go back

Upper Digestive Tract X-Ray, Detailed Contrast Study

Nebraska 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.

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

$339

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $339 for this service. Most negotiated rates run $269 to $562.

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

Facilitymedian $339 · 10th to 90th $339 to $631Professionalmedian $302 · 10th to 90th $263 to $891
$200$500$1Kfacility $339professional $302

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
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$891.25
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$269.15

Where Nebraska sits

The same service costs 30.2 times more in California 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.

Nebraska· 24th of 37

$339

CA $912ID $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.