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Nebraska rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Facilitymedian $126 · 10th–90th $24$4570%10%10th90th$126Professionalmedian $21 · 10th–90th $8$600%10%10th90th$21$2.0$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
Typical Low / Median / Typical High
$45.71 / $245.47 / $489.78
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.47 / $16.98 / $66.07
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $63.10 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $38.90 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.59 / $14.13 / $30.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $30.90 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $34.67 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $15.14 / $18.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $28.84 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $194.98 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $51.29 / $53.70
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $15.49 / $16.60
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $35.48 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $602.56
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $58.88 / $83.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $18.62 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $40.74 / $58.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $169.82 / $389.05
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $288.40 / $446.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $177.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $15.85 / $21.38
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $29.51 / $162.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $60.26 / $95.50
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $18.62 / $28.18
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $41.69 / $66.07
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Midlands
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $34.67 / $104.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $52.48 / $95.50
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $16.98 / $28.18
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $36.31 / $66.07
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $20.42 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $128.82 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $67.61
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $15.85 / $22.39
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $33.11 / $46.77