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X-Ray Guidance For Fallopian Tube Catheter

Virginia 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?

$107

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $85.11 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$75.86 to $182
FacilityA hospital or hospital-owned outpatient department$85.11$54.95 to $148

How much rates vary

Facilitymedian $85 · 10th to 90th $33 to $437Professionalmedian $107 · 10th to 90th $55 to $234
$20$50$100$200$500$1Kfacility $85professional $107

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
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$72.44
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$51.29
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$41.69
Median
$85.11
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$32.36
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$95.50
Typical High
$123.03
CareFirst
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.20
Median
$208.93
Typical High
$234.42
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$27.54
Typical High
$38.90
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$181.97
Median
$181.97
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$776.25
Typical High
$870.96
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$58.88
Median
$89.13
Typical High
$173.78
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$29.51
Typical High
$57.54
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$38.90
Median
$57.54
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$91.20
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$30.20
Typical High
$40.74
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$50.12
Median
$61.66
Typical High
$75.86
Medcost
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$234.42
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$53.70
Typical High
$53.70
Medcost
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$125.89
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$77.62
Median
$100.00
Typical High
$123.03
Sentara
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$85.11
Typical High
$251.19
Sentara
Setting
Professional
Modifier
None (both parts)
Typical Low
$38.02
Median
$107.15
Typical High
$181.97
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$39.81
Typical High
$69.18
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$72.44
Typical High
$128.82
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$75.86
Median
$138.04
Typical High
$275.42
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.88
Median
$36.31
Typical High
$56.23
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$109.65
Typical High
$223.87
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
$36.31
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.45
Median
$15.85
Typical High
$15.85
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$61.66
Median
$63.10
Typical High
$63.10

Where Virginia 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.

Virginia· 41st of 51

$107

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.