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Nebraska rates for HCPCS 74240

Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study

Facilitymedian $102 · 10th–90th $48$3020%20%10th90th$102Professionalmedian $81 · 10th–90th $37$2400%10%10th90th$81$50.0$100.0$200.0$500.0

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
$47.86 / $102.33 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $154.88 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $70.79 / $100.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $87.10 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $60.26 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $218.78 / $234.42
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $69.18 / $74.13
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $154.88 / $181.97
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $263.03 / $363.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $81.28 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $181.97 / $251.19
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $181.97 / $812.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $66.07 / $239.88
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $120.23 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $269.15 / $407.38
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $81.28 / $128.82
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $186.21 / $281.84
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $165.96 / $407.38
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $67.61 / $128.82
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $107.15 / $281.84
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $87.10 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $194.98 / $281.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $66.07 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $120.23 / $181.97