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Upper Digestive Tract X-Ray, Detailed Contrast Study

Virginia 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 rates vary

Professionalmedian $234 · 10th to 90th $186 to $234
$200$500professional $234

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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Medcost
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$234.42
Typical High
$234.42