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X-ray Series Of The Small Intestine

Tennessee 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?

$110

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $102 to $151.

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 $110 · 10th to 90th $81 to $234
$100$200$500$1Kprofessional $110

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
$32.36
Median
$33.88
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$107.15
Typical High
$208.93
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$35.48
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.18
Median
$39.81
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$257.04
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$53.70
Typical High
$97.72
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$229.09
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$36.31
Typical High
$77.62
Lucent Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,000.00
Lucent Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$239.88
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$39.81
Typical High
$81.28

Where Tennessee 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.

Tennessee· 46th of 51

$110

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.