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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 October 2026.

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

$138

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $120 to $166.

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 $138 · 10th to 90th $98 to $186
$50$100$200professional $138

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
Professional
Modifier
None (both parts)
Typical Low
$69.18
Median
$95.50
Typical High
$173.78
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$79.43
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$102.33
Typical High
$102.33
HMSA
Setting
Professional
Modifier
None (both parts)
Typical Low
$107.15
Median
$144.54
Typical High
$165.96
HMSA
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$38.02
Typical High
$39.81
HMSA
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
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
None (both parts)
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
University Health Alliance
Setting
Professional
Modifier
None (both parts)
Typical Low
$97.72
Median
$169.82
Typical High
$186.21
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$44.67
Typical High
$48.98
University Health Alliance
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$125.89
Typical High
$138.04

Where Hawaii sits

The same service costs 3.8 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.

Hawaii· 14th of 51

$138

AK $282UT $74.13

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.