# CPT 74270: Radiologic examination, barium enema, single contrast

Medicare CPT 74270 pays $148.63 in a non-facility setting and $148.63 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $131.63 in Arkansas to $171.77 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/74270-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $148.63 |
| National facility | $148.63 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $171.77 | $171.77 |
| District of Columbia | $170.76 | $170.76 |
| California | $169.40 | $169.40 |
| Washington | $164.96 | $164.96 |
| New Jersey | $164.75 | $164.75 |
| New York | $164.09 | $164.09 |
| Massachusetts | $163.13 | $163.13 |
| Hawaii | $163.07 | $163.07 |
| Connecticut | $158.47 | $158.47 |
| Colorado | $155.73 | $155.73 |
| Oregon | $154.28 | $154.28 |
| Maryland | $154.04 | $154.04 |
| New Hampshire | $152.96 | $152.96 |
| Rhode Island | $152.74 | $152.74 |
| Florida | $151.22 | $151.22 |
| Minnesota | $150.25 | $150.25 |
| Puerto Rico | $149.84 | $149.84 |
| Virgin Islands | $149.84 | $149.84 |
| Montana | $148.63 | $148.63 |
| Nevada | $148.36 | $148.36 |
| Wyoming | $148.03 | $148.03 |
| North Dakota | $147.25 | $147.25 |
| Delaware | $147.22 | $147.22 |
| Illinois | $147.08 | $147.08 |
| South Dakota | $147.08 | $147.08 |
| Texas | $146.91 | $146.91 |
| Pennsylvania | $146.80 | $146.80 |
| Vermont | $146.35 | $146.35 |
| Virginia | $146.03 | $146.03 |
| Arizona | $144.81 | $144.81 |
| Georgia | $143.97 | $143.97 |
| Maine | $142.76 | $142.76 |
| Michigan | $142.72 | $142.72 |
| Wisconsin | $142.29 | $142.29 |
| Utah | $141.64 | $141.64 |
| North Carolina | $140.25 | $140.25 |
| New Mexico | $139.76 | $139.76 |
| South Carolina | $139.73 | $139.73 |
| Missouri | $139.33 | $139.33 |
| Indiana | $139.22 | $139.22 |
| Louisiana | $138.95 | $138.95 |
| Ohio | $138.86 | $138.86 |
| Nebraska | $138.51 | $138.51 |
| Idaho | $138.40 | $138.40 |
| Iowa | $137.66 | $137.66 |
| Tennessee | $137.31 | $137.31 |
| Kansas | $136.67 | $136.67 |
| Oklahoma | $136.07 | $136.07 |
| Kentucky | $135.94 | $135.94 |
| West Virginia | $134.90 | $134.90 |
| Alabama | $133.55 | $133.55 |
| Mississippi | $132.38 | $132.38 |
| Arkansas | $131.63 | $131.63 |

## 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
- 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

Commercial negotiated rates for 74270 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