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X-Ray Guidance For Fallopian Tube Catheter

South Dakota 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?

$204

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $170 to $263.

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.

How much rates vary

Facilitymedian $123 · 10th to 90th $105 to $186Professionalmedian $214 · 10th to 90th $145 to $316
$100$200$500facility $123professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$72.44
Median
$72.44
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$199.53
Typical High
$263.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$69.18
Typical High
$85.11
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$93.33
Median
$131.83
Typical High
$181.97
Medica
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$123.03
Typical High
$186.21
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$169.82
Median
$309.03
Typical High
$851.14
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$56.23
Typical High
$208.93
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$257.04
Typical High
$707.95
Midlands
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$70.79
Typical High
$70.79
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$46.77
Typical High
$56.23
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$269.15
Typical High
$338.84
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$54.95
Typical High
$61.66
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$218.78
Typical High
$275.42
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$190.55
Median
$218.78
Typical High
$218.78
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$56.23
Typical High
$56.23
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$144.54
Median
$165.96
Typical High
$165.96

Where South Dakota 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.

South Dakota· 7th of 51

$204

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.