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Upper Digestive Tract X-Ray Series

Missouri rates for HCPCS 74241

This covers an X-ray study in which the patient swallows a contrast liquid so the esophagus, stomach, and the beginning of the small intestine can be examined on X-ray images. It is used to evaluate symptoms such as difficulty swallowing, abdominal pain, reflux, or a suspected abnormality in this part of the digestive tract. Multiple images are taken as the contrast moves through the digestive tract.

Rates data updated October 2026.

How much rates vary

Facilitymedian $537 · 10th to 90th $282 to $537Professionalmedian $550 · 10th to 90th $550 to $550
$200$500facility $537professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$537.03
Typical High
$537.03
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$363.08
Median
$363.08
Typical High
$363.08