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Kidney Dye X-Ray With Drip and Tomograms

Vermont 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?

$195

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $155 to $219.

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.

How much rates vary

Facilitymedian $741 · 10th to 90th $457 to $2,630Professionalmedian $195 · 10th to 90th $145 to $389
$100$200$500$1K$2Kfacility $741professional $195

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
Professional
Modifier
None (both parts)
Typical Low
$107.15
Median
$144.54
Typical High
$158.49
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$2,398.83
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$218.78
Typical High
$446.68
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$33.11
Typical High
$67.61
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$186.21
Typical High
$288.40
MVP Health Care
Setting
Professional
Modifier
None (both parts)
Typical Low
$141.25
Median
$151.36
Typical High
$371.54
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$154.88
Median
$194.98
Typical High
$524.81

Where Vermont 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.

Vermont· 18th of 51

$195

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.