go back

X-ray Series Of The Small Intestine

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $102 to $162.

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 $76 to $257
$50$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
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$602.56
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.95
Median
$38.02
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$251.19
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.12
Median
$33.88
Typical High
$70.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$147.91
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$234.42
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$56.23
Typical High
$70.79
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$190.55
Select Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$35.48
Median
$54.95
Typical High
$63.10
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$204.17
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$39.81
Typical High
$63.10

Where Utah 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.

Utah· 35th 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.