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Utah 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 $58 · 10th–90th $38$580%50%10th$58Professionalmedian $79 · 10th–90th $32$1910%5%10%10th90th$79$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $38.90 / $95.50
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $79.43 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $144.54 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $46.77 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $91.20 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $223.87
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $53.70 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $128.82 / $147.91
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $165.96 / $213.80
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $52.48 / $72.44
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $114.82 / $141.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $102.33 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $109.65 / $181.97
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $35.48 / $58.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $74.13 / $123.03