Upper Digestive Tract X-Ray Series

Montana 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 $166 · 10th to 90th $166 to $372

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
MountainHealth Co-op Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $371.54	Facility	None	$165.96	$165.96	$371.54