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Kidney Dye X-Ray With Drip and Tomograms

Alaska rates for HCPCS 74415

X-ray study of the kidneys, ureters and bladder using contrast dye given into a vein as a drip or a rapid injection, with pictures taken as the kidneys clear the dye into the urine. It also includes tomograms, images focused on one layer of the kidney at a time, which show the kidney tissue more clearly than the plain views.

Rates data updated October 2026.

How much does Kidney Dye X-Ray With Drip and Tomograms cost?

$447

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $617 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$447$355 to $617
FacilityA hospital or hospital-owned outpatient department$617$447 to $794

How much rates vary

Facilitymedian $617 · 10th to 90th $437 to $794Professionalmedian $447 · 10th to 90th $158 to $617
$100$200$500$1Kfacility $617professional $447

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$316.23
Typical High
$457.09
Moda Health
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$645.65
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$158.49
Median
$446.68
Typical High
$588.84
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$75.86
Typical High
$107.15
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$371.54
Typical High
$478.63
Premera BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Premera BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Premera BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Providence
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$616.60
Typical High
$794.33
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$141.25
Median
$302.00
Typical High
$446.68
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$354.81
Typical High
$707.95
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$69.18
Typical High
$147.91
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$288.40
Typical High
$575.44

Where Alaska sits

The same service costs 3.8 times more in Alaska than in Florida. 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.

Alaska· 1st of 51

$447

AK $447FL $117

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.