Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74360 |
| Medicaid Fee Schedule | View Medicaid rates for 74360 |
National average reimbursement for CPT 74360 by major payers:

$164.75

$175.57

$129.40

$198.79
Choose a payer to see a sample of rates for CPT 74360.
Radiology Associates Of North Texas, PA
Town Center Orthopaedic Associates, P.C.
Radiology Associates Of North Texas, PA
Town Center Orthopaedic Associates, P.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 74360 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74360 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 74360 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 |
|---|---|---|
| 74329-CPT | Low | Endoscopic Catheterization Of, Endoscopic Catheterization Of The Pancreatic Ductal System Radiological Supervision And Interpretation Endoscopic Catheterization Of The Pancreatic Ductal System |
| 74340-CPT | Low | X-Ray Of The Intestines, A Tube Is Inserted Through The Nose And Guided To The Intestines By X-Ray. The Tube Enables Fluoroscopy Of The Intestines. This Is An X-Ray That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
| 74360-CPT | Low | Widening Of Narrowed Esophagus, A Balloon Is Inserted Down The Throat And Guided By X-Ray To A Point Where The Esophagus Has Become Too Narrow. The Balloon Is Inflated To Widen The Passage And Then Taken Out. |
| 74415-CPT | Low | X-Ray Of Urinary Tract, An Intravenous Urogram (Ivu) X-Rays The Urinary Tract From The Kidneys Through The Bladder. Contrast Material Is Injected To Highlight The Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74360 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.
Bring your top codes (like CPT 74360) and we'll show you how you compare in 15 minutes or less.