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X-ray Series Of The Small Intestine

Arizona 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?

$117

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $105 to $138.

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 $117 · 10th to 90th $85 to $257
$100$200$500professional $117

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
$74.13
Median
$158.49
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$234.42
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$38.02
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$37.15
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$478.63
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$36.31
Typical High
$57.54
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$9.55
Median
$44.67
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$251.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$33.11
Typical High
$69.18
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$91.20
Median
$173.78
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$812.83
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$41.69
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$120.23
Typical High
$181.97
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$41.69
Typical High
$95.50

Where Arizona 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.

Arizona· 39th of 51

$117

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.