Fallopian Tube Test · Clinic Matched for You
Find out whether your fallopian tubes are open
An HSG is an X-ray with dye that shows whether the fallopian tubes are open and outlines the inside of the uterus. Blocked tubes are a common, often treatable cause of trouble getting pregnant, and fertility clinics check them in almost every workup. Request it online and we find a clinic near you that does it.
$60 Hera fee + the clinic's HSG price, confirmed before you book
During an HSG, a doctor places a thin catheter through the cervix and fills the uterus with contrast dye while an X-ray machine takes pictures. If the tubes are open, the dye flows through them and spills out the ends. It takes about 15 to 30 minutes. Most people feel cramping for a few minutes, and many clinics suggest taking ibuprofen beforehand.
It answers two questions in one visit. Tubes: a blocked or damaged tube can stop the egg and sperm from meeting, and an HSG is how clinics check. Uterus: the dye outlines the cavity, so a polyp, a fibroid, scar tissue or a septum shows up as a gap in the picture. It does not check the ovaries or the egg supply; that is the ultrasound and the AMH blood test.
1. Request online, with no location to pick. Tell us your ZIP code and we take it from there.
2. We find your clinic. Within one business day we text you a fertility clinic or imaging center near you that does HSGs, its price and how to book. If the clinic needs a doctor's order first, Hera's physician can write it after a short video visit, and we tell you any cost before you book.
3. Go on day 6 to 12 of your cycle, after bleeding stops and before you ovulate; the clinic will ask for a pregnancy test first. The radiologist or the clinic's doctor reads the images, often while you're still there. We send you the report and make sure anything that needs follow-up has a doctor who will act on it.
Many fertility clinics and imaging centers do HSGs, but some only for their own patients. Submit your request and within one business day we'll text you a clinic that will see you, its price and how to book. Hera's fee is $60; you pay the clinic for the HSG at your visit. Prefer to ask first? Text us your ZIP code.
Request an HSG — we'll match your clinic Text us your ZIP for an HSG — (915) 348-4512If you're comparing a quote or checking a bill, these are the codes a clinic uses for an HSG.
| Code | What it covers |
|---|---|
| 74740 (On a Hera request) | Hysterosalpingography, radiological supervision and interpretation — the X-ray images and the radiologist's read. |
| 58340 | Catheter placed through the cervix and contrast introduced — the procedure half of the HSG, billed alongside 74740. |
| Code | What it covers |
|---|---|
| Z31.41 (On a Hera request) | Encounter for fertility testing. |
| N97.1 | Female infertility of tubal origin. |
| N97.9 | Female infertility, unspecified — after a year of trying (six months at 35 or older). |
| N97.2 | Female infertility of uterine origin. |
An HSG is billed as two lines, the X-ray images (74740) and the catheter and dye (58340). Hera's $60 fee is separate. Coverage follows the diagnosis code: Z31.41 fertility testing is often excluded, while infertility codes such as N97.1 are more often covered.
Whether each fallopian tube is open, and the shape of the inside of the uterus: polyps, fibroids, scar tissue or a septum show up as gaps in the dye. The clinic bills it as CPT 74740 for the X-ray images and 58340 for placing the catheter and dye.
Most people feel cramping, like a strong period cramp, while the dye goes in; it usually eases within minutes. Taking ibuprofen about an hour before, if your clinic agrees, helps. Light spotting for a day or two afterwards is normal.
On day 6 to 12, counting the first day of full flow as day 1: after bleeding stops, so the picture is clear, and before you ovulate, so there's no chance of an early pregnancy. The clinic will ask for a pregnancy test on the day.
Hera charges $60 to find the clinic and arrange it; you pay the clinic's price at your visit, and we confirm it with you before you book. The fertility clinics that print a cash price on their forms list about $780 to $850. Many insurance plans cover an HSG, so ask the clinic if you want to use yours. HSA and FSA cards are accepted at checkout.
Yes. The X-ray dose is small, and the test is done before ovulation so no pregnancy is exposed. The main side effects are cramping and spotting; infection is rare. Tell the clinic beforehand about any iodine or contrast allergy, or a current pelvic infection.
The HSG is the one that shows whether the tubes are open. A transvaginal ultrasound looks at the ovaries and the shape of the uterus; a sonohysterogram uses saline and ultrasound to see inside the uterus in more detail. Most workups include the ultrasound, blood tests and an HSG.
Yes. A male factor is found in about half of couples who struggle to conceive, often alongside a female one. A semen analysis is the male baseline, and Hera can order it at a lab near you at the same time.