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Antegrade Kidney X-ray Imaging Study

Arizona rates for HCPCS 74425

This is an X-ray imaging study of the kidney and ureter performed by injecting contrast dye through a tube that has already been placed directly into the kidney, allowing the dye to flow downward toward the bladder. It's typically done to evaluate blockages, strictures, or the position of a drainage tube in the urinary system. This is read and interpreted by a radiologist working alongside the physician performing the tube placement.

Rates data updated October 2026.

How much does Antegrade Kidney X-ray Imaging Study cost?

$138

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $363 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$138$112 to $282
FacilityA hospital or hospital-owned outpatient department$363$191 to $490

How much rates vary

Facilitymedian $363 · 10th to 90th $89 to $724Professionalmedian $138 · 10th to 90th $69 to $891
$100$200$500$1Kfacility $363professional $138

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
Professional
Modifier
None (both parts)
Typical Low
$128.82
Median
$138.04
Typical High
$190.55
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.85
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$112.20
Typical High
$173.78
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$346.74
Typical High
$524.81
BCBS Arizona
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$112.20
Typical High
$218.78
BCBS Arizona
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$18.20
Typical High
$35.48
BCBS Arizona
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$95.50
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$457.09
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$66.07
Median
$114.82
Typical High
$190.55
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$19.95
Typical High
$38.90
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$95.50
Typical High
$154.88
Medica
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$151.36
Typical High
$281.84
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$891.25
Typical High
$891.25
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.38
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$66.07
Median
$131.83
Typical High
$338.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$21.88
Typical High
$33.11
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$107.15
Typical High
$295.12
4 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
Facility
Modifier
FX · Film X-ray
Typical Low
$131.83
Median
$562.34
Typical High
$912.01
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$69.18
Typical High
$70.79
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$27.54
Typical High
$28.18
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$109.65
Median
$109.65
Typical High
$109.65

Where Arizona sits

The same service costs 4.1 times more in Alaska than in Utah. 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.

Arizona· 33rd of 51

$138

AK $398UT $97.72

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.