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See a sample rate comparisonCPT 74021 Fee Schedule
Medicare rates as of October 2026
CPT 74021 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Radiologic Examination Abdome, Radiologic Examination Abdomen 3 Or More Views Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $42.09 national non-facility rate (2026) · View Medicare rates for 74021 |
| Medicaid Fee Schedule | $34.15 median of the 8 states in the free preview · View Medicaid rates for 74021 |
National average reimbursement for CPT 74021 by major payers:
$51.17
BCBS / Anthem
$47.30
UnitedHealthcare
$51.50
Aetna
$68.96
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 74021.
CPT 74021
5 of 25 sample ratesHigher to lower in this preview
Virginia Mason Medical Center
$366.97Published rateStafford Hospital, LLC, Stafford Hospital
Stafford Hospital LLC
$180.02Published rateNorth Texas, Medical City Alliance
North Texas
$154.52Published rateBon Secours Diagnostic Imaging, St. Francis Millennium
Bon Secours Diagnostic Imaging
$51.04Published ratePrecision Imaging LLC
$8.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 74021 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 74021. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 74018-CPT | Low | Radiologic Examination Abdome, Radiologic Examination Abdomen 1 View Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th |
| 74019-CPT | Low | Radiologic Examination Abdome, Radiologic Examination Abdomen 2 Views Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th |
| 74021-CPT | Low | Radiologic Examination Abdome, Radiologic Examination Abdomen 3 Or More Views Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th |
| 74150-CPT | Low | Ct Scan Of Abdomen, Ct (Computed Tomography) Of The Abdomen. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Dye May Be Injected To Make The Area Easier To See. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74021. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74021 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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