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Michigan 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 $40 · 10th–90th $39$420%50%10th90th$40Professionalmedian $83 · 10th–90th $32$1740%5%10th90th$83$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $39.81 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $125.89 / $316.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $45.71 / $95.50
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $81.28 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $31.62 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $162.18 / $173.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $89.13 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $131.83 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $42.66 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $91.20 / $208.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $39.81 / $79.43
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $125.89 / $251.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $39.81 / $89.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $87.10 / $165.96
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $120.23 / $190.55
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $38.90 / $67.61
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $79.43 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $117.49 / $645.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $40.74 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $77.62 / $134.90