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Antegrade Kidney X-ray Imaging Study

Michigan 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?

$158

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $155 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$83.18 to $224
FacilityA hospital or hospital-owned outpatient department$363$224 to $537

How much rates vary

Facilitymedian $363 · 10th to 90th $155 to $708Professionalmedian $155 · 10th to 90th $62 to $417
$50$100$200$500$1Kfacility $363professional $155

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
$147.91
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$141.25
Median
$154.88
Typical High
$165.96
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$28.18
Typical High
$28.84
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$125.89
Typical High
$162.18
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$380.19
Typical High
$707.95
BCBS Michigan
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$223.87
Typical High
$416.87
BCBS Michigan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
BCBS Michigan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$61.66
Median
$112.20
Typical High
$302.00
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$26.30
Typical High
$54.95
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$89.13
Typical High
$263.03
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$154.88
Typical High
$154.88
Health Alliance Plan
Setting
Professional
Modifier
None (both parts)
Typical Low
$53.70
Median
$75.86
Typical High
$158.49
Health Alliance Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.45
Median
$19.05
Typical High
$28.18
Health Alliance Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$54.95
Typical High
$128.82
Priority Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$54.95
Median
$97.72
Typical High
$199.53
Priority Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.45
Median
$23.44
Typical High
$38.90
Priority Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$42.66
Median
$81.28
Typical High
$177.83
United
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$467.74
Typical High
$977.24
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$61.66
Median
$125.89
Typical High
$501.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.60
Median
$20.42
Typical High
$30.20
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$100.00
Typical High
$478.63
5 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
$70.79
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$74.13
Median
$100.00
Typical High
$223.87
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$30.90
Typical High
$30.90

Where Michigan 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.

Michigan· 24th of 51

$158

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.