go back

Double-Contrast Upper GI X-ray Series

South Dakota 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 October 2026.

How much does Double-Contrast Upper GI X-ray Series cost?

$257

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $182 to $302.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $214 · 10th to 90th $178 to $347Professionalmedian $257 · 10th to 90th $135 to $331
$200$500$1Kfacility $214professional $257

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$125.89
Typical High
$165.96
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$37.15
Typical High
$47.86
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$79.43
Median
$87.10
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$208.93
Median
$331.13
Typical High
$407.38
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$63.10
Median
$97.72
Typical High
$123.03
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$147.91
Median
$229.09
Typical High
$288.40
Medica
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$213.80
Typical High
$346.74
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$257.04
Typical High
$933.25
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$72.44
Typical High
$269.15
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$173.78
Typical High
$660.69
Midlands
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$302.00
Typical High
$302.00
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$79.43
Median
$79.43
Typical High
$87.10
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$223.87
Typical High
$223.87
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$251.19
Median
$251.19
Typical High
$281.84
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$204.17
Typical High
$263.03
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$58.88
Typical High
$81.28
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$95.50
Median
$147.91
Typical High
$181.97
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$141.25
Median
$251.19
Typical High
$257.04
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$69.18
Typical High
$83.18
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$102.33
Median
$169.82
Typical High
$190.55
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$269.15
Typical High
$269.15
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$74.13
Median
$85.11
Typical High
$85.11
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$162.18
Median
$186.21
Typical High
$186.21

Where South Dakota sits

The same service costs 3.9 times more in Alaska than in Utah. 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.

South Dakota· 6th of 51

$257

AK $407UT $105

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.