CPT code 74250: Small-bowel X-ray, single contrast2026 Medicare rate & RVUs in Alabama
A radiologist interprets a single-contrast X-ray examination of the small intestine, using serial images to assess its structure and passage of contrast.
In Alabama, Medicare pays $106.14 for 74250 in the office.
Check a contract rate as a % of Medicare · 74250 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 74250 covers
This service is a radiographic examination of the small intestine using one contrast agent, commonly administered by mouth, with serial images used to assess the bowel’s appearance and the passage of contrast. A radiologist typically interprets the study after images are acquired in a hospital outpatient department or imaging center. It may be ordered to investigate suspected small-bowel narrowing, obstruction, or other structural abnormalities.
Select this code when the documented examination is a single-contrast study of the small intestine; the report should identify the anatomy examined and the imaging performed. CMS recognizes separately priced professional and technical components: modifier 26 identifies the physician’s interpretation, while modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service. The radiology report and imaging record should support the service and the selected contrast technique.
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 Alabama compares for 74250
Across 109 of 109 payment localities, the office rate for 74250 runs from $104.60 in Arkansas to $159.92 in San Benito County, CA. Alabama pays $106.14. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$106.14
- Los Angeles, CA · California$135.09+$28.95
- Washington, DC area · District of Columbia$135.88+$29.74
- Miami, FL · Florida$124.99+$18.85
- Chicago, IL · Illinois$121.47+$15.33
- Manhattan, NY · New York$135.66+$29.52
- Alaska · Alaska$136.37+$30.23
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $104.60 | — |
| ArizonaArizona | $115.17 | — |
| Bakersfield, CACalifornia | $126.58 | — |
| Chico, CACalifornia | $126.38 | — |
| El Centro, CACalifornia | $126.39 | — |
| Fresno, CACalifornia | $126.38 | — |
| Hanford, CACalifornia | $126.38 | — |
| Madera, CACalifornia | $126.38 | — |
| Merced, CACalifornia | $126.38 | — |
| Modesto, CACalifornia | $126.38 | — |
| Napa, CACalifornia | $147.49 | — |
| Oxnard, CACalifornia | $134.57 | — |
| Redding, CACalifornia | $126.38 | — |
| Rest of CaliforniaCalifornia | $126.38 | — |
| Riverside, CACalifornia | $127.04 | — |
| Sacramento, CACalifornia | $132.90 | — |
| Salinas, CACalifornia | $132.41 | — |
| San Diego, CACalifornia | $135.72 | — |
| Marin County, CACalifornia | $156.50 | — |
| San Francisco, CACalifornia | $156.43 | — |
| San Benito County, CACalifornia | $159.92 | — |
| Santa Clara County, CACalifornia | $159.65 | — |
| San Luis Obispo, CACalifornia | $130.25 | — |
| Santa Cruz, CACalifornia | $137.18 | — |
| Santa Maria, CACalifornia | $132.96 | — |
| Santa Rosa, CACalifornia | $138.59 | — |
| Stockton, CACalifornia | $126.38 | — |
| Vallejo, CACalifornia | $147.39 | — |
| Visalia, CACalifornia | $126.38 | — |
| Yuba City, CACalifornia | $126.38 | — |
| ColoradoColorado | $123.87 | — |
| ConnecticutConnecticut | $126.11 | — |
| DelawareDelaware | $117.09 | — |
| Fort Lauderdale, FLFlorida | $121.03 | — |
| Rest of FloridaFlorida | $115.29 | — |
| Atlanta, GAGeorgia | $120.16 | — |
| Rest of GeorgiaGeorgia | $108.92 | — |
| Hawaii, Guam, HIHawaii | $129.70 | — |
