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Upper GI X-Ray With Small Bowel Follow-Through

Iowa rates for HCPCS 74245

This covers an X-ray study in which the patient swallows a contrast liquid (barium) so the esophagus, stomach, and the beginning of the small intestine can be seen on X-ray images. Additional images are taken over time as the contrast continues moving into the small intestine, which is why it's called a follow-through study. It helps evaluate symptoms such as difficulty swallowing, abdominal pain, or suspected blockages along this part of the digestive tract.

Rates data updated July 2026.

How much does Upper GI X-Ray With Small Bowel Follow-Through cost?

$417

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $417 for this service. Most negotiated rates run $331 to $676.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $676 · 10th to 90th $275 to $676Professionalmedian $417 · 10th to 90th $275 to $832
$200$500facility $676professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$676.08
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$616.60
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13

Where Iowa sits

The same service costs 28.2 times more in North Carolina than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 14th of 37

$417

NC $851SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.