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X-ray Series Of The Small Intestine

South Dakota 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?

$174

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $126 to $251.

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 $174 · 10th to 90th $110 to $288
$100$200professional $174

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
$40.74
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$117.49
Typical High
$204.17
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$38.02
Typical High
$107.15
Avera
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$363.08
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$64.57
Median
$89.13
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$812.83
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$26.30
Median
$47.86
Typical High
$239.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$257.04
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$54.95
Median
$75.86
Typical High
$81.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$234.42
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.20
Median
$48.98
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$181.97
Typical High
$269.15
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$47.86
Typical High
$81.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$239.88
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$66.07
Median
$74.13
Typical High
$75.86

Where South Dakota 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.

South Dakota· 6th of 51

$174

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.