go back

California rates for HCPCS 50684

Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter

Facilitymedian $4,074 · 10th–90th $191$12,8820%10%10th90th$4,074Professionalmedian $126 · 10th–90th $50$3550%10%10th90th$126$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,584.89 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $123.03 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,466.84 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $125.89 / $346.74
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $100.00 / $100.00
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $173.78 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $120.23 / $288.40
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $186.21 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $114.82 / $229.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $4,365.16 / $4,365.16
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $173.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $128.82 / $302.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $123.03 / $288.40
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $389.05
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $316.23 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,584.89 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $107.15 / $275.42