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Kidney Vein Dye X-Ray, One Side

New Hampshire rates for HCPCS 75831

X-ray imaging of the vein draining one kidney. A thin tube is threaded through a vein up into the kidney vein and contrast dye is injected so the vessel shows up on the pictures. It is used to look for a clot, a narrowing, or abnormal vessels around that kidney.

Rates data updated October 2026.

How much does Kidney Vein Dye X-Ray, One Side cost?

$209

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $166 to $309.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $708 · 10th to 90th $447 to $14,454Professionalmedian $195 · 10th to 90th $132 to $479
$100$200$500$1K$2K$5K$10Kfacility $708professional $195

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
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$158.49
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$724.44
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$120.23
Median
$169.82
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$72.44
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$69.18
Median
$100.00
Typical High
$173.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$707.95
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$151.36
Median
$173.78
Typical High
$524.81
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$60.26
Median
$72.44
Typical High
$151.36
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$91.20
Median
$104.71
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$213.80
Typical High
$478.63
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$87.10
Typical High
$158.49
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$123.03
Typical High
$245.47
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$218.78
Typical High
$575.44
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$72.44
Typical High
$141.25
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$97.72
Median
$125.89
Typical High
$354.81
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
$54.95
Median
$107.15
Typical High
$114.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$43.65
Typical High
$45.71
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$87.10
Median
$173.78
Typical High
$173.78

Where New Hampshire sits

The same service costs 4.9 times more in Alaska than in Utah. 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.

New Hampshire· 17th of 51

$209

AK $372UT $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.