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Direct-Puncture X-Ray Imaging Of A Kidney Cyst

Iowa 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 October 2026.

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

$537

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $759 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$537$151 to $977
FacilityA hospital or hospital-owned outpatient department$759$191 to $1,259

How much rates vary

Facilitymedian $759 · 10th to 90th $141 to $1,660Professionalmedian $537 · 10th to 90th $85 to $1,148
$50$100$200$500$1K$2Kfacility $759professional $537

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
$144.54
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$416.87
Median
$501.19
Typical High
$707.95
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$22.91
Typical High
$33.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$407.38
Median
$489.78
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$190.55
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$54.95
Typical High
$72.44
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$131.83
Typical High
$1,230.27
Hally Health
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$123.03
Typical High
$204.17
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$41.69
Typical High
$75.86
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$74.13
Typical High
$123.03
Medica
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$204.17
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$53.70
Median
$457.09
Typical High
$891.25
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$48.98
Typical High
$154.88
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$707.95
Typical High
$851.14
Midlands
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$1,288.25
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$54.95
Typical High
$64.57
Midlands
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$144.54
Median
$269.15
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,380.38
Typical High
$1,737.80
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$104.71
Median
$537.03
Typical High
$954.99
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$32.36
Typical High
$53.70
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$501.19
Typical High
$912.01
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,148.15
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$43.65
Typical High
$48.98
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$954.99
Median
$954.99
Typical High
$1,096.48
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
$208.93
Median
$245.47
Typical High
$389.05
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$83.18
Median
$100.00
Typical High
$154.88
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$331.13
Median
$398.11
Typical High
$398.11

Where Iowa sits

The same service costs 8.7 times more in Colorado than in Michigan. 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.

Iowa· 4th of 51

$537

CO $661MI $75.86

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.