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Alaska rates for HCPCS 74221

Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study

Facilitymedian $141 · 10th–90th $107$1410%50%10th$141Professionalmedian $91 · 10th–90th $32$2880%5%10th90th$91$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$107.15 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $117.49 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $38.90 / $114.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $81.28 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $177.83 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $54.95 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $117.49 / $223.87
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$107.15 / $107.15 / $141.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $281.84 / $691.83
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $95.50 / $239.88
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $194.98 / $446.68
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $446.68 / $676.08
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $131.83 / $218.78
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $309.03 / $467.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $275.42 / $338.84
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $46.77 / $123.03
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $97.72 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $263.03 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $97.72 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $165.96 / $331.13