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Kidney Dye X-Ray With Drip and Tomograms

South Dakota 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 July 2026.

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $25Professionalmedian $39 · 10th to 90th $30 to $47
$50.0facility $25professional $39

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
26 · Professional part
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$48.98
Typical High
$57.54
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$38.02
Typical High
$44.67