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Nationwide rates for HCPCS 74775

Perineogram (eg, vaginogram, for sex determination or extent of anomalies)

Facilitymedian $219 · 10th–90th $45$7410%10%20%10th90th$219Professionalmedian $204 · 10th–90th $98$3240%20%40%10th90th$204$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$169.82 / $263.03 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $208.93 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $575.44 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $186.21 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $229.09 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $251.19 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $245.47 / $501.19