go back

X-ray Series Of The Small Intestine

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $105 to $195.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $117 · 10th to 90th $85 to $309
$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
$25.70
Median
$35.48
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$302.00
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$39.81
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$38.90
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$53.70
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$302.00
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$42.66
Typical High
$89.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$85.11
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$251.19
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$41.69
Typical High
$85.11
Wellcare
Setting
Facility
Modifier
26 · Professional part
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,000.00
Wellcare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$239.88
Median
$239.88
Typical High
$309.03

Where North Carolina 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.

North Carolina· 34th 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.