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Upper Digestive Tract X-Ray, Detailed Contrast Study

Wisconsin 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?

$676

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $631 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$676$468 to $891
FacilityA hospital or hospital-owned outpatient department$631$575 to $676

How much rates vary

Facilitymedian $631 · 10th to 90th $447 to $871Professionalmedian $676 · 10th to 90th $288 to $912
$100$200$500$1Kfacility $631professional $676

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$676.08
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$630.96
Typical High
$630.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$912.01
Typical High
$912.01

Where Wisconsin 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.

Wisconsin· 10th of 37

$676

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.