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X-ray Series Of The Small Intestine

Michigan 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?

$126

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $107 to $158.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $126 · 10th to 90th $85 to $200
$100$200$500professional $126

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
$45.71
Median
$47.86
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$194.98
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$39.81
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$29.51
Median
$31.62
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$181.97
Typical High
$194.98
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$61.66
Median
$61.66
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$263.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$38.02
Typical High
$85.11
Health Alliance Plan
Setting
Facility
Modifier
26 · Professional part
Typical Low
$44.67
Median
$47.86
Typical High
$54.95
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$223.87
Health Alliance Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$38.90
Typical High
$67.61
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$190.55
Priority Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$32.36
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$24.55
Median
$45.71
Typical High
$138.04

Where Michigan 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.

Michigan· 18th of 51

$126

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.