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Upper Digestive Tract X-Ray, Detailed Contrast Study

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

$912

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $912 for this service. Most negotiated rates run $912 to $912.

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 $20 · 10th to 90th $20 to $40Professionalmedian $912 · 10th to 90th $912 to $912
$20$50$100$200$500$1Kfacility $20professional $912

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
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$39.81
Asuris Northwest Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Asuris Northwest Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Asuris Northwest Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$288.40
Median
$288.40
Typical High
$363.08
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$50.12
Median
$70.79
Typical High
$75.86

Where Washington sits

The same service costs 30.2 times more in Texas than in South Carolina. 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.

Washington· 5th of 37

$912

TX $912SC $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.