CPT code 74250: Small-bowel X-ray, single contrast2026 Medicare rate & RVUs in South Dakota

A radiologist interprets a single-contrast X-ray examination of the small intestine, using serial images to assess its structure and passage of contrast.

CMS RVU26DEffective Oct 1, 2026One payment locality42.8K Medicare services in 2024

In South Dakota, Medicare pays $116.91 for 74250 in the office.

$116.91Office (non-facility)
Not available in this settingHospital or facility
−1.1%vs the national office rate ($118.24)

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.

We’ll open 74250 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 74250 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 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 South Dakota 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. South Dakota pays $116.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

74250 in South Dakota vs other payment areas
  1. South Dakota · this page$116.91
  2. Los Angeles, CA · California$135.09+$18.18
  3. Washington, DC area · District of Columbia$135.88+$18.97
  4. Miami, FL · Florida$124.99+$8.08
  5. Chicago, IL · Illinois$121.47+$4.56
  6. Manhattan, NY · New York$135.66+$18.75
  7. Alaska · Alaska$136.37+$19.46

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

74250 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$106.14—
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—

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
74250 office rate range by state
State / territoryOffice rate rangeLocalities
AK$136.371
AL$106.141
AR$104.601
AZ$115.171
CA$126.38–$159.9229
CO$123.871
CT$126.111
DC$135.881
DE$117.091
FL$115.29–$124.993
GA$108.92–$120.162
GU$129.701
HI$129.701
IA$109.391
ID$110.001
IL$111.55–$122.404
IN$110.651
KS$108.621
KY$108.101
LA$107.82–$113.212
MA$123.02–$136.532
MD$119.42–$135.883
ME$110.29–$116.692
MI$110.68–$116.472
MN$119.431
MO$105.79–$113.933
MS$105.231
MT$118.241
NC$111.501
ND$117.051
NE$110.071
NH$121.671
NJ$127.76–$134.412
NM$111.181
NV$117.991
NY$113.15–$138.635
OH$110.441
OK$108.181
OR$117.28–$128.122
PA$110.76–$122.782
PR$119.201
RI$121.491
SC$111.111
SD$116.911
TN$109.141
TX$110.01–$123.278
UT$112.641
VA$116.12–$135.882
VI$119.201
VT$116.351
WA$122.87–$139.592
WI$113.081
WV$107.331
WY$117.721

See 74250 in every payment locality

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

Office or facility?

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 74250 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.79× 1.0000.7900
Practice expense2.69× 1.0002.6900
Malpractice0.06× 0.3360.0202
Total RVUs3.5002
Conversion factor× 33.4009

Office rate, South Dakota$116.91

Office: (0.79 × 1 + 2.69 × 1 + 0.06 × 0.336) × $33.4009 = $116.91

Open 74250 in the RVU calculator

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

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

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.

When to use modifier 26

How 74250 has changed in South Dakota

74250 · Office / nonfacility

$116.91

Effective 2026-10-01

The base rate is $1.46 higher than on 2025-10-01, moving from $115.45 to $116.91 (1.3%).

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

    $115.45changed to$116.91

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $120.47changed to$115.45

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.79 changed to 2.74

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $118.50changed to$120.47

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $124.98changed to$118.50

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.86 changed to 2.79
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $128.99changed to$124.98

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.90 changed to 2.86
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $127.27changed to$128.99

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.82 changed to 2.90

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $121.70changed to$127.27

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $113.72changed to$121.70

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $104.24changed to$113.72

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.41 changed to 2.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $104.29changed to$104.24

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.42 changed to 2.41
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $103.69changed to$104.29

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.41 changed to 2.42
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $104.06changed to$103.69

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $103.55changed to$104.06

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $110.21changed to$103.55

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.59 changed to 2.41
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$110.21

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$116.91Not available in this settingRVU26D
2026-07-01$116.91Not available in this settingRVU26C
2026-04-01$116.91Not available in this settingRVU26B
2026-01-01$116.91Not available in this settingRVU26A
2025-10-01$115.45Not available in this settingRVU25D
2025-07-01$115.45Not available in this settingRVU25C
2025-04-01$115.45Not available in this settingRVU25B
2025-01-01$115.45Not available in this settingRVU25A
2024-10-01$120.47Not available in this settingRVU24D
2024-07-01$120.47Not available in this settingRVU24C
2024-04-01$120.47Not available in this settingRVU24B
2024-03-09$120.47Not available in this settingRVU24AR
2024-01-01$118.50Not available in this settingRVU24A
2023-10-01$124.98Not available in this settingRVU23D
2023-07-01$124.98Not available in this settingRVU23C
2023-04-01$124.98Not available in this settingRVU23B
2023-01-01$124.98Not available in this settingRVU23A
2022-10-01$128.99Not available in this settingRVU22D
2022-07-01$128.99Not available in this settingRVU22C
2022-04-01$128.99Not available in this settingRVU22B
2022-01-01$128.99Not available in this settingRVU22A
2021-10-01$127.27Not available in this settingRVU21D
2021-07-01$127.27Not available in this settingRVU21C
2021-04-01$127.27Not available in this settingRVU21B
2021-01-01$127.27Not available in this settingRVU21A
2020-10-01$121.70Not available in this settingRVU20D
2020-07-01$121.70Not available in this settingRVU20C
2020-04-01$121.70Not available in this settingRVU20B
2020-01-01$121.70Not available in this settingRVU20A
2019-10-01$113.72Not available in this settingRVU19D
2019-07-01$113.72Not available in this settingRVU19C
2019-04-01$113.72Not available in this settingRVU19B
2019-01-01$113.72Not available in this settingRVU19A
2018-10-01$104.24Not available in this settingRVU18D
2018-07-01$104.24Not available in this settingRVU18C
2018-04-01$104.24Not available in this settingRVU18B
2018-01-01$104.24Not available in this settingRVU18AR1
2017-10-01$104.29Not available in this settingRVU17D
2017-07-01$104.29Not available in this settingRVU17C
2017-04-01$104.29Not available in this settingRVU17B
2017-01-01$104.29Not available in this settingRVU17A
2016-10-01$103.69Not available in this settingRVU16D
2016-07-01$103.69Not available in this settingRVU16C
2016-04-01$103.69Not available in this settingRVU16B
2016-01-01$103.69Not available in this settingRVU16A
2015-10-01$104.06Not available in this settingRVU15D
2015-07-01$104.06Not available in this settingRVU15C
2015-04-01$103.55Not available in this settingRVU15B
2015-01-01$103.55Not available in this settingRVU15A
2014-10-01$110.21Not available in this settingRVU14D
2014-07-01$110.21Not available in this settingRVU14C
2014-04-01$110.21Not available in this settingRVU14B
2014-01-01$110.21Not available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 74250 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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
RVUs for 74250PPRRVU2026_Oct_nonQPP.csv, line 8,363 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 74250 pays in South Dakota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 74250 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist