go back

Arizona rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $117 · 10th–90th $54$4570%5%10th90th$117Professionalmedian $78 · 10th–90th $14$1860%5%10th90th$78$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
Typical Low / Median / Typical High
$81.28 / $380.19 / $489.78
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $66.07 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $107.15 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $19.95 / $64.57
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $85.11 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $251.19 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $107.15 / $436.52
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $15.14 / $58.88
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $91.20 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $380.19 / $724.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.80 / $17.78 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $104.71 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $18.62 / $33.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $85.11 / $169.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $114.82 / $218.78
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $100.00 / $691.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $17.78 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $83.18 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $204.17 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $100.00 / $213.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $16.98 / $43.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $83.18 / $131.83