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X-ray Series Of The Small Intestine

Alaska rates for HCPCS 74250

A series of X-ray images tracks contrast material as it moves through the small intestine, taken over time to look for narrowing, blockages, or other abnormalities along its length. The patient swallows a contrast liquid before the images are taken.

Rates data updated July 2026.

How much does X-ray Series Of The Small Intestine cost?

$302

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $117 to $380.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $302 · 10th to 90th $81 to $575
$100$200$500$1Kprofessional $302

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
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$123.03
Median
$123.03
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$371.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$36.31
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$194.98
Typical High
$380.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$47.86
Typical High
$131.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$758.58
Moda Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$100.00
Median
$120.23
Typical High
$275.42
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$489.78
Typical High
$724.44
Premera BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$87.10
Median
$151.36
Typical High
$218.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$295.12
Typical High
$380.19
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$32.36
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$295.12
Typical High
$630.96
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$114.82
Typical High
$229.09

Where Alaska sits

The same service costs 2.9 times more in Alaska than in Florida. 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.

Alaska· 1st of 51

$302

AK $302FL $105

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.