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X-ray Guided Enema For Bowel Blockage Reduction

Iowa rates for HCPCS 74283

An x-ray guided procedure in which air or liquid contrast is introduced through the rectum to help push a section of bowel back into its normal position. It is most often used to treat intussusception, a condition where part of the intestine telescopes into an adjoining section and causes a blockage, most common in young children.

Rates data updated October 2026.

How much does X-ray Guided Enema For Bowel Blockage Reduction cost?

$490

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $339 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$288 to $575
FacilityA hospital or hospital-owned outpatient department$339$191 to $550

How much rates vary

Facilitymedian $339 · 10th to 90th $155 to $646Professionalmedian $490 · 10th to 90th $229 to $741
$100$200$500$1Kfacility $339professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$309.03
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$204.17
Median
$229.09
Typical High
$295.12
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$91.20
Median
$91.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$123.03
Median
$138.04
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$181.97
Typical High
$660.69
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$229.09
Median
$575.44
Typical High
$741.31
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$107.15
Median
$218.78
Typical High
$295.12
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$131.83
Median
$346.74
Typical High
$426.58
Hally Health
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$331.13
Typical High
$467.74
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$93.33
Median
$151.36
Typical High
$208.93
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$134.90
Median
$169.82
Typical High
$269.15
Medica
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$478.63
Typical High
$645.65
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$234.42
Median
$467.74
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$102.33
Median
$194.98
Typical High
$630.96
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$125.89
Median
$251.19
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$575.44
Typical High
$660.69
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$204.17
Median
$218.78
Typical High
$257.04
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$309.03
Median
$346.74
Typical High
$407.38
Midlands
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$169.82
Typical High
$660.69
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$407.38
Median
$660.69
Typical High
$741.31
United
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$436.52
Typical High
$549.54
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$213.80
Median
$269.15
Typical High
$467.74
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$97.72
Median
$117.49
Typical High
$213.80
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$114.82
Median
$151.36
Typical High
$269.15
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$489.78
Median
$489.78
Typical High
$562.34
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$181.97
Median
$181.97
Typical High
$204.17
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$309.03
Median
$309.03
Typical High
$354.81
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$114.82
Median
$114.82
Typical High
$134.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$45.71
Typical High
$53.70
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$181.97
Median
$181.97
Typical High
$194.98

Where Iowa sits

The same service costs 5.4 times more in Alaska than in Texas. 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.

Iowa· 6th of 51

$490

AK $741TX $138

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.