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Virginia rates for HCPCS 50396

Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter

Facilitymedian $1,995 · 10th–90th $129–$7,0790%5%10th90th$1,995Professionalmedian $135 · 10th–90th $110–$3090%10%20%10th90th$135$50.0$200.0$1.0K$5.0K

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
Typical Low / Median / Typical High
$131.83 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $128.82 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $144.54 / $204.17
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $1,513.56 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $154.88 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $302.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $208.93 / $263.03
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $165.96 / $251.19
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $158.49 / $2,951.21
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $158.49 / $2,951.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,905.46 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $154.88 / $245.47