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CPT code 74210: Contrast X-ray, pharynx and cervical esophagus2026 Medicare rate & RVUs in New Mexico

A radiologist uses contrast imaging to examine the pharynx and cervical esophagus when evaluation is focused on these upper swallowing structures.

CMS RVU26DEffective Oct 1, 2026One payment locality556 Medicare services in 2024

In New Mexico, Medicare pays $85.60 for 74210 in the office.

$85.60Office (non-facility)
Not available in this settingHospital or facility
−6.1%vs the national office rate ($91.18)

Check a contract rate as a % of Medicare · 74210 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 74210 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 74210 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 74210 covers

This fluoroscopic contrast examination evaluates the pharynx and cervical portion of the esophagus, with radiographic images documenting the study. A radiologist typically performs and interprets it in a hospital or imaging department. It may be ordered when symptoms such as difficulty swallowing call for assessment of the upper swallowing passage; the precise anatomy examined distinguishes it from an examination of the esophagus more broadly.

Report 74210 when the documented examination is directed to the pharynx and/or cervical esophagus, rather than a full esophageal study or a functional swallowing evaluation. The imaging report should identify the anatomy examined and describe the contrast study and findings. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and reporting without either modifier represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for 74210

Across 109 of 109 payment localities, the office rate for 74210 runs from $80.60 in Arkansas to $123.85 in San Benito County, CA. New Mexico pays $85.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

74210 in New Mexico vs other payment areas
  1. New Mexico · this page$85.60
  2. Los Angeles, CA · California$104.43+$18.83
  3. Washington, DC area · District of Columbia$104.93+$19.33
  4. Miami, FL · Florida$96.12+$10.52
  5. Chicago, IL · Illinois$93.40+$7.80
  6. Manhattan, NY · New York$104.62+$19.02
  7. Alaska · Alaska$104.85+$19.25

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

74210 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$81.80—
ArkansasArkansas$80.60—
ArizonaArizona$88.81—
Bakersfield, CACalifornia$97.80—
Chico, CACalifornia$97.66—
El Centro, CACalifornia$97.67—
Fresno, CACalifornia$97.66—
Hanford, CACalifornia$97.66—

74210 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$80.60

$110.76

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
74210 office rate range by state
State / territoryOffice rate rangeLocalities
AK$104.851
AL$81.801
AR$80.601
AZ$88.811
CA$97.66–$123.8529
CO$95.631
CT$97.281
DC$104.931
DE$90.301
FL$88.76–$96.123
GA$83.83–$92.642
GU$100.281
HI$100.281
IA$84.391
ID$84.841
IL$85.81–$94.254
IN$85.351
KS$83.761
KY$83.251
LA$83.02–$87.212
MA$94.96–$105.502
MD$92.11–$104.933
ME$85.04–$90.062
MI$85.23–$89.632
MN$92.291
MO$81.42–$87.803
MS$81.041
MT$91.181
NC$85.981
ND$90.391
NE$84.931
NH$93.911
NJ$98.57–$103.772
NM$85.601
NV$91.031
NY$87.26–$106.895
OH$85.061
OK$83.351
OR$90.51–$98.982
PA$85.33–$94.682
PR$91.941
RI$93.731
SC$85.631
SD$90.301
TN$84.151
TX$84.75–$95.168
UT$86.821
VA$89.59–$104.932
VI$91.941
VT$89.821
WA$94.85–$107.912
WI$87.301
WV$82.531
WY$90.841

See 74210 in every payment locality

How the 74210 rate is calculated

Each of 74210’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 74210

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.58

0.58 RVUs× 1.000 GPCI

Practice expense2.11

2.11 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

2.7300

Conversion factor

$33.4009

Medicare rate

$91.18

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,339

Code
74210
Physician work
0.58
Practice expense
2.11
Malpractice
0.04

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 74210 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.58× 1.0000.5800
Practice expense2.11× 0.9171.9349
Malpractice0.04× 1.2010.0480
Total RVUs2.5629
Conversion factor× 33.4009

Office rate, New Mexico$85.60

Office: (0.58 × 1 + 2.11 × 0.917 + 0.04 × 1.201) × $33.4009 = $85.60

Open 74210 in the RVU calculator

Payment rules and modifiers for 74210

The CMS indicators that decide how 74210 is paid alongside other services.

CMS payment indicators · 74210

Contrast X-ray, pharynx and cervical esophagus

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

74210 without 26 · national office

$91.18

Contrast X-ray, pharynx and cervical esophagus

74210-26 · Professional component

$27.05

Pays only the interpretation and report.

