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Antegrade Kidney X-ray Imaging Study

Utah 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?

$97.72

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $708 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$97.72$75.86 to $126
FacilityA hospital or hospital-owned outpatient department$708$204 to $933

How much rates vary

Facilitymedian $708 · 10th to 90th $195 to $1,413Professionalmedian $98 · 10th to 90th $34 to $191
$50$100$200$500$1K$2Kfacility $708professional $98

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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$138.04
Median
$194.98
Typical High
$199.53
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.22
Median
$20.42
Typical High
$26.92
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$676.08
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$69.18
Typical High
$213.80
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$19.95
Typical High
$39.81
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$50.12
Typical High
$173.78
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$93.33
Typical High
$128.82
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$776.25
Typical High
$1,412.54
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$199.53
Typical High
$251.19
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$38.02
Typical High
$45.71
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$154.88
Median
$162.18
Typical High
$208.93
Select Health
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$123.03
Median
$151.36
Typical High
$218.78
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$123.03
Typical High
$239.88
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$131.83
Typical High
$239.88
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.38
Median
$25.70
Typical High
$39.81
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$107.15
Typical High
$213.80
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
$69.18
Median
$97.72
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$38.90
Typical High
$56.23
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$112.20
Median
$154.88
Typical High
$154.88

Where Utah 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.

Utah· 51st of 51

$97.72

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.