go back

Wyoming rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $39 · 10th–90th $10$4570%10%10th90th$39Professionalmedian $100 · 10th–90th $17$2570%5%10%10th90th$100$10.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $128.82 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $18.20 / $32.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $112.20 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $407.38 / $407.38
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $61.66 / $61.66
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $158.49 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $28.84 / $46.77
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $125.89 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $38.90 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $165.96 / $288.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $27.54 / $51.29
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $131.83 / $239.88