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Kidney Dye X-Ray With Drip and Tomograms

Georgia 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?

$166

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $240 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$166$138 to $209
FacilityA hospital or hospital-owned outpatient department$240$158 to $347

How much rates vary

Facilitymedian $240 · 10th to 90th $138 to $447Professionalmedian $166 · 10th to 90th $115 to $316
$100$200$500facility $240professional $166

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
$117.49
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$138.04
Typical High
$151.36
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.62
Median
$19.95
Typical High
$22.91
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$117.49
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$229.09
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$165.96
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$30.20
Typical High
$48.98
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$134.90
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$281.84
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$125.89
Median
$204.17
Typical High
$407.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$37.15
Typical High
$61.66
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$169.82
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$199.53
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$33.11
Typical High
$70.79
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$169.82
Typical High
$295.12
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$24.55
Median
$141.25
Typical High
$275.42
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$186.21
Typical High
$338.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$32.36
Typical High
$54.95
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$158.49
Typical High
$281.84
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
$58.88
Median
$67.61
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.44
Median
$27.54
Typical High
$30.20
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$93.33
Median
$109.65
Typical High
$114.82

Where Georgia 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.

Georgia· 30th of 51

$166

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.