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California rates for HCPCS 74400

Urography (pyelography), intravenous, with or without KUB, with or without tomography

Facilitymedian $62 · 10th–90th $22$1450%20%40%10th90th$62Professionalmedian $91 · 10th–90th $21$2340%5%10th90th$91$5.0$20.0$100.0$500.0

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
$21.88 / $43.65 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $128.82 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $25.12 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $144.54 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $34.67 / $67.61
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $165.96 / $323.59
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $35.48 / $64.57
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.62 / $26.30 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $144.54 / $295.12
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $30.20 / $60.26
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $177.83 / $239.88
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $25.70 / $35.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $165.96 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $30.20 / $48.98
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,122.02 / $1,122.02
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $128.82
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $154.88 / $316.23
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $28.84 / $53.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $147.91 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $128.82 / $302.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $25.70 / $81.28