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Antegrade Kidney X-ray Imaging Study

Missouri 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?

$129

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $347 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$129$91.20 to $229
FacilityA hospital or hospital-owned outpatient department$347$129 to $603

How much rates vary

Facilitymedian $347 · 10th to 90th $85 to $1,175Professionalmedian $129 · 10th to 90th $78 to $891
$50$100$200$500$1K$2Kfacility $347professional $129

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
$95.50
Median
$120.23
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$123.03
Typical High
$169.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$22.91
Typical High
$26.92
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$100.00
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$70.79
Median
$102.33
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.38
Median
$30.20
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$72.44
Typical High
$218.78
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$72.44
Typical High
$138.04
BCBS Kansas City
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$144.54
Typical High
$181.97
BCBS Kansas City
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$26.92
Typical High
$32.36
BCBS Kansas City
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$120.23
Typical High
$147.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$426.58
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$54.95
Median
$97.72
Typical High
$239.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.14
Median
$22.39
Typical High
$44.67
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$39.81
Median
$79.43
Typical High
$194.98
Medica
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$281.84
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$89.13
Median
$891.25
Typical High
$891.25
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,174.90
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$79.43
Median
$141.25
Typical High
$269.15
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$26.92
Typical High
$44.67
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$117.49
Typical High
$234.42
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
$57.54
Median
$61.66
Typical High
$72.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$24.55
Typical High
$28.84
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$95.50
Median
$100.00
Typical High
$114.82

Where Missouri 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.

Missouri· 40th of 51

$129

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.