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See a sample rate comparisonCPT 74261 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.
Ct Scan Of The Colon, A Ct Scan Taken Of The Colon (Large Intestine). The Scan May Be Used To Check For Polyps Or To Help Diagnose And Stage Colon Cancer. Typically Images Are Taken Both With And Without A Contrast Agent To Enhance Areas.
| 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 MG - The order for this service does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 74261 |
| Medicaid Fee Schedule | View Medicaid rates for 74261 |
National average reimbursement for CPT 74261 by major payers:
$445.77
$538.73
$323.24
$662.04
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CPT 74261
5 of 25 sample ratesHigher to lower in this preview
Juan Lozano
Radiology Associates Of North Texas, PA
$1,232.51Published rateJohn Williams
Northern Arizona Healthcare Corporation
$493.20Published rateEugenia Payne
Radiology Associates Of North Texas, PA
$310.39Published rateAndrea Gum
Northern Arizona Healthcare Corporation
$183.60Published rateChristopher Raio
Mercy Medical Center
$73.15Published rate
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See a sample payer proposalCPT 74261 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74261 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 74261 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 |
|---|---|---|
| 74261-CPT | Moderate | Ct Scan Of The Colon, A Ct Scan Taken Of The Colon (Large Intestine). The Scan May Be Used To Check For Polyps Or To Help Diagnose And Stage Colon Cancer. Typically Images Are Taken Both With And Without A Contrast Agent To Enhance Areas. |
| 74262-CPT | Moderate | Ct Scan Of The Colon, A Ct Scan Taken Of The Colon (Large Intestine). The Scan May Be Used To Check For Polyps Or To Help Diagnose And Stage Colon Cancer. Typically Images Are Taken Both With And Without A Contrast Agent To Enhance Areas. |
| 74263-CPT | Moderate | Ct Scan Of The Colon, A Ct Scan Taken Of The Colon (Large Intestine). The Scan May Be Used To Check For Polyps Or To Help Diagnose And Stage Colon Cancer. Typically Images Are Taken Both With And Without A Contrast Agent To Enhance Areas. |
| 74270-CPT | Low | X Ray Xm Colon 1cntrst Std, Radiologic Examination Colon Including Scout Abdominal Radiograph S And Delayed Image 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 74261. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74261 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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