go back

Kidney Dye X-Ray With Drip and Tomograms

Illinois 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?

$158

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $331 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$151$117 to $229
FacilityA hospital or hospital-owned outpatient department$331$251 to $513

How much rates vary

Facilitymedian $331 · 10th to 90th $186 to $1,349Professionalmedian $151 · 10th to 90th $35 to $275
$50$100$200$500$1K$2Kfacility $331professional $151

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
$147.91
Typical High
$467.74
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$147.91
Typical High
$151.36
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$21.88
Typical High
$22.39
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$125.89
Typical High
$128.82
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$331.13
Typical High
$1,621.81
BCBS Illinois
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.20
Median
$107.15
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$302.00
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$158.49
Typical High
$245.47
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$28.18
Typical High
$42.66
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$131.83
Typical High
$204.17
Hally Health
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$223.87
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$36.31
Typical High
$87.10
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$181.97
Typical High
$371.54
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$177.83
Typical High
$194.98
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$467.74
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$162.18
Typical High
$275.42
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$28.18
Typical High
$45.71
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$134.90
Typical High
$234.42
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
$74.13
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$29.51
Typical High
$30.20
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$104.71
Median
$117.49
Typical High
$117.49

Where Illinois 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.

Illinois· 34th of 51

$158

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.