Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $2,754.23 / $8,709.64
Facility
$537.03
$2,754.23
$8,709.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,715.35 / $9,549.93
Facility
$1,513.56
$3,715.35
$9,549.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $1,698.24 / $4,786.30
Facility
$234.42
$1,698.24
$4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $1,737.80 / $4,365.16
Facility
$562.34
$1,737.80
$4,365.16
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