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Kidney Dye X-Ray With Drip and Tomograms

Iowa 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?

$269

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $316 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$155 to $316
FacilityA hospital or hospital-owned outpatient department$316$240 to $437

How much rates vary

Facilitymedian $316 · 10th to 90th $182 to $479Professionalmedian $269 · 10th to 90th $129 to $398
$50$100$200$500$1Kfacility $316professional $269

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
$128.82
Median
$128.82
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$20.89
Typical High
$30.90
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$109.65
Typical High
$169.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$141.25
Median
$331.13
Typical High
$398.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$50.12
Typical High
$66.07
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$114.82
Median
$275.42
Typical High
$338.84
Hally Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$190.55
Typical High
$323.59
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$38.90
Typical High
$57.54
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$151.36
Typical High
$263.03
Medica
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$295.12
Typical High
$457.09
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$281.84
Typical High
$1,023.29
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$45.71
Typical High
$223.87
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$213.80
Typical High
$870.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$331.13
Typical High
$398.11
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$50.12
Typical High
$58.88
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$251.19
Median
$275.42
Typical High
$338.84
Midlands
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$281.84
Median
$346.74
Typical High
$398.11
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$25.12
Median
$144.54
Typical High
$281.84
United
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$436.52
Typical High
$549.54
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$169.82
Typical High
$281.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$30.20
Typical High
$48.98
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$141.25
Typical High
$239.88
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$269.15
Median
$269.15
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$39.81
Typical High
$45.71
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$229.09
Median
$229.09
Typical High
$257.04
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
$64.57
Typical High
$97.72
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$26.30
Typical High
$38.90
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$104.71
Median
$104.71
Typical High
$117.49

Where Iowa 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.

Iowa· 8th of 51

$269

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.