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X-ray Of The Esophagus (Barium Swallow)

Massachusetts 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?

$115

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $89.13 to $204.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $115 · 10th to 90th $69 to $295
$50$100$200$500professional $115

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
$16.98
Median
$28.18
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$295.12
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.62
Median
$30.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$51.29
Median
$67.61
Typical High
$186.21
AllWays Health Partners
Setting
Facility
Modifier
26 · Professional part
Typical Low
$67.61
Median
$181.97
Typical High
$181.97
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$645.65
AllWays Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$38.02
Typical High
$181.97
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$57.54
Median
$93.33
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$56.23
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$275.42
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$39.81
Typical High
$83.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$53.70
Median
$107.15
Typical High
$199.53
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$95.50
Typical High
$181.97
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$263.03
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$39.81
Typical High
$72.44
Harvard Pilgrim
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$100.00
Typical High
$181.97
Health New England
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$223.87
Mass General Brigham
Setting
Facility
Modifier
26 · Professional part
Typical Low
$67.61
Median
$181.97
Typical High
$181.97
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$645.65
Mass General Brigham
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$38.02
Typical High
$181.97
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$57.54
Median
$93.33
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$309.03
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$40.74
Typical High
$95.50
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$61.66
Median
$95.50
Typical High
$204.17

Where Massachusetts sits

The same service costs 2.7 times more in Alaska than in Florida. 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.

Massachusetts· 14th of 51

$115

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.