Upper Digestive Tract X-Ray, Air Contrast Study

Virginia 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 July 2026.

How much does Upper Digestive Tract X-Ray, Air Contrast Study cost?

$162

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $129 to $162.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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

Professionalmedian $162 · 10th to 90th $129 to $275

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Professional Modifier Global Typical Low $234.42 Median $234.42 Typical High $275.42	Professional	Global	$234.42	$234.42	$275.42
Kaiser Permanente Setting Professional Modifier Global Typical Low $549.54 Median $549.54 Typical High $549.54	Professional	Global	$549.54	$549.54	$549.54
Medcost Setting Professional Modifier Global Typical Low $128.82 Median $162.18 Typical High $162.18	Professional	Global	$128.82	$162.18	$162.18

Where Virginia sits

The same service costs 23.4 times more in Tennessee than in Idaho. 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.

Virginia· 28th of 37

$162

TN $708ID $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.