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Upper Digestive Tract X-Ray, Detailed Contrast Study

Minnesota 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 July 2026.

Facilitymedian $692 · 10th–90th $525$1,4790%10%20%10th90th$692Professionalmedian $295 · 10th–90th $288$5750%50%10th90th$295$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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$602.56
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$1,479.11
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25