# CPT 74280: Radiologic examination, barium enema, air contrast

Medicare CPT 74280 pays $211.43 in a non-facility setting and $211.43 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $186.38 in Arkansas to $243.77 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/74280-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $211.43 |
| National facility | $211.43 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $243.77 | $243.77 |
| California | $242.19 | $242.19 |
| Alaska | $241.50 | $241.50 |
| Washington | $235.52 | $235.52 |
| New Jersey | $234.88 | $234.88 |
| New York | $233.80 | $233.80 |
| Hawaii | $233.09 | $233.09 |
| Massachusetts | $232.80 | $232.80 |
| Connecticut | $225.77 | $225.77 |
| Colorado | $221.97 | $221.97 |
| Oregon | $219.88 | $219.88 |
| Maryland | $219.31 | $219.31 |
| New Hampshire | $217.91 | $217.91 |
| Rhode Island | $217.41 | $217.41 |
| Florida | $214.83 | $214.83 |
| Minnesota | $214.16 | $214.16 |
| Puerto Rico | $213.22 | $213.22 |
| Virgin Islands | $213.22 | $213.22 |
| Montana | $211.42 | $211.42 |
| Nevada | $211.09 | $211.09 |
| Wyoming | $210.65 | $210.65 |
| North Dakota | $209.64 | $209.64 |
| South Dakota | $209.43 | $209.43 |
| Delaware | $209.32 | $209.32 |
| Texas | $208.85 | $208.85 |
| Illinois | $208.66 | $208.66 |
| Pennsylvania | $208.58 | $208.58 |
| Vermont | $208.27 | $208.27 |
| Virginia | $207.70 | $207.70 |
| Arizona | $205.81 | $205.81 |
| Georgia | $204.38 | $204.38 |
| Maine | $202.86 | $202.86 |
| Michigan | $202.45 | $202.45 |
| Wisconsin | $202.32 | $202.32 |
| Utah | $201.08 | $201.08 |
| North Carolina | $199.13 | $199.13 |
| South Carolina | $198.26 | $198.26 |
| New Mexico | $198.14 | $198.14 |
| Indiana | $197.67 | $197.67 |
| Missouri | $197.60 | $197.60 |
| Louisiana | $197.01 | $197.01 |
| Ohio | $196.89 | $196.89 |
| Nebraska | $196.67 | $196.67 |
| Idaho | $196.46 | $196.46 |
| Iowa | $195.39 | $195.39 |
| Tennessee | $194.81 | $194.81 |
| Kansas | $193.87 | $193.87 |
| Oklahoma | $192.85 | $192.85 |
| Kentucky | $192.60 | $192.60 |
| West Virginia | $190.80 | $190.80 |
| Alabama | $189.21 | $189.21 |
| Mississippi | $187.38 | $187.38 |
| Arkansas | $186.38 | $186.38 |

## 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 74280 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