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Retrograde Kidney and Ureter X-ray Imaging

Nebraska rates for HCPCS 74420

Contrast dye is delivered upward into the ureters and kidneys, usually through a catheter placed during a separate procedure, and X-ray images are taken to outline the urinary tract from the inside. This helps identify blockages, stones, strictures, or other abnormalities in the ureters or kidneys. It is typically performed alongside a urologic procedure rather than as a standalone visit.

Rates data updated October 2026.

How much does Retrograde Kidney and Ureter X-ray Imaging cost?

$166

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $437 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$129 to $191
FacilityA hospital or hospital-owned outpatient department$437$295 to $813

How much rates vary

Facilitymedian $437 · 10th to 90th $155 to $2,239Professionalmedian $162 · 10th to 90th $83 to $676
$50$100$200$500$1K$2Kfacility $437professional $162

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
$74.13
Median
$154.88
Typical High
$165.96
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$74.13
Median
$151.36
Typical High
$194.98
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$30.90
Typical High
$63.10
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$107.15
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$26.92
Typical High
$46.77
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$426.58
Typical High
$1,071.52
BCBS Nebraska
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$43.65
Typical High
$46.77
BCBS Nebraska
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$93.33
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$162.18
Typical High
$190.55
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$56.23
Typical High
$60.26
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$100.00
Typical High
$128.82
Medica
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$446.68
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$83.18
Median
$158.49
Typical High
$676.08
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$48.98
Typical High
$154.88
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$109.65
Typical High
$676.08
Midlands
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$162.18
Typical High
$204.17
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$60.26
Typical High
$63.10
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$100.00
Median
$107.15
Typical High
$141.25
Midlands
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$204.17
Typical High
$213.80
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$4,168.69
Typical High
$4,168.69
United
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$467.74
Typical High
$588.84
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$83.18
Median
$158.49
Typical High
$630.96
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$46.77
Typical High
$61.66
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$107.15
Typical High
$691.83

Where Nebraska sits

The same service costs 5.4 times more in New York than in Texas. 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.

Nebraska· 9th of 51

$166

NY $355TX $66.07

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.