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Montana 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 $51 · 10th–90th $51$630%20%40%90th$51Professionalmedian $85 · 10th–90th $34$2240%5%10%10th90th$85$50.0$100.0$200.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $158.49 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $57.54 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $89.13 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $173.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $154.88 / $288.40
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $50.12 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $107.15 / $194.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $186.21 / $213.80
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $63.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $245.47 / $302.00
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $51.29 / $75.86
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $120.23 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $112.20 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $37.15 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $75.86 / $131.83