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Direct-Puncture X-Ray Imaging Of A Kidney Cyst

Virginia 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?

$380

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $85.11 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 8 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$427$219 to $513
FacilityA hospital or hospital-owned outpatient department$85.11$48.98 to $178

How much rates vary

Facilitymedian $85 · 10th to 90th $32 to $537Professionalmedian $427 · 10th to 90th $72 to $708
$20.0$100.0$500.0$2.0K$10.0Kfacility $85professional $427

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$446.68
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$831.76
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$346.74
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$147.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$102.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$120.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$239.88
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
Sentara
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$63.10
Typical High
$144.54
Sentara
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$79.43
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$794.33
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$436.52
Typical High
$954.99

Where Virginia sits

The same service costs 5.6 times more in Idaho than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $380 · 25th of 51
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.