# CPT 74220: Radiologic examination, esophagus, with contrast

Medicare CPT 74220 pays $94.19 in a non-facility setting and $94.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $83.23 in Arkansas to $108.43 in District of Columbia, a 30% spread.

Web page: https://www.med-reveal.com/rates/74220-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $94.19 |
| National facility | $94.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $108.43 | $108.43 |
| Alaska | $108.20 | $108.20 |
| California | $107.69 | $107.69 |
| Washington | $104.77 | $104.77 |
| New Jersey | $104.54 | $104.54 |
| New York | $104.06 | $104.06 |
| Hawaii | $103.65 | $103.65 |
| Massachusetts | $103.58 | $103.58 |
| Connecticut | $100.50 | $100.50 |
| Colorado | $98.82 | $98.82 |
| Oregon | $97.89 | $97.89 |
| Maryland | $97.66 | $97.66 |
| New Hampshire | $97.02 | $97.02 |
| Rhode Island | $96.83 | $96.83 |
| Florida | $95.70 | $95.70 |
| Minnesota | $95.37 | $95.37 |
| Puerto Rico | $94.98 | $94.98 |
| Virgin Islands | $94.98 | $94.98 |
| Montana | $94.19 | $94.19 |
| Nevada | $94.04 | $94.04 |
| Wyoming | $93.84 | $93.84 |
| North Dakota | $93.40 | $93.40 |
| South Dakota | $93.30 | $93.30 |
| Delaware | $93.28 | $93.28 |
| Texas | $93.07 | $93.07 |
| Illinois | $93.01 | $93.01 |
| Pennsylvania | $92.96 | $92.96 |
| Vermont | $92.80 | $92.80 |
| Virginia | $92.55 | $92.55 |
| Arizona | $91.73 | $91.73 |
| Georgia | $91.12 | $91.12 |
| Maine | $90.44 | $90.44 |
| Michigan | $90.28 | $90.28 |
| Wisconsin | $90.19 | $90.19 |
| Utah | $89.67 | $89.67 |
| North Carolina | $88.81 | $88.81 |
| South Carolina | $88.43 | $88.43 |
| New Mexico | $88.39 | $88.39 |
| Indiana | $88.16 | $88.16 |
| Missouri | $88.15 | $88.15 |
| Louisiana | $87.89 | $87.89 |
| Ohio | $87.84 | $87.84 |
| Nebraska | $87.73 | $87.73 |
| Idaho | $87.63 | $87.63 |
| Iowa | $87.17 | $87.17 |
| Tennessee | $86.92 | $86.92 |
| Kansas | $86.51 | $86.51 |
| Oklahoma | $86.07 | $86.07 |
| Kentucky | $85.96 | $85.96 |
| West Virginia | $85.18 | $85.18 |
| Alabama | $84.47 | $84.47 |
| Mississippi | $83.67 | $83.67 |
| Arkansas | $83.23 | $83.23 |

## Related codes

- 74190: Radiologic examination, peritoneogram — https://www.med-reveal.com/rates/74190-cpt-fee-schedule
- 74210: Radiologic examination, pharynx and/or cervical esophagus — https://www.med-reveal.com/rates/74210-cpt-fee-schedule
- 74230: Swallowing function evaluation with cineradiography/videoradiography — https://www.med-reveal.com/rates/74230-cpt-fee-schedule
- 74240: Radiologic examination, upper GI series, without small bowel — https://www.med-reveal.com/rates/74240-cpt-fee-schedule
- 74246: Radiologic examination, upper GI series, with air contrast — https://www.med-reveal.com/rates/74246-cpt-fee-schedule
- 74247: Radiologic examination, upper GI series with small bowel, single contrast — https://www.med-reveal.com/rates/74247-cpt-fee-schedule
- 74250: Radiologic examination, small bowel, single contrast — https://www.med-reveal.com/rates/74250-cpt-fee-schedule
- 74270: Radiologic examination, barium enema, single contrast — https://www.med-reveal.com/rates/74270-cpt-fee-schedule

Commercial negotiated rates for 74220 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules