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X-ray Series Of The Small Intestine

Hawaii 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?

$162

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $115 to $191.

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 $162 · 10th to 90th $85 to $229
$100$200professional $162

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
$38.02
Median
$43.65
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$120.23
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$33.88
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$177.83
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$28.84
Typical High
$51.29
HMSA
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$173.78
Typical High
$194.98
HMSA
Setting
Professional
Modifier
26 · Professional part
Typical Low
$50.12
Median
$52.48
Typical High
$53.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$41.69
Median
$45.71
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$251.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$64.57
Typical High
$87.10
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$234.42
University Health Alliance
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$46.77
Typical High
$60.26

Where Hawaii 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.

Hawaii· 7th of 51

$162

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.