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See a sample rate comparisonCPT 74251 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 Sm Int 2cntrst Std, Radiologic Examination Small Intestine Including Multiple Serial Images And Scout Abdominal Radiograph S When Performed Double Contrast Eg High Density Barium And Air Via Enteroclysis Tube Study Including Glucagon When Administered
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 74251 |
| Medicaid Fee Schedule | View Medicaid rates for 74251 |
National average reimbursement for CPT 74251 by major payers:
$388.85
$410.91
$256.04
$515.08
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CPT 74251
5 of 25 sample ratesHigher to lower in this preview
Health Imaging Partners LLC
$1,318.09Published rateJack Short
Northern Arizona Healthcare Corporation
$516.59Published rateShilo Gifford
Northern Arizona Healthcare Corporation
$408.17Published rateThomas Mcgee
Radiology Associates Of North Texas, PA
$89.33Published rateBaycare Home Care, Inc., Dba Sarasota Memorial Home Care
Baycare Home Care Inc
$42.43Published rate
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See a sample payer proposalCPT 74251 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74251 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 74251 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 |
|---|---|---|
| 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 |
| 74251-CPT | Moderate | X Ray Xm Sm Int 2cntrst Std, Radiologic Examination Small Intestine Including Multiple Serial Images And Scout Abdominal Radiograph S When Performed Double Contrast Eg High Density Barium And Air Via Enteroclysis Tube Study Including Glucagon When Administered |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74251. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74251 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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