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Nebraska rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Facilitymedian $27 · 10th–90th $15$1100%10%10th90th$27Professionalmedian $47 · 10th–90th $13$1050%5%10%10th90th$47$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$15.49 / $26.92 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $128.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $24.55 / $58.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $51.29 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $87.10 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $17.78 / $26.30
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $67.61 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $93.33 / $97.72
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $23.44 / $25.12
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $70.79 / $74.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $112.20 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $29.51 / $42.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $79.43 / $120.23
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $85.11 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $23.44 / $44.67
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $54.95 / $295.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $112.20 / $177.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $27.54 / $42.66
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $81.28 / $134.90
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $91.20 / $177.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $28.84 / $42.66
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $64.57 / $134.90
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $41.69 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $85.11 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $23.99 / $37.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $60.26 / $85.11