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Antegrade Kidney X-ray Imaging Study

Georgia 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?

$145

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $245 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$115 to $251
FacilityA hospital or hospital-owned outpatient department$245$166 to $339

How much rates vary

Facilitymedian $245 · 10th to 90th $91 to $389Professionalmedian $145 · 10th to 90th $72 to $363
$100$200$500$1Kfacility $245professional $145

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
$102.33
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$102.33
Median
$120.23
Typical High
$165.96
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$20.89
Typical High
$38.02
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$97.72
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$257.04
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$74.13
Median
$144.54
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.38
Median
$26.30
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$120.23
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$245.47
Typical High
$338.84
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$66.07
Median
$123.03
Typical High
$371.54
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.78
Median
$32.36
Typical High
$64.57
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$89.13
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$169.82
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$34.67
Typical High
$51.29
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$144.54
Typical High
$194.98
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$25.70
Median
$123.03
Typical High
$239.88
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$74.13
Median
$154.88
Typical High
$416.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.78
Median
$28.84
Typical High
$56.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$128.82
Typical High
$346.74
3 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
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$58.88
Typical High
$70.79
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$23.99
Typical High
$28.18
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$81.28
Median
$95.50
Typical High
$100.00

Where Georgia 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.

Georgia· 29th of 51

$145

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.