go back

Kidney Dye X-Ray With Drip and Tomograms

Michigan 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.

Facilitymedian $28 · 10th–90th $27$280%50%10th$28$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$26.92
Median
$27.54
Typical High
$27.54
Health Alliance Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$20.42
Median
$47.86
Typical High
$56.23