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See a sample rate comparisonCPT 74221 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.
X Ray Xm Esophagus 2cntrst, Radiologic Examination Esophagus Including Scout Chest Radiograph S And Delayed Image S When Performed Double Contrast Eg High Density Barium And Effervescent Agent Study
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74221 |
| Medicaid Fee Schedule | View Medicaid rates for 74221 |
National average reimbursement for CPT 74221 by major payers:
$134.45
$127.03
$134.70
$168.43
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CPT 74221
5 of 25 sample ratesHigher to lower in this preview
Serena Jen
Radiology Associates Of North Texas, PA
$276.08Published rateHarsh Singh
Northern Arizona Healthcare Corporation
$183.58Published rateAndrew Nicholes
Northern Arizona Healthcare Corporation
$124.18Published rateSteven Taylor
Northern Arizona Healthcare Corporation
$74.65Published rateJack Short
Northern Arizona Healthcare Corporation
$35.72Published rate
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See a sample payer proposalCPT 74221 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74221 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 74221 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 |
|---|---|---|
| 74210-CPT | Low | X Ray Xm Phrnx Crv Esoph C, Radiologic Examination Pharynx And Or Cervical Esophagus Including Scout Neck Radiograph S And Delayed Image S When Performed Contrast Eg Barium Study |
| 74220-CPT | Low | X Ray Xm Esophagus 1cntrst, Radiologic Examination Esophagus Including Scout Chest Radiograph S And Delayed Image S When Performed Single Contrast Eg Barium Study |
| 74221-CPT | Low | X Ray Xm Esophagus 2cntrst, Radiologic Examination Esophagus Including Scout Chest Radiograph S And Delayed Image S When Performed Double Contrast Eg High Density Barium And Effervescent Agent Study |
| 74230-CPT | Low | Swallowing Study With Video, Oral Contrast Agent Is Swallowed And Video X-Ray Pictures Are Taken To Create A Motion Picture Of The Swallowing Process. This Helps A Speech Pathologist To Identify Abnormalities Of Swallowing Mechanics. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74221. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74221 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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