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Upper Digestive Tract X-Ray, Detailed Contrast Study

Massachusetts rates for HCPCS 74249

This covers a detailed X-ray study of the upper digestive tract using a contrast liquid the patient swallows, with images taken as the contrast moves through the esophagus, stomach, and into the small intestine. This version uses a more detailed contrast technique intended to show the lining of the digestive tract in finer detail than a standard study. It is used to evaluate symptoms such as pain, difficulty swallowing, or a suspected abnormality in this part of the digestive tract.

Rates data updated October 2026.

How much rates vary

Facilitymedian $170 · 10th to 90th $170 to $170Professionalmedian $912 · 10th to 90th $912 to $912
$200$500$1Kfacility $170professional $912

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
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
AllWays Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
AllWays Health Partners
Setting
Professional
Modifier
26 · Professional part
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Mass General Brigham
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Mass General Brigham
Setting
Professional
Modifier
26 · Professional part
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$616.60
Typical High
$616.60