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Tennessee rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $186 · 10th–90th $23$5370%10%10th90th$186Professionalmedian $76 · 10th–90th $14$1580%5%10%10th90th$76$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
$87.10 / $245.47 / $478.63
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $22.91 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $102.33 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $20.42 / $61.66
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $85.11 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $10.23 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $93.33 / $204.17
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $25.12 / $39.81
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $102.33 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $204.17 / $331.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $104.71 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $21.38 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $87.10 / $165.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $851.14 / $851.14
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $724.44 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $141.25 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $100.00 / $181.97
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
$60.26 / $81.28 / $144.54