# CPT 74261: CT colonography, diagnostic, without contrast

Medicare CPT 74261 pays $409.16 in a non-facility setting and $409.16 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $360.54 in Arkansas to $471.93 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/74261-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $409.16 |
| National facility | $409.16 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $471.93 | $471.93 |
| California | $468.99 | $468.99 |
| Alaska | $466.84 | $466.84 |
| Washington | $455.97 | $455.97 |
| New Jersey | $454.65 | $454.65 |
| New York | $452.52 | $452.52 |
| Hawaii | $451.34 | $451.34 |
| Massachusetts | $450.68 | $450.68 |
| Connecticut | $436.97 | $436.97 |
| Colorado | $429.68 | $429.68 |
| Oregon | $425.62 | $425.62 |
| Maryland | $424.45 | $424.45 |
| New Hampshire | $421.79 | $421.79 |
| Rhode Island | $420.77 | $420.77 |
| Florida | $415.62 | $415.62 |
| Minnesota | $414.60 | $414.60 |
| Puerto Rico | $412.65 | $412.65 |
| Virgin Islands | $412.65 | $412.65 |
| Montana | $409.15 | $409.15 |
| Nevada | $408.54 | $408.54 |
| Wyoming | $407.68 | $407.68 |
| North Dakota | $405.79 | $405.79 |
| South Dakota | $405.39 | $405.39 |
| Delaware | $405.07 | $405.07 |
| Texas | $404.15 | $404.15 |
| Illinois | $403.63 | $403.63 |
| Pennsylvania | $403.59 | $403.59 |
| Vermont | $403.10 | $403.10 |
| Virginia | $401.96 | $401.96 |
| Arizona | $398.26 | $398.26 |
| Georgia | $395.43 | $395.43 |
| Maine | $392.57 | $392.57 |
| Michigan | $391.63 | $391.63 |
| Wisconsin | $391.57 | $391.57 |
| Utah | $389.06 | $389.06 |
| North Carolina | $385.31 | $385.31 |
| South Carolina | $383.58 | $383.58 |
| New Mexico | $383.30 | $383.30 |
| Indiana | $382.49 | $382.49 |
| Missouri | $382.29 | $382.29 |
| Louisiana | $381.13 | $381.13 |
| Ohio | $380.90 | $380.90 |
| Nebraska | $380.58 | $380.58 |
| Idaho | $380.14 | $380.14 |
| Iowa | $378.08 | $378.08 |
| Tennessee | $376.93 | $376.93 |
| Kansas | $375.11 | $375.11 |
| Oklahoma | $373.09 | $373.09 |
| Kentucky | $372.57 | $372.57 |
| West Virginia | $368.99 | $368.99 |
| Alabama | $366.03 | $366.03 |
| Mississippi | $362.46 | $362.46 |
| Arkansas | $360.54 | $360.54 |

## Related codes

- 70450: CT head/brain, without contrast — https://www.med-reveal.com/rates/70450-cpt-fee-schedule
- 70460: CT head/brain, with contrast — https://www.med-reveal.com/rates/70460-cpt-fee-schedule
- 70470: CT head/brain, without then with contrast — https://www.med-reveal.com/rates/70470-cpt-fee-schedule
- 70480: CT orbit/sella/posterior fossa, without contrast — https://www.med-reveal.com/rates/70480-cpt-fee-schedule
- 70486: CT maxillofacial, without contrast — https://www.med-reveal.com/rates/70486-cpt-fee-schedule
- 70487: CT maxillofacial, with contrast — https://www.med-reveal.com/rates/70487-cpt-fee-schedule
- 70490: CT soft tissue neck, without contrast — https://www.med-reveal.com/rates/70490-cpt-fee-schedule
- 70491: CT soft tissue neck, with contrast — https://www.med-reveal.com/rates/70491-cpt-fee-schedule

Commercial negotiated rates for 74261 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