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Upper Digestive Tract X-Ray, Detailed Contrast Study

Pennsylvania 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?

$145

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $145 to $195.

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 $151 · 10th to 90th $151 to $151Professionalmedian $145 · 10th to 90th $110 to $309
$100$200$500facility $151professional $145

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
$501.19
Typical High
$616.60
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$257.04
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$218.78

Where Pennsylvania 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.

Pennsylvania· 29th of 37

$145

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.