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Upper Digestive Tract X-Ray Series

Wisconsin 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 July 2026.

Facilitymedian $427 · 10th–90th $324$5500%20%10th90th$427Professionalmedian $427 · 10th–90th $182$5890%10%20%10th90th$427$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$426.58
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$537.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$588.84
Typical High
$588.84