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X-ray Series Of The Small Intestine

Nebraska 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?

$151

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $117 to $257.

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 $151 · 10th to 90th $98 to $603
$50$100$200$500professional $151

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
$69.18
Median
$81.28
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$602.56
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$50.12
Typical High
$117.49
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$51.29
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$218.78
Typical High
$229.09
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$53.70
Median
$69.18
Typical High
$74.13
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$251.19
Typical High
$363.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$74.13
Typical High
$112.20
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$812.83
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$58.88
Typical High
$239.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$407.38
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$81.28
Typical High
$128.82
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$407.38
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$44.67
Typical High
$128.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$85.11
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$208.93
Typical High
$295.12
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$63.10
Typical High
$97.72

Where Nebraska 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.

Nebraska· 11th of 51

$151

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.