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Nebraska rates for HCPCS 72194

Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections

Facilitymedian $178 · 10th–90th $178$5370%20%40%90th$178Professionalmedian $219 · 10th–90th $58$5750%5%10th90th$219$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$128.82 / $177.83 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $346.74 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $87.10 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $281.84 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $58.88 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $426.58 / $457.09
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $107.15 / $114.82
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $316.23 / $363.08
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $549.54 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $125.89 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $407.38 / $602.56
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $112.20 / $436.52
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $380.19 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $512.86 / $812.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $125.89 / $194.98
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $389.05 / $616.60
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $691.83 / $812.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $120.23 / $194.98
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $575.44 / $616.60
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $199.53 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $478.63 / $660.69
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $112.20 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $371.54 / $501.19