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Nebraska rates for HCPCS 72202

Radiologic examination, sacroiliac joints; 3 or more views

Facilitymedian $28 · 10th–90th $18$810%20%10th90th$28Professionalmedian $31 · 10th–90th $10$980%5%10%10th90th$31$10.0$20.0$50.0$100.0$200.0

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
$18.20 / $22.91 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $56.23 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $19.05 / $27.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $34.67 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $14.79 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $30.90 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $70.79 / $74.13
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $19.95 / $20.89
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $51.29 / $53.70
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $81.28 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $22.91 / $30.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $57.54 / $87.10
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $251.19
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $18.20 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $39.81 / $181.97
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $83.18 / $134.90
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $22.91 / $36.31
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $60.26 / $97.72
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $61.66 / $134.90
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $19.05 / $36.31
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $42.66 / $97.72
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $29.51 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $93.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $18.62 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $43.65 / $63.10