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Double-Contrast Upper GI X-ray Series

Alaska rates for HCPCS 74246

The patient swallows a barium contrast solution along with a substance that produces gas, and X-ray images are taken as the mixture coats and expands the esophagus, stomach, and the first part of the small intestine. The combination of barium coating and gas expansion, known as a double-contrast technique, provides a more detailed view of the lining of these organs than a single-contrast study. It's used to look for ulcers, growths, or other abnormalities.

Rates data updated July 2026.

Facilitymedian $135 · 10th–90th $135$1350%50%100%$135Professionalmedian $155 · 10th–90th $43$5130%5%10th90th$155$50.0$100.0$200.0$500.0$1.0K

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
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$426.58
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$27.54
Median
$42.66
Typical High
$147.91
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$66.07
Median
$93.33
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$223.87
Typical High
$426.58
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$64.57
Typical High
$147.91
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$154.88
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$870.96
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$112.20
Median
$134.90
Typical High
$309.03
Moda Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$213.80
Median
$251.19
Typical High
$562.34
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$562.34
Typical High
$831.76
Premera BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$123.03
Median
$169.82
Typical High
$245.47
Premera BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$338.84
Median
$389.05
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$346.74
Typical High
$426.58
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$46.77
Typical High
$158.49
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$74.13
Median
$134.90
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$338.84
Typical High
$676.08
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$46.77
Median
$125.89
Typical High
$251.19
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$104.71
Median
$208.93
Typical High
$457.09