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Illinois rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $204 · 10th–90th $26$8510%5%10%10th90th$204Professionalmedian $79 · 10th–90th $15$1740%5%10th90th$79$10.0$50.0$200.0$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
Typical Low / Median / Typical High
$100.00 / $302.00 / $977.24
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $28.18 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $22.91 / $74.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $85.11 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $346.74 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $69.18 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $257.04 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $117.49 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $21.38 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $102.33 / $158.49
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $501.19
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $32.36 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $162.18 / $416.87
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $123.03 / $131.83
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.95
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $104.71 / $112.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $204.17 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $138.04 / $288.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $25.70 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $93.33 / $144.54