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Nebraska rates for HCPCS 72128

Computed tomography, thoracic spine; without contrast material

Facilitymedian $102 · 10th–90th $79$4270%20%10th90th$102Professionalmedian $112 · 10th–90th $45$3390%10%10th90th$112$10.0$50.0$200.0$1.0K$5.0K

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
$79.43 / $102.33 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $239.88 / $870.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $77.62 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $131.83 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $89.13 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $245.47 / $263.03
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $87.10 / $93.33
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $154.88 / $223.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $309.03 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $107.15 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $199.53 / $398.11
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $295.12 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $91.20 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $213.80 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $288.40 / $446.68
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $104.71 / $158.49
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $186.21 / $288.40
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $446.68 / $512.86
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $107.15 / $158.49
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $288.40 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $102.33 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $275.42 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $91.20 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $186.21 / $251.19