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Nebraska rates for HCPCS 72193

Computed tomography, pelvis; with contrast material(s)

Facilitymedian $120 · 10th–90th $66$5010%10%20%10th90th$120Professionalmedian $186 · 10th–90th $55$4900%5%10th90th$186$50.0$100.0$200.0$500.0$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
26
Typical Low / Median / Typical High
$66.07 / $117.49 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $309.03 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $120.23 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $234.42 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $117.49 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $416.87 / $436.52
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $102.33 / $109.65
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $316.23 / $346.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $524.81 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $120.23 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $389.05 / $537.03
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $436.52 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $107.15 / $363.08
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $316.23 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $489.78 / $776.25
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $120.23 / $186.21
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $371.54 / $602.56
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $562.34 / $776.25
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $112.20 / $186.21
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $446.68 / $602.56
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $177.83 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $436.52 / $602.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $107.15 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $331.13 / $436.52