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Upper Digestive Tract X-Ray Series

Nebraska 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.

Facilitymedian $214 · 10th–90th $214$5370%20%40%90th$214Professionalmedian $191 · 10th–90th $166$5500%20%40%10th90th$191$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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$549.54
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$169.82