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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.

Facilitymedian $151 · 10th–90th $151$1510%50%100%$151Professionalmedian $145 · 10th–90th $110$3090%20%40%10th90th$145$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

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