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Upper Digestive Tract X-Ray, Air Contrast Study

Wisconsin 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?

$513

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $513 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$513$339 to $661
FacilityA hospital or hospital-owned outpatient department$513$447 to $589

How much rates vary

Facilitymedian $513 · 10th to 90th $389 to $661Professionalmedian $513 · 10th to 90th $219 to $708
$100$200$500facility $513professional $513

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$512.86
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$588.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$707.95
Typical High
$707.95

Where Wisconsin 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.

Wisconsin· 10th of 37

$513

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.