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Antegrade Kidney X-ray Imaging Study

Texas 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?

$102

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $912 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 12 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$33.11 to $132
FacilityA hospital or hospital-owned outpatient department$912$447 to $1,349

How much rates vary

Facilitymedian $912 · 10th to 90th $195 to $1,698Professionalmedian $100 · 10th to 90th $17 to $490
$10$50$200$1Kfacility $912professional $100

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
$91.20
Median
$117.49
Typical High
$190.55
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$95.50
Median
$165.96
Typical High
$954.99
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$91.20
Median
$114.82
Typical High
$165.96
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.14
Median
$19.50
Typical High
$24.55
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$95.50
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$1,047.13
Typical High
$1,698.24
BCBS Texas
Setting
Professional
Modifier
None (both parts)
Typical Low
$26.30
Median
$93.33
Typical High
$147.91
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$22.91
Typical High
$23.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$371.54
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$67.61
Median
$107.15
Typical High
$177.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$20.42
Typical High
$34.67
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$85.11
Typical High
$131.83
Health Smart
Setting
Professional
Modifier
None (both parts)
Typical Low
$66.07
Median
$173.78
Typical High
$173.78
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$891.25
Median
$891.25
Typical High
$1,148.15
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$147.91
Median
$147.91
Typical High
$199.53
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$758.58
Median
$758.58
Typical High
$954.99
Moda Health
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$128.82
Typical High
$234.42
Moda Health
Setting
Facility
Modifier
TC · Technical part
Typical Low
$97.72
Median
$151.36
Typical High
$288.40
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$91.20
Median
$114.82
Typical High
$181.97
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.14
Median
$19.50
Typical High
$26.92
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$95.50
Typical High
$162.18
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$15.49
Median
$85.11
Typical High
$134.90
Providence
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$323.59
Typical High
$1,584.89
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$67.61
Median
$107.15
Typical High
$181.97
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$19.95
Typical High
$31.62
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$85.11
Typical High
$117.49
United
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$549.54
Typical High
$724.44
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$128.82
Typical High
$354.81
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.49
Median
$21.88
Typical High
$32.36
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$104.71
Typical High
$331.13
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
11 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
52 · Reduced service
Typical Low
$48.98
Median
$81.28
Typical High
$478.63
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$19.50
Median
$33.11
Typical High
$190.55
Aetna
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$77.62
Median
$123.03
Typical High
$446.68
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$57.54
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.20
Median
$22.91
Typical High
$30.20
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$72.44
Median
$93.33
Typical High
$109.65
Moda Health
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$48.98
Median
$75.86
Typical High
$234.42
Moda Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$19.50
Median
$30.20
Typical High
$93.33
Moda Health
Setting
Facility
Modifier
FX · Film X-ray
Typical Low
$77.62
Median
$123.03
Typical High
$467.74
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$57.54
Typical High
$72.44
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.20
Median
$22.91
Typical High
$28.84

Where Texas 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.

Texas· 48th of 51

$102

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.