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 July 2026.

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

$234

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $186 to $234.

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

Professionalmedian $234 · 10th to 90th $186 to $363

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $363.08	Professional	Global	$302.00	$302.00	$363.08
Kaiser Permanente Setting Professional Modifier Global Typical Low $707.95 Median $707.95 Typical High $707.95	Professional	Global	$707.95	$707.95	$707.95
Medcost Setting Professional Modifier Global Typical Low $186.21 Median $234.42 Typical High $234.42	Professional	Global	$186.21	$234.42	$234.42

Where Virginia 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.

Virginia· 28th of 37

$234

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.