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See a sample rate comparisonCPT 74240 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 Upr Gi Trc 1cntrst, Radiologic Examination Upper Gastrointestinal Tract Including Scout Abdominal Radiograph S And Delayed Image S When Performed Single Contrast Eg Barium Study
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74240 |
| Medicaid Fee Schedule | View Medicaid rates for 74240 |
National average reimbursement for CPT 74240 by major payers:
$140.99
$132.61
$154.75
$170.45
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CPT 74240
5 of 25 sample ratesHigher to lower in this preview
Joseph Yarze
Mass General Brigham Incorporated
$378.50Published rateNancy Chung
Vanguard Gastroenterology LLP
$126.87Published rateAshley Maranino
Sjr Medical PC
$93.15Published rateJoshua Novak
$62.79Published rateElizabeth Odstrcil
Texas Digestive Disease Consultants
$33.36Published rate
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See a sample payer proposalCPT 74240 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74240 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 74240 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 |
|---|---|---|
| 74240-CPT | Low | X Ray Xm Upr Gi Trc 1cntrst, Radiologic Examination Upper Gastrointestinal Tract Including Scout Abdominal Radiograph S And Delayed Image S When Performed Single Contrast Eg Barium Study |
| 74246-CPT | Low | X Ray Xm Upr Gi Trc 2cntrst, Radiologic Examination Upper Gastrointestinal Tract Including Scout Abdominal Radiograph S And Delayed Image S When Performed Double Contrast Eg High Density Barium And Effervescent Agent Study Including Glucagon When Administered |
| 74248-CPT | Low | Radiologic Small Intestine Fol, Radiologic Small Intestine Follow-Through Study Including Multiple Serial Images (List Separately In Addition To Code For Primary Procedure For Uppergi Radiologic Examination) |
| 74250-CPT | Low | X Ray Xm Sm Int 1cntrst Std, Radiologic Examination Small Intestine Including Multiple Serial Images And Scout Abdominal Radiograph S When Performed Single Contrast Eg Barium Study |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74240 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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