| IowaIowa | $109.39 | — |
| IdahoIdaho | $110.00 | — |
| East St. Louis, ILIllinois | $113.08 | — |
| Rest of IllinoisIllinois | $111.55 | — |
| Suburban Chicago, ILIllinois | $122.40 | — |
| IndianaIndiana | $110.65 | — |
| KansasKansas | $108.62 | — |
| KentuckyKentucky | $108.10 | — |
| New Orleans, LALouisiana | $113.21 | — |
| Rest of LouisianaLouisiana | $107.82 | — |
| Metropolitan Boston, MAMassachusetts | $136.53 | — |
| Rest of MassachusettsMassachusetts | $123.02 | — |
| Baltimore area, MDMaryland | $125.70 | — |
| Rest of MarylandMaryland | $119.42 | — |
| Rest of MaineMaine | $110.29 | — |
| Southern Maine, MEMaine | $116.69 | — |
| Detroit, MIMichigan | $116.47 | — |
| Rest of MichiganMichigan | $110.68 | — |
| MinnesotaMinnesota | $119.43 | — |
| Metropolitan Kansas City, MOMissouri | $112.71 | — |
| Metropolitan St. Louis, MOMissouri | $113.93 | — |
| Rest of MissouriMissouri | $105.79 | — |
| MississippiMississippi | $105.23 | — |
| MontanaMontana | $118.24 | — |
| North CarolinaNorth Carolina | $111.50 | — |
| North DakotaNorth Dakota | $117.05 | — |
| NebraskaNebraska | $110.07 | — |
| New HampshireNew Hampshire | $121.67 | — |
| Northern New JerseyNew Jersey | $134.41 | — |
| Rest of New JerseyNew Jersey | $127.76 | — |
| New MexicoNew Mexico | $111.18 | — |
| NevadaNevada | $117.99 | — |
| NYC suburbs and Long Island, NYNew York | $138.63 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $128.38 | — |
| Queens, NYNew York | $137.17 | — |
| Rest of New YorkNew York | $113.15 | — |
| OhioOhio | $110.44 | — |
| OklahomaOklahoma | $108.18 | — |
| Portland, OROregon | $128.12 | — |
| Rest of OregonOregon | $117.28 | — |
| Metropolitan Philadelphia, PAPennsylvania | $122.78 | — |
| Rest of PennsylvaniaPennsylvania | $110.76 | — |
| Puerto RicoPuerto Rico | $119.20 | — |
| Rhode IslandRhode Island | $121.49 | — |
| South CarolinaSouth Carolina | $111.11 | — |
| South DakotaSouth Dakota | $116.91 | — |
| TennesseeTennessee | $109.14 | — |
| Austin, TXTexas | $123.27 | — |
| Beaumont, TXTexas | $110.01 | — |
| Brazoria, TXTexas | $117.20 | — |
| Dallas, TXTexas | $117.83 | — |
| Fort Worth, TXTexas | $116.96 | — |
| Galveston, TXTexas | $117.48 | — |
| Houston, TXTexas | $118.57 | — |
| Rest of TexasTexas | $113.46 | — |
| UtahUtah | $112.64 | — |
| VirginiaVirginia | $116.12 | — |
| Virgin Islands, VIUnited States Virgin Islands | $119.20 | — |
| VermontVermont | $116.35 | — |
| Rest of WashingtonWashington | $122.87 | — |
| King County, WAWashington | $139.59 | — |
| WisconsinWisconsin | $113.08 | — |
| West VirginiaWest Virginia | $107.33 | — |
| WyomingWyoming | $117.72 | — |
74250 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$104.60
$143.15
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $136.37 | 1 |
| AL | $106.14 | 1 |
| AR | $104.60 | 1 |
| AZ | $115.17 | 1 |
| CA | $126.38–$159.92 | 29 |
| CO | $123.87 | 1 |
| CT | $126.11 | 1 |
| DC | $135.88 | 1 |
| DE | $117.09 | 1 |
| FL | $115.29–$124.99 | 3 |
| GA | $108.92–$120.16 | 2 |
| GU | $129.70 | 1 |
| HI | $129.70 | 1 |
| IA | $109.39 | 1 |
| ID | $110.00 | 1 |
| IL | $111.55–$122.40 | 4 |
| IN | $110.65 | 1 |
| KS | $108.62 | 1 |
| KY | $108.10 | 1 |
| LA | $107.82–$113.21 | 2 |
| MA | $123.02–$136.53 | 2 |
| MD | $119.42–$135.88 | 3 |
| ME | $110.29–$116.69 | 2 |
| MI | $110.68–$116.47 | 2 |
| MN | $119.43 | 1 |
| MO | $105.79–$113.93 | 3 |
| MS | $105.23 | 1 |
| MT | $118.24 | 1 |
| NC | $111.50 | 1 |
| ND | $117.05 | 1 |
