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X-ray Series Of The Small Intestine

Ohio 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?

$112

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $93.33 to $145.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $112 · 10th to 90th $76 to $195
$50$100$200$500professional $112

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
$37.15
Median
$53.70
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$213.80
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$42.66
Typical High
$81.28
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$31.62
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.99
Median
$33.11
Typical High
$57.54
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$204.17
Aultcare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$42.66
Typical High
$67.61
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$9.55
Median
$44.67
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$251.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$39.81
Typical High
$74.13
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$229.09
Medical Mutual of Ohio
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$41.69
Typical High
$72.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$257.04
SummaCare
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$44.67
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$208.93
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$38.90
Typical High
$87.10

Where Ohio 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.

Ohio· 42nd of 51

$112

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.