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Nebraska rates for HCPCS 76775

Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited

Facilitymedian $59 · 10th–90th $46$2450%10%20%10th90th$59Professionalmedian $60 · 10th–90th $25$1450%10%10th90th$60$10.0$20.0$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
$45.71 / $58.88 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $89.13 / $281.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $38.02 / $107.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $53.70 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $120.23 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $45.71 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $109.65 / $114.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $51.29 / $53.70
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $57.54 / $63.10
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $131.83 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $58.88 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $70.79 / $107.15
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $131.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $109.65 / $562.34
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $50.12 / $186.21
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $60.26 / $398.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $128.82 / $204.17
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $60.26 / $93.33
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $64.57 / $112.20
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $151.36 / $154.88
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $56.23 / $67.61
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $95.50 / $107.15
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $56.23 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $181.97
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $44.67 / $70.79
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $56.23 / $100.00