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Kidney Dye X-Ray With Drip and Tomograms

Minnesota 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?

$295

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $339 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$295$224 to $407
FacilityA hospital or hospital-owned outpatient department$339$155 to $537

How much rates vary

Facilitymedian $339 · 10th to 90th $155 to $676Professionalmedian $295 · 10th to 90th $155 to $708
$100$200$500$1Kfacility $339professional $295

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
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$154.88
Typical High
$223.87
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$22.91
Typical High
$34.67
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$131.83
Typical High
$138.04
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$446.68
Typical High
$794.33
BCBS Minnesota
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$316.23
Typical High
$467.74
BCBS Minnesota
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$48.98
Typical High
$72.44
BCBS Minnesota
Setting
Professional
Modifier
TC · Technical part
Typical Low
$213.80
Median
$295.12
Typical High
$407.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$537.03
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$52.48
Median
$79.43
Typical High
$223.87
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$302.00
Median
$457.09
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$263.03
Typical High
$501.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$42.66
Typical High
$72.44
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$234.42
Typical High
$426.58
Health Partners
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$512.86
Typical High
$1,202.26
Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$46.77
Median
$75.86
Typical High
$177.83
Health Partners
Setting
Facility
Modifier
TC · Technical part
Typical Low
$275.42
Median
$436.52
Typical High
$1,023.29
Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$229.09
Typical High
$446.68
Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$33.88
Typical High
$66.07
Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$194.98
Typical High
$380.19
Medica
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$269.15
Typical High
$457.09
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$389.05
Typical High
$1,023.29
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$66.07
Typical High
$223.87
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$128.82
Median
$331.13
Typical High
$870.96
United
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$478.63
Typical High
$630.96
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$239.88
Typical High
$478.63
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$42.66
Typical High
$77.62
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$199.53
Typical High
$407.38
5 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
Facility
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$77.62
Typical High
$112.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$30.90
Typical High
$44.67
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$95.50
Median
$112.20
Typical High
$138.04

Where Minnesota 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.

Minnesota· 5th of 51

$295

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.