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See a sample rate comparisonCPT 74021 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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 | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74021 |
| Medicaid Fee Schedule | View Medicaid rates for 74021 |
National average reimbursement for CPT 74021 by major payers:
$51.17
$47.30
$51.50
$68.96
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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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See a sample payer proposalCPT 74021 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74021 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 74021 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| 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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