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X-ray Of The Esophagus (Barium Swallow)

Iowa 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?

$105

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $87.10 to $209.

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.

How much rates vary

Professionalmedian $105 · 10th to 90th $81 to $457
$20.0$50.0$100.0$200.0$500.0professional $105

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
$25.70
Median
$51.29
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$489.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$30.20
Typical High
$117.49
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$56.23
Median
$67.61
Typical High
$173.78
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$229.09
Typical High
$288.40
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$66.07
Typical High
$83.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$165.96
Typical High
$204.17
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$257.04
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$42.66
Typical High
$104.71
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$60.26
Median
$87.10
Typical High
$154.88
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$70.79
Median
$128.82
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$154.88
Typical High
$645.65
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$39.81
Typical High
$181.97
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$91.20
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$257.04
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$60.26
Typical High
$83.18
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$107.15
Median
$138.04
Typical High
$181.97
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$257.04
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$67.61
Typical High
$74.13
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$141.25
Median
$162.18
Typical High
$181.97
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$69.18
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$234.42
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.92
Median
$48.98
Typical High
$100.00
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$58.88
Median
$79.43
Typical High
$154.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$165.96
Typical High
$186.21
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$48.98
Typical High
$54.95
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$112.20
Median
$117.49
Typical High
$131.83

Where Iowa 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.

Iowa $105 · 20th 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.