| NE | $110.07 | 1 |
| NH | $121.67 | 1 |
| NJ | $127.76–$134.41 | 2 |
| NM | $111.18 | 1 |
| NV | $117.99 | 1 |
| NY | $113.15–$138.63 | 5 |
| OH | $110.44 | 1 |
| OK | $108.18 | 1 |
| OR | $117.28–$128.12 | 2 |
| PA | $110.76–$122.78 | 2 |
| PR | $119.20 | 1 |
| RI | $121.49 | 1 |
| SC | $111.11 | 1 |
| SD | $116.91 | 1 |
| TN | $109.14 | 1 |
| TX | $110.01–$123.27 | 8 |
| UT | $112.64 | 1 |
| VA | $116.12–$135.88 | 2 |
| VI | $119.20 | 1 |
| VT | $116.35 | 1 |
| WA | $122.87–$139.59 | 2 |
| WI | $113.08 | 1 |
| WV | $107.33 | 1 |
| WY | $117.72 | 1 |
How the 74250 rate is calculated
Each of 74250’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 · 74250
RVUs × geographic indexes × conversion factor
Work0.79
0.79 RVUs× 1.000 GPCI
Practice expense2.69
2.69 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
3.5400
Conversion factor
$33.4009
Medicare rate
$118.24
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,363
- Code
- 74250
- Physician work
- 0.79
- Practice expense
- 2.69
- Malpractice
- 0.06
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.79 | × 1.000 | 0.7900 |
| Practice expense | 2.69 | × 0.875 | 2.3537 |
| Malpractice | 0.06 | × 0.566 | 0.0340 |
| Total RVUs | 3.1777 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$106.14
Office: (0.79 × 1 + 2.69 × 0.875 + 0.06 × 0.566) × $33.4009 = $106.14
Payment rules and modifiers for 74250
The CMS indicators that decide how 74250 is paid alongside other services.
CMS payment indicators · 74250
Small-bowel X-ray, single contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
74250 without 26 · national office
$118.24
Small-bowel X-ray, single contrast
74250-26 · Professional component
$37.41
Pays only the interpretation and report.
How 74250 has changed in Alabama
74250 · Office / nonfacility
$106.14
Effective 2026-10-01
The base rate is $1.99 higher than on 2025-10-01, moving from $104.15 to $106.14 (1.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$104.15changed to$106.14
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.81 changed to 0.79
- Practice expense RVU 2.74 changed to 2.69
- Malpractice RVU 0.05 changed to 0.06
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$108.63changed to$104.15
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.79 changed to 2.74
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$106.85changed to$108.63
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$113.81changed to$106.85
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.86 changed to 2.79
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$118.74changed to$113.81
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.90 changed to 2.86
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$117.25changed to$118.74
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.82 changed to 2.90
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$112.26changed to$117.25
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.54 changed to 2.82
- Malpractice RVU 0.06 changed to 0.05
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$103.29changed to$112.26
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 0.47 changed to 0.81
- Practice expense RVU 2.67 changed to 2.54
- Malpractice RVU 0.04 changed to 0.06
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$94.84changed to$103.29
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.41 changed to 2.67
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$94.84
Held through RVU18C, RVU18D.
