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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 October 2026.

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

$178

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $126 to $214.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $148 · 10th to 90th $117 to $832Professionalmedian $178 · 10th to 90th $93 to $229
$100$200$500$1Kfacility $148professional $178

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$954.99
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$87.10
Median
$91.20
Typical High
$117.49
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.89
Median
$25.12
Typical High
$33.88
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$67.61
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$147.91
Median
$229.09
Typical High
$288.40
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$66.07
Typical High
$83.18
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$165.96
Typical High
$204.17
Medica
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$147.91
Typical High
$676.08
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$177.83
Typical High
$645.65
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$48.98
Typical High
$181.97
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$123.03
Typical High
$467.74
Midlands
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$213.80
Typical High
$213.80
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$77.62
Typical High
$77.62
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$177.83
Median
$177.83
Typical High
$199.53
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$144.54
Typical High
$186.21
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$40.74
Typical High
$54.95
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$104.71
Typical High
$131.83
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$97.72
Median
$173.78
Typical High
$181.97
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$45.71
Typical High
$54.95
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$120.23
Typical High
$138.04
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$165.96
Median
$190.55
Typical High
$190.55
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$56.23
Typical High
$56.23
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$117.49
Median
$134.90
Typical High
$134.90

Where South Dakota 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.

South Dakota· 7th of 51

$178

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.