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X-ray Of The Esophagus (Barium Swallow)

Hawaii rates for HCPCS 74220

This X-ray study captures images of the esophagus, the tube connecting the throat to the stomach, while the patient swallows a contrast liquid that outlines its inner lining on the images. It helps identify narrowing, blockages, abnormal pouches, or problems with the swallowing motion itself. The exam is typically performed in a radiology suite while the radiologist watches the swallowed contrast move down the esophagus in real time.

Rates data updated July 2026.

How much does X-ray Of The Esophagus (Barium Swallow) cost?

$141

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $97.72 to $162.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $141 · 10th to 90th $81 to $200
$50.0$100.0$200.0$500.0professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.18
Median
$32.36
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$208.93
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$25.70
Typical High
$39.81
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$61.66
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$154.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$28.18
Typical High
$42.66
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$77.62
Typical High
$112.20
HMSA
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$165.96
HMSA
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$38.90
Typical High
$39.81
HMSA
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$109.65
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$154.88
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$33.88
Typical High
$42.66
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$83.18
Median
$91.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$741.31
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$47.86
Typical High
$181.97
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$77.62
Median
$83.18
Typical High
$141.25
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$199.53
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$40.74
Typical High
$50.12
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$109.65
Typical High
$151.36

Where Hawaii sits

The same service costs 2.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $141 · 8th of 51
AK $234FL $87.10

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.