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Minnesota rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $309 · 10th–90th $45$8910%5%10%10th90th$309Professionalmedian $93 · 10th–90th $19$2950%5%10%10th90th$93$5.0$20.0$100.0$500.0$2.0K

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
$112.20 / $478.63 / $812.83
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.14 / $15.14 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $22.91 / $58.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $87.10 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $776.25 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.18 / $13.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $251.19 / $363.08
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $38.02 / $54.95
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $229.09 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $398.11 / $954.99
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $54.95 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $194.98 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $28.84 / $45.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $165.96 / $269.15
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $724.44
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$43.65 / $53.70 / $107.15
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $257.04
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $22.91 / $38.02
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $134.90 / $223.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $165.96 / $549.54
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $158.49 / $691.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $29.51 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $123.03 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $602.56 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $123.03 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $87.10 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $120.23 / $275.42