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X-Ray Guidance For Fallopian Tube Catheter

Indiana rates for HCPCS 74742

The imaging part of a procedure in which a thin catheter is threaded through the cervix and uterus into a fallopian tube. A radiologist uses live X-ray pictures to steer the catheter and to check whether the tube is open, then interprets the images and writes the report. It is generally done as part of a fertility evaluation or to open a blocked tube.

Rates data updated July 2026.

Facilitymedian $170 · 10th–90th $74$2950%20%10th90th$170Professionalmedian $81 · 10th–90th $68$2040%20%10th90th$81$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$50.12
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$154.88
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$269.15