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X-ray Series Of The Small Intestine

Montana 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?

$135

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $107 to $204.

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 $135 · 10th to 90th $95 to $372
$100$200$500professional $135

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
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$602.56
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$39.81
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$190.55
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$58.88
Median
$58.88
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$323.59
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$39.81
Typical High
$107.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$316.23
Providence
Setting
Facility
Modifier
26 · Professional part
Typical Low
$58.88
Median
$58.88
Typical High
$74.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$269.15
Typical High
$338.84
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$42.66
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$208.93
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$41.69
Typical High
$104.71

Where Montana 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.

Montana· 16th of 51

$135

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.