CPT code 74261: CT colonography, diagnostic, without contrast2026 Medicare rate & RVUs in Barrington, Illinois

Barrington, IL spans 2 Medicare payment localities (Chicago, Suburban Chicago). Compare 2026 rates and find the locality for your ZIP.

CMS RVU26DEffective Oct 1, 20262 payment localities

CMS doesn’t publish an office rate for 74261 in Barrington, Illinois.

—Office (non-facility)
—Hospital or facility