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X-Ray Guidance For Fallopian Tube Catheter

Utah 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?

$110

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $72.44 to $138.

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 $95 · 10th to 90th $95 to $95Professionalmedian $115 · 10th to 90th $34 to $170
$50$100$200$500$1K$2K$5Kfacility $95professional $115

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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$85.11
Median
$95.50
Typical High
$120.23
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$34.67
Typical High
$43.65
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$61.66
Typical High
$77.62
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$93.33
Typical High
$151.36
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$33.88
Typical High
$48.98
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$58.88
Typical High
$95.50
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.88
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$117.49
Median
$123.03
Typical High
$169.82
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$47.86
Typical High
$58.88
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$79.43
Typical High
$109.65
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$162.18
Median
$5,011.87
Typical High
$5,011.87
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$57.54
Typical High
$162.18
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$169.82
Typical High
$309.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$31.62
Typical High
$51.29
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$138.04
Typical High
$229.09
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
$42.66
Median
$47.86
Typical High
$60.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.98
Median
$19.05
Typical High
$23.99
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$67.61
Median
$75.86
Typical High
$75.86

Where Utah 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.

Utah· 40th of 51

$110

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.