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Nebraska rates for HCPCS 76831

Saline infusion sonohysterography (SIS), including color flow Doppler, when performed

Facilitymedian $107 · 10th–90th $76$3160%20%40%10th90th$107Professionalmedian $195 · 10th–90th $100$6170%10%10th90th$195$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
$75.86 / $107.15 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $194.98 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $213.80 / $223.87
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $251.19 / $346.74
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $208.93 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $251.19 / $389.05
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $75.86 / $114.82
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $302.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $169.82 / $281.84