January 1, 2014
RVU14A
No ratechanged toNo rate
Held through RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $106.14 | Not available in this setting | RVU26D |
| 2026-07-01 | $106.14 | Not available in this setting | RVU26C |
| 2026-04-01 | $106.14 | Not available in this setting | RVU26B |
| 2026-01-01 | $106.14 | Not available in this setting | RVU26A |
| 2025-10-01 | $104.15 | Not available in this setting | RVU25D |
| 2025-07-01 | $104.15 | Not available in this setting | RVU25C |
| 2025-04-01 | $104.15 | Not available in this setting | RVU25B |
| 2025-01-01 | $104.15 | Not available in this setting | RVU25A |
| 2024-10-01 | $108.63 | Not available in this setting | RVU24D |
| 2024-07-01 | $108.63 | Not available in this setting | RVU24C |
| 2024-04-01 | $108.63 | Not available in this setting | RVU24B |
| 2024-03-09 | $108.63 | Not available in this setting | RVU24AR |
| 2024-01-01 | $106.85 | Not available in this setting | RVU24A |
| 2023-10-01 | $113.81 | Not available in this setting | RVU23D |
| 2023-07-01 | $113.81 | Not available in this setting | RVU23C |
| 2023-04-01 | $113.81 | Not available in this setting | RVU23B |
| 2023-01-01 | $113.81 | Not available in this setting | RVU23A |
| 2022-10-01 | $118.74 | Not available in this setting | RVU22D |
| 2022-07-01 | $118.74 | Not available in this setting | RVU22C |
| 2022-04-01 | $118.74 | Not available in this setting | RVU22B |
| 2022-01-01 | $118.74 | Not available in this setting | RVU22A |
| 2021-10-01 | $117.25 | Not available in this setting | RVU21D |
| 2021-07-01 | $117.25 | Not available in this setting | RVU21C |
| 2021-04-01 | $117.25 | Not available in this setting | RVU21B |
| 2021-01-01 | $117.25 | Not available in this setting | RVU21A |
| 2020-10-01 | $112.26 | Not available in this setting | RVU20D |
| 2020-07-01 | $112.26 | Not available in this setting | RVU20C |
| 2020-04-01 | $112.26 | Not available in this setting | RVU20B |
| 2020-01-01 | $112.26 | Not available in this setting | RVU20A |
| 2019-10-01 | $103.29 | Not available in this setting | RVU19D |
| 2019-07-01 | $103.29 | Not available in this setting | RVU19C |
| 2019-04-01 | $103.29 | Not available in this setting | RVU19B |
| 2019-01-01 | $103.29 | Not available in this setting | RVU19A |
| 2018-10-01 | $94.84 | Not available in this setting | RVU18D |
| 2018-07-01 | $94.84 | Not available in this setting | RVU18C |
| 2018-04-01 | $94.84 | Not available in this setting | RVU18B |
| 2018-01-01 | Rate data unavailable | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Not available in this setting | RVU17D |
| 2017-07-01 | Rate data unavailable | Not available in this setting | RVU17C |
| 2017-04-01 | Rate data unavailable | Not available in this setting | RVU17B |
| 2017-01-01 | Rate data unavailable | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Additional calculation required | Not available in this setting | RVU13D |
| 2013-07-01 | Additional calculation required | Not available in this setting | RVU13C |
| 2013-04-01 | Additional calculation required | Not available in this setting | RVU13B |
| 2013-01-01 | Additional calculation required | Not available in this setting | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
74250 billing questions
How does this differ from 74248?
74248 identifies a small-intestine follow-through study. Use 74250 when the documented examination is the single-contrast small-intestine study rather than the follow-through service.
How does this differ from 74251?
74251 is the corresponding small-intestine examination using a double-contrast technique. This code is for the single-contrast technique.
Which modifier identifies the radiologist’s interpretation?
Report modifier 26 for the professional component, which represents the physician’s interpretation. Modifier TC identifies the technical component.
What documentation supports reporting this code?
The imaging record and interpretation should support examination of the small intestine, use of a single-contrast technique, and the study performed.
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
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