When to use modifier 26

Codes related to 74210

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 74210
CodeHow it relatesOffice range, New Mexico
Used instead
74220Esophagram, single contrastCovers a broader esophageal examination using a single-contrast approach.$88.39
74221Esophagram, double contrastCovers a broader esophageal examination using a double-contrast approach.$99.15
74230Swallow study, recorded fluoroscopic evaluationUsed for a functional swallowing examination rather than this focused contrast study.$112.08

How 74210 has changed in New Mexico

74210 · Office / nonfacility

$85.60

Effective 2026-10-01

The base rate is $1.85 higher than on 2025-10-01, moving from $83.75 to $85.60 (2.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $83.75changed to$85.60

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.59 changed to 0.58
    • Practice expense RVU 2.15 changed to 2.11
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $88.00changed to$83.75

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.21 changed to 2.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $86.56changed to$88.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $91.67changed to$86.56

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.28 changed to 2.21
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $94.99changed to$91.67

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.34 changed to 2.28
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $93.59changed to$94.99

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.27 changed to 2.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $89.56changed to$93.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.03 changed to 2.27
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $84.80changed to$89.56

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.86 changed to 2.03
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $74.32changed to$84.80

    • Conversion factor 35.9996 changed to 36.0391
    • Work RVU 0.36 changed to 0.59
    • Practice expense RVU 1.81 changed to 1.86
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $73.65changed to$74.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.80 changed to 1.81
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $73.04changed to$73.65

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.79 changed to 1.80
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $72.97changed to$73.04

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.78 changed to 1.79

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $72.61changed to$72.97

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $74.84changed to$72.61

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.86 changed to 1.78
    • Malpractice RVU 0.02 changed to 0.03
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $74.63changed to$74.84

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.98 changed to 1.86
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $74.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$85.60Not available in this settingRVU26D
2026-07-01$85.60Not available in this settingRVU26C
2026-04-01$85.60Not available in this settingRVU26B
2026-01-01$85.60Not available in this settingRVU26A
2025-10-01$83.75Not available in this settingRVU25D
2025-07-01$83.75Not available in this settingRVU25C
2025-04-01$83.75Not available in this settingRVU25B
2025-01-01$83.75Not available in this settingRVU25A
2024-10-01$88.00Not available in this settingRVU24D
2024-07-01$88.00Not available in this settingRVU24C
2024-04-01$88.00Not available in this settingRVU24B
2024-03-09$88.00Not available in this settingRVU24AR
2024-01-01$86.56Not available in this settingRVU24A
2023-10-01$91.67Not available in this settingRVU23D
2023-07-01$91.67Not available in this settingRVU23C
2023-04-01$91.67Not available in this settingRVU23B
2023-01-01$91.67Not available in this settingRVU23A
2022-10-01$94.99Not available in this settingRVU22D
2022-07-01$94.99Not available in this settingRVU22C
2022-04-01$94.99Not available in this settingRVU22B
2022-01-01$94.99Not available in this settingRVU22A
2021-10-01$93.59Not available in this settingRVU21D
2021-07-01$93.59Not available in this settingRVU21C
2021-04-01$93.59Not available in this settingRVU21B
2021-01-01$93.59Not available in this settingRVU21A
2020-10-01$89.56Not available in this settingRVU20D
2020-07-01$89.56Not available in this settingRVU20C
2020-04-01$89.56Not available in this settingRVU20B
2020-01-01$89.56Not available in this settingRVU20A
2019-10-01$84.80Not available in this settingRVU19D
2019-07-01$84.80Not available in this settingRVU19C
2019-04-01$84.80Not available in this settingRVU19B
2019-01-01$84.80Not available in this settingRVU19A
2018-10-01$74.32Not available in this settingRVU18D
2018-07-01$74.32Not available in this settingRVU18C
2018-04-01$74.32Not available in this settingRVU18B
2018-01-01$74.32Not available in this settingRVU18AR1
2017-10-01$73.65Not available in this settingRVU17D
2017-07-01$73.65Not available in this settingRVU17C
2017-04-01$73.65Not available in this settingRVU17B
2017-01-01$73.65Not available in this settingRVU17A
2016-10-01$73.04Not available in this settingRVU16D
2016-07-01$73.04Not available in this settingRVU16C
2016-04-01$73.04Not available in this settingRVU16B
2016-01-01$73.04Not available in this settingRVU16A
2015-10-01$72.97Not available in this settingRVU15D
2015-07-01$72.97Not available in this settingRVU15C
2015-04-01$72.61Not available in this settingRVU15B
2015-01-01$72.61Not available in this settingRVU15A
2014-10-01$74.84Not available in this settingRVU14D
2014-07-01$74.84Not available in this settingRVU14C
2014-04-01$74.84Not available in this settingRVU14B
2014-01-01$74.84Not available in this settingRVU14A
2013-10-01$74.63Not available in this settingRVU13D
2013-07-01$74.63Not available in this settingRVU13C
2013-04-01$74.63Not available in this settingRVU13B
2013-01-01$74.63Not available in this settingRVU13AR

Price 74210 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

74210 billing questions

When would 74230 be a better fit?

74230 describes a functional swallowing examination. Choose it when the study evaluates swallowing function rather than imaging focused on the pharynx and cervical esophagus.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting 74210?

The report should show that the pharynx and/or cervical esophagus was examined with contrast and document the imaging findings. The documented anatomy should support this code rather than a broader esophageal or functional swallowing study.

Should 74210 be reported with 74220 for one contrast examination?

Do not choose both solely because the examination includes the upper esophagus. Select the code that matches the anatomy and scope documented in the radiology report.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 74210PPRRVU2026_Oct_nonQPP.csv, line 8,339 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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