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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 July 2026.

Facilitymedian $95 · 10th–90th $62$950%50%10th$95Professionalmedian $85 · 10th–90th $46$1660%10%10th90th$85$20.0$100.0$500.0$2.0K

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
$61.66
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$128.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$190.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$74.13
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$281.84