Upper Digestive Tract X-Ray, Air Contrast Study

Montana rates for HCPCS 74247

This covers an X-ray study of the upper digestive tract that uses both a swallowed contrast liquid and air to expand the stomach and intestine, giving a more detailed view of the lining than a standard contrast study alone. Images are taken as the contrast moves through the esophagus, stomach, and into the beginning of the small intestine. It helps evaluate symptoms such as pain, difficulty swallowing, or suspected abnormalities in this part of the digestive tract.

Rates data updated October 2026.

How much rates vary

Facilitymedian $170 · 10th to 90th $170 to $479

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
MountainHealth Co-op Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $478.63	Facility	None	$169.82	$169.82	$478.63