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Kidney Dye X-Ray With Drip and Tomograms

Mississippi 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 Mississippi, 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 $224 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$129 to $200
FacilityA hospital or hospital-owned outpatient department$224$151 to $324

How much rates vary

Facilitymedian $224 · 10th to 90th $126 to $355Professionalmedian $166 · 10th to 90th $100 to $224
$50$100$200$500facility $224professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
$223.87
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$223.87
Typical High
$281.84
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$38.02
Typical High
$47.86
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$186.21
Typical High
$234.42
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
BCBS Mississippi
Setting
Professional
Modifier
None (both parts)
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$158.49
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$165.96
Typical High
$234.42
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$32.36
Typical High
$42.66
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$134.90
Typical High
$190.55
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$19.50
Median
$33.11
Typical High
$112.20
United
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$316.23
Typical High
$354.81
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$97.72
Median
$141.25
Typical High
$213.80
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$23.99
Typical High
$50.12
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$117.49
Typical High
$173.78
2 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
$112.20
Typical High
$141.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$44.67
Typical High
$56.23

Where Mississippi 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.

Mississippi· 28th 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.