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High Osmolar Contrast Material, Iodine up to 149 mg/mL

Arizona rates for HCPCS Q9958 · Cysto-Conray II, Cystografin, Cystografin Dilute

High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml

Rates data updated July 2026.

How much does High Osmolar Contrast Material, Iodine up to 149 mg/mL cost?

$0.08per mL

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $0.08 for each mL of this drug. The price depends on where it is billed: about $0.08 from a physician practice, and about $0.13 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mL. Enter the amount given to see what insurers have agreed to pay for it.

mL
In a doctor's office or clinic
$0.08
At a hospital outpatient department
$0.13

The same drug, in the same amount, costs 62% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.08$0.08 to $0.08
FacilityA hospital or hospital-owned outpatient department$0.13$0.08 to $0.21

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
$0.1$1$10$100facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.07
Typical High
$1.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.08
Median
$0.08
Typical High
$0.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$0.14
Typical High
$0.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.06
Median
$0.07
Typical High
$0.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$0.14
Typical High
$0.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.08
Median
$0.08
Typical High
$0.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$0.08
Typical High
$0.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.07
Median
$0.07
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$0.13
Typical High
$0.13
United
Setting
Professional
Modifier
Global
Typical Low
$0.07
Median
$0.07
Typical High
$0.08

Where Arizona sits

The same service costs 1.5 times more in North Carolina than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 34th of 51

$0.08

NC $0.12PA $0.08

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.