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Direct-Puncture X-Ray Imaging Of A Kidney Cyst

Washington, DC rates for HCPCS 74470

This x-ray study images a fluid-filled cyst in the kidney after contrast dye is injected directly into the cyst through a needle placed through the skin. It helps evaluate the size and characteristics of the cyst, distinguishing a simple fluid-filled cyst from a more concerning growth. It differs from imaging methods that introduce dye through a vein or through the urinary tract.

Rates data updated July 2026.

How much does Direct-Puncture X-Ray Imaging Of A Kidney Cyst cost?

$490

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $501 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$447$166 to $501
FacilityA hospital or hospital-owned outpatient department$501$501 to $501

How much rates vary

Facilitymedian $501 · 10th to 90th $302 to $2,818Professionalmedian $447 · 10th to 90th $60 to $617
$50$100$200$500$1K$2Kfacility $501professional $447

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$501.19
Typical High
$501.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$302.00
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$363.08
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$186.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$575.44
Typical High
$1,698.24

Where Washington, DC sits

The same service costs 5.6 times more in Idaho than in Hawaii. 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.

Washington, DC· 4th of 51

$490

ID $513HI $91.20

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.