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Nebraska rates for HCPCS 74246

Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered

Facilitymedian $102 · 10th–90th $52$3020%20%10th90th$102Professionalmedian $100 · 10th–90th $41$2880%5%10%10th90th$100$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
$52.48 / $102.33 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $181.97 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $72.44 / $112.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $100.00 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $81.28 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $251.19 / $263.03
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $77.62 / $81.28
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $177.83 / $190.55
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $302.00 / $407.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $91.20 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $208.93 / $288.40
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $208.93 / $933.25
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $70.79 / $269.15
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $141.25 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $302.00 / $467.74
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $89.13 / $141.25
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $213.80 / $323.59
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $181.97 / $467.74
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $67.61 / $141.25
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $125.89 / $323.59
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $95.50 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $323.59
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $70.79 / $109.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $141.25 / $213.80