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 October 2026.

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

$891

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $562 to $891.

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 $631 · 10th to 90th $631 to $631Professionalmedian $891 · 10th to 90th $269 to $891

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $562.34	Professional	None	$446.68	$446.68	$562.34
Medica Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96	Facility	None	$630.96	$630.96	$630.96
Medica Setting Professional Modifier None Typical Low $295.12 Median $891.25 Typical High $891.25	Professional	None	$295.12	$891.25	$891.25
Midlands Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $269.15	Professional	None	$263.03	$263.03	$269.15

Where Nebraska sits

The same service costs 30.2 times more in Texas than in South Carolina. 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· 8th of 37

$891

TX $912SC $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.