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See a sample rate comparisonHealthcare 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.
| 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 74246 |
| Medicaid Fee Schedule | View Medicaid rates for 74246 |
National average reimbursement for CPT 74246 by major payers:

$159.81

$150.57

$169.11

$192.77
Choose a payer to see a sample of rates for CPT 74246.
Radiology Associates Of North Texas, PA
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
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Rate Benchmarking
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See a sample payer proposalCPT 74246 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74246 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 74246 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 74246. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74246 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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