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Voiding X-ray of the Bladder and Urethra

South Dakota rates for HCPCS 74455

This is an X-ray study of the bladder and urethra performed using a contrast dye, with images taken while the patient urinates. It is used to evaluate how urine flows out of the bladder and to check whether any urine flows backward toward the kidneys.

Facilitymedian $479 · 10th–90th $15$6920%20%10th90th$479Professionalmedian $83 · 10th–90th $16$2000%5%10%10th90th$83$20.0$50.0$100.0$200.0$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
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$478.63
Typical High
$691.83
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$104.71
Typical High
$131.83
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.13
Median
$28.18
Typical High
$57.54
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$87.10
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$309.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$35.48
Typical High
$44.67
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$208.93
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$691.83
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$26.30
Typical High
$151.36
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$69.18
Median
$104.71
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$204.17
Typical High
$218.78
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$33.11
Typical High
$38.02
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$169.82
Typical High
$181.97
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$194.98
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.62
Median
$25.70
Typical High
$29.51
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$120.23
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$141.25
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.98
Median
$28.18
Typical High
$40.74
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$112.20
Typical High
$190.55
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$204.17
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$30.90
Typical High
$30.90
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$173.78
Typical High
$173.78