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Kidney Dye X-Ray With Drip and Tomograms

Colorado 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?

$224

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $389 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$158 to $295
FacilityA hospital or hospital-owned outpatient department$389$200 to $501

How much rates vary

Facilitymedian $389 · 10th to 90th $138 to $794Professionalmedian $224 · 10th to 90th $132 to $355
$100$200$500facility $389professional $224

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$158.49
Typical High
$169.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$23.44
Typical High
$26.92
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$134.90
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$426.58
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$251.19
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$38.02
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$151.36
Median
$213.80
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$346.74
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$165.96
Typical High
$323.59
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$30.20
Typical High
$57.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$138.04
Typical High
$269.15
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$177.83
Typical High
$229.09
Denver HMP
Setting
Professional
Modifier
None (both parts)
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$239.88
Typical High
$354.81
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$34.67
Typical High
$51.29
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$208.93
Typical High
$302.00
Select Health
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$295.12
Typical High
$338.84
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$158.49
Typical High
$309.03
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$812.83
Typical High
$912.01
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$199.53
Typical High
$316.23
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$32.36
Typical High
$51.29
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$169.82
Typical High
$263.03
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$79.43
Typical High
$85.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$31.62
Typical High
$33.88
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$109.65
Median
$125.89
Typical High
$128.82

Where Colorado 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.

Colorado· 12th of 51

$224

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.