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X-ray Series Of The Small Intestine

New Hampshire 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?

$178

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $120 to $245.

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 $178 · 10th to 90th $85 to $309
$100$200$500professional $178

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
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$190.55
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$17.78
Median
$19.95
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$58.88
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$331.13
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$51.29
Typical High
$102.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$63.10
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$389.05
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$53.70
Typical High
$102.33
Well Sense
Setting
Facility
Modifier
26 · Professional part
Typical Low
$28.18
Median
$30.90
Typical High
$37.15

Where New Hampshire 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.

New Hampshire· 5th of 51

$178

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.