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X-Ray Guidance For Fallopian Tube Catheter

Maryland 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 October 2026.

How much does X-Ray Guidance For Fallopian Tube Catheter cost?

$141

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $77.62 to $209.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $141 · 10th to 90th $30 to $234
$50$100$200professional $141

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
Professional
Modifier
None (both parts)
Typical Low
$74.13
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$26.30
Typical High
$27.54
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$48.98
Median
$53.70
Typical High
$53.70
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.20
Median
$204.17
Typical High
$234.42
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$27.54
Typical High
$29.51
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$169.82
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$66.07
Median
$74.13
Typical High
$173.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$24.55
Typical High
$54.95
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$43.65
Median
$48.98
Typical High
$117.49
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$97.72
Typical High
$154.88
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$33.88
Typical High
$43.65
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$64.57
Typical High
$104.71
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$151.36
Typical High
$346.74
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$29.51
Typical High
$64.57
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$123.03
Typical High
$281.84
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Wellpoint
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$22.39
Typical High
$44.67
Wellpoint
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
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
$37.15
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$15.85
Typical High
$15.85
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$58.88
Median
$63.10
Typical High
$63.10

Where Maryland sits

The same service costs 4.4 times more in Alaska than in Texas. 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.

Maryland· 25th of 51

$141

AK $331TX $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.