Small Bowel X-Ray Through a Tube

North Dakota rates for HCPCS 74251

An X-ray study of the small intestine in which contrast liquid and air are delivered straight into the bowel through a thin tube passed through the nose or mouth. A series of images is taken as they travel along, and a medicine to relax the bowel may be given. Coating the wall with contrast and expanding it with air shows the lining in more detail than swallowing contrast alone.

Rates data updated July 2026.

How much rates vary

Facilitymedian $59 · 10th to 90th $56 to $93

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $93.33	Facility	26 · Professional part	$56.23	$58.88	$93.33