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X-ray Series Of The Small Intestine

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $100 to $141.

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 $117 · 10th to 90th $85 to $186
$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
$18.62
Median
$61.66
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$169.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.62
Median
$33.11
Typical High
$52.48
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$31.62
Typical High
$54.95
AmeriHealth
Setting
Professional
Modifier
26 · Professional part
Typical Low
$40.74
Median
$45.71
Typical High
$79.43
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$229.09
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$32.36
Typical High
$63.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$199.53
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$43.65
Median
$51.29
Typical High
$61.66
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$245.47
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$38.90
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$41.69
Typical High
$77.62

Where New Jersey 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 Jersey· 33rd 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.