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Texas rates for HCPCS 74246

Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered

Facilitymedian $35 · 10th–90th $28$2690%20%10th90th$35Professionalmedian $91 · 10th–90th $35$1910%5%10th90th$91$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $30.20 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $128.82 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $41.69 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $89.13 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $181.97 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $43.65 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $107.15 / $144.54
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $134.90 / $208.93
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $39.81 / $42.66
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.23 / $47.86 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $141.25 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $43.65 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $97.72 / $194.98
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,148.15 / $1,148.15
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $338.84 / $338.84
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $794.33 / $794.33
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $34.67 / $56.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $158.49 / $316.23
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $48.98 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $104.71 / $218.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $112.20
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $138.04 / $281.84
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.72 / $48.98 / $70.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $141.25 / $288.40
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $42.66 / $74.13
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $93.33 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $131.83 / $239.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $43.65 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $91.20 / $154.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $134.90 / $162.18
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $42.66 / $51.29
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $93.33 / $109.65