 · 10th–90th $10$780%10%10th90th$32$2.0$10.0$50.0$200.0$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
Typical Low / Median / Typical High
$47.86 / $288.40 / $630.96
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $21.88 / $67.61
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $338.84 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $15.85 / $38.02
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $37.15 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $66.07 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $19.05 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $46.77 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $72.44 / $75.86
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.95 / $21.38
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $52.48 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $602.56
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $81.28 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $23.99 / $30.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $58.88 / $87.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $338.84 / $537.03
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $346.74 / $707.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $60.26 / $257.04
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $20.42 / $27.54
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $39.81 / $208.93
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $85.11 / $134.90
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $23.99 / $36.31
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $61.66 / $97.72
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Midlands
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $51.29 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $67.61 / $134.90
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $20.89 / $36.31
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $45.71 / $97.72
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $323.59 / $331.13
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $30.90 / $67.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $128.82 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $63.10 / $89.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $20.42 / $33.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $45.71 / $64.57