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Arizona rates for HCPCS 50431

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; existing access

Facilitymedian $1,698 · 10th–90th $120–$5,6230%5%10th90th$1,698Professionalmedian $174 · 10th–90th $63–$4790%5%10%10th90th$174$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$562.34 / $2,290.87 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $169.82 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $257.04 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $257.04 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $173.78 / $457.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $288.40 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $309.03 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,230.27 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $151.36 / $363.08