Upper Digestive Tract X-Ray, Detailed Contrast Study

South Dakota 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 rates vary

Professionalmedian $447 · 10th to 90th $355 to $562

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. 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 Global Typical Low $354.81 Median $446.68 Typical High $562.34	Professional	Global	$354.81	$446.68	$562.34
Medica Setting Professional Modifier Global Typical Low $891.25 Median $891.25 Typical High $891.25	Professional	Global	$891.25	$891.25	$891.25