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South Carolina rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $363 · 10th–90th $85$7940%10%10th90th$363Professionalmedian $71 · 10th–90th $13$1580%5%10th90th$71$10.0$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
Typical Low / Median / Typical High
$218.78 / $630.96 / $794.33
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.88 / $13.18 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $18.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $77.62 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $457.09 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $104.71 / $165.96
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $33.11 / $56.23
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $87.10 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $660.69 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $107.15 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $21.38 / $33.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $85.11 / $141.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $208.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $229.09 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $104.71 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $19.05 / $32.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $83.18 / $154.88