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X-ray Series Of The Small Intestine

West 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 West Virginia, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $115 to $129.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $120 · 10th to 90th $95 to $170
$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
$37.15
Median
$37.15
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$141.25
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$33.88
Median
$81.28
Typical High
$85.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
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
$89.13
Median
$162.18
Typical High
$575.44
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$28.84
Median
$51.29
Typical High
$181.97
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$58.88
Median
$64.57
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$234.42
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.50
Median
$35.48
Typical High
$70.79

Where West 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.

West Virginia· 28th 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.