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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 October 2026.

How much does Kidney Dye X-Ray With Drip and Tomograms cost?

$282

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $282 for this service. Most negotiated rates run $209 to $316.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $229 · 10th to 90th $182 to $251Professionalmedian $282 · 10th to 90th $151 to $363
$200$500$1Kfacility $229professional $282

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
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$138.04
Typical High
$154.88
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$363.08
Typical High
$446.68
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$54.95
Typical High
$66.07
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$309.03
Typical High
$380.19
Medica
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$229.09
Typical High
$251.19
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$281.84
Typical High
$1,023.29
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$45.71
Typical High
$223.87
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$234.42
Typical High
$870.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$316.23
Typical High
$316.23
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$57.54
Typical High
$57.54
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$275.42
Median
$275.42
Typical High
$309.03
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$218.78
Typical High
$288.40
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$38.02
Typical High
$44.67
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$181.97
Typical High
$245.47
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$275.42
Typical High
$281.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$43.65
Typical High
$48.98
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$223.87
Typical High
$239.88
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$269.15
Median
$309.03
Typical High
$309.03
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$45.71
Typical High
$45.71
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$229.09
Median
$257.04
Typical High
$257.04

Where South Dakota 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.

South Dakota· 7th of 51

$282

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.