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Wisconsin rates for HCPCS 74240

Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study

Facilitymedian $79 · 10th–90th $58$1740%20%10th90th$79Professionalmedian $107 · 10th–90th $39$3310%5%10th90th$107$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
$57.54 / $66.07 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $141.25 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $69.18 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $91.20 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $186.21 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $57.54 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $128.82 / $457.09
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $97.72 / $147.91
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $117.49 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $331.13 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $100.00 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $223.87 / $346.74
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $269.15 / $363.08
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $85.11 / $107.15
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $181.97 / $234.42
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $218.78 / $812.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $81.28 / $239.88
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $147.91 / $575.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $109.65
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $245.47 / $436.52
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $77.62 / $125.89
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $147.91 / $309.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $288.40 / $478.63
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $239.88 / $239.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $575.44 / $812.83
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $199.53 / $239.88
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $380.19 / $575.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $645.65 / $776.25
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $95.50 / $186.21
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $165.96 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $223.87 / $912.01
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $177.83 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $117.49 / $281.84