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X-ray Series Of The Small Intestine

Virginia 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?

$120

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $120 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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $120 · 10th to 90th $87 to $209
$50$100$200$500professional $120

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
$21.38
Median
$41.69
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$177.83
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$37.15
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$30.90
Median
$45.71
Typical High
$70.79
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$123.03
Typical High
$229.09
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$40.74
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$239.88
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.39
Median
$32.36
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$186.21
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$34.67
Median
$42.66
Typical High
$54.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$275.42
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.11
Median
$40.74
Typical High
$83.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$204.17
Sentara
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$123.03
Typical High
$309.03
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$23.44
Median
$39.81
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$20.42
Median
$37.15
Typical High
$87.10

Where Virginia 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.

Virginia· 30th of 51

$120

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.