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X-ray Of The Esophagus (Barium Swallow)

West Virginia 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?

$117

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $224 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$81.28 to $200
FacilityA hospital or hospital-owned outpatient department$224$100 to $380

How much rates vary

Facilitymedian $224 · 10th to 90th $100 to $741Professionalmedian $117 · 10th to 90th $66 to $240
$50$100$200$500$1Kfacility $224professional $117

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
$91.20
Median
$100.00
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$91.20
Median
$100.00
Typical High
$208.93
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$28.18
Typical High
$66.07
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$63.10
Median
$69.18
Typical High
$144.54
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$29.51
Median
$81.28
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$251.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$77.62
Median
$169.82
Typical High
$457.09
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$50.12
Typical High
$134.90
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$67.61
Median
$120.23
Typical High
$323.59
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$616.60
Typical High
$851.14
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$47.86
Typical High
$74.13
United
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$64.57
Median
$97.72
Typical High
$208.93
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.78
Median
$30.20
Typical High
$61.66
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$45.71
Median
$67.61
Typical High
$144.54

Where West Virginia 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.

West Virginia· 21st of 51

$117

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.