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X-ray Of The Esophagus (Barium Swallow)

South Dakota 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?

$148

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $148 for this service. Most negotiated rates run $102 to $200.

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 $148 · 10th to 90th $87 to $234
$100.0$200.0$500.0professional $148

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
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$162.18
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$64.57
Typical High
$77.62
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$70.79
Typical High
$117.49
Avera
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$95.50
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$288.40
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$66.07
Typical High
$83.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$165.96
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$645.65
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$44.67
Typical High
$181.97
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$104.71
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$213.80
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$56.23
Median
$60.26
Typical High
$77.62
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$138.04
Typical High
$144.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$186.21
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$41.69
Typical High
$54.95
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$75.86
Median
$107.15
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$154.88
Typical High
$218.78
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$45.71
Typical High
$61.66
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$104.71
Typical High
$162.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$190.55
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$54.95
Typical High
$56.23
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$131.83
Typical High
$134.90

Where South Dakota 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.

South Dakota $148 · 6th 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.