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New Jersey rates for HCPCS 74400

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

Facilitymedian $110 · 10th–90th $32–$1780%20%10th90th$110Professionalmedian $69 · 10th–90th $19–$1780%5%10%10th90th$69$20.0$50.0$100.0$200.0$500.0$1.0K

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
26
Typical Low / Median / Typical High
$32.36 / $109.65 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $123.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $22.39 / $46.77
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $134.90 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $29.51 / $48.98
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $190.55 / $223.87
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $30.90 / $37.15
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $131.83 / $257.04
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $23.44 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $134.90 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $26.92 / $46.77