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See a sample rate comparisonCPT 74263 Fee Schedule
Medicare rates as of October 2026
CPT 74263 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
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 | 26 - Professional component GA - Required ABN issued and on file |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $835.02 national non-facility rate (2026) · View Medicare rates for 74263 |
| Medicaid Fee Schedule | $564.11 median of the 8 states in the free preview · View Medicaid rates for 74263 |
National average reimbursement for CPT 74263 by major payers:
$800.54
BCBS / Anthem
$858.09
UnitedHealthcare
$802.43
Aetna
$1,057.96
Cigna
Compare published rates across providers.
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CPT 74263
5 of 25 sample ratesHigher to lower in this preview
Justin Rice
The Iowa Clinic, P.C.
$2,607.94Published rateAngie Tu
Northern Arizona Healthcare Corporation
$1,165.19Published rateRoja Ramisetty
$766.34Published rateDanielle Hoo-Fatt
Physicians East PA
$164.69Published ratePrabhakar Rumalla
Endoscopy Center Of Ocala, Inc.
$95.58Published rate
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See a sample payer proposalCPT 74263 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 74263. Select one to see its fee schedule.
| 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 74263. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74263 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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