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Tennessee rates for HCPCS 74400

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

Facilitymedian $126 · 10th–90th $20$1450%20%10th90th$126Professionalmedian $81 · 10th–90th $19$1910%5%10%10th90th$81$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
$20.42 / $125.89 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $123.03 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $22.39 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $263.03
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $37.15 / $58.88
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $134.90 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $31.62 / $53.70
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
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $128.82 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $28.18 / $47.86