# CPT 74240: Radiologic examination, upper GI series, without small bowel

Medicare CPT 74240 pays $121.91 in a non-facility setting and $121.91 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $107.82 in Arkansas to $140.31 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/74240-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $121.91 |
| National facility | $121.91 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $140.31 | $140.31 |
| District of Columbia | $140.27 | $140.27 |
| California | $139.34 | $139.34 |
| Washington | $135.57 | $135.57 |
| New Jersey | $135.26 | $135.26 |
| New York | $134.64 | $134.64 |
| Hawaii | $134.11 | $134.11 |
| Massachusetts | $134.03 | $134.03 |
| Connecticut | $130.04 | $130.04 |
| Colorado | $127.89 | $127.89 |
| Oregon | $126.70 | $126.70 |
| Maryland | $126.39 | $126.39 |
| New Hampshire | $125.57 | $125.57 |
| Rhode Island | $125.34 | $125.34 |
| Florida | $123.81 | $123.81 |
| Minnesota | $123.47 | $123.47 |
| Puerto Rico | $122.92 | $122.92 |
| Virgin Islands | $122.92 | $122.92 |
| Montana | $121.91 | $121.91 |
| Nevada | $121.73 | $121.73 |
| Wyoming | $121.48 | $121.48 |
| North Dakota | $120.92 | $120.92 |
| South Dakota | $120.80 | $120.80 |
| Delaware | $120.74 | $120.74 |
| Texas | $120.48 | $120.48 |
| Illinois | $120.35 | $120.35 |
| Pennsylvania | $120.34 | $120.34 |
| Vermont | $120.15 | $120.15 |
| Virginia | $119.82 | $119.82 |
| Arizona | $118.75 | $118.75 |
| Georgia | $117.95 | $117.95 |
| Maine | $117.10 | $117.10 |
| Michigan | $116.85 | $116.85 |
| Wisconsin | $116.80 | $116.80 |
| Utah | $116.09 | $116.09 |
| North Carolina | $115.00 | $115.00 |
| South Carolina | $114.50 | $114.50 |
| New Mexico | $114.43 | $114.43 |
| Indiana | $114.18 | $114.18 |
| Missouri | $114.13 | $114.13 |
| Louisiana | $113.80 | $113.80 |
| Ohio | $113.73 | $113.73 |
| Nebraska | $113.62 | $113.62 |
| Idaho | $113.50 | $113.50 |
| Iowa | $112.90 | $112.90 |
| Tennessee | $112.57 | $112.57 |
| Kansas | $112.04 | $112.04 |
| Oklahoma | $111.46 | $111.46 |
| Kentucky | $111.32 | $111.32 |
| West Virginia | $110.29 | $110.29 |
| Alabama | $109.41 | $109.41 |
| Mississippi | $108.38 | $108.38 |
| Arkansas | $107.82 | $107.82 |

## 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
- 74220: Radiologic examination, esophagus, with contrast — https://www.med-reveal.com/rates/74220-cpt-fee-schedule
- 74230: Swallowing function evaluation with cineradiography/videoradiography — https://www.med-reveal.com/rates/74230-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 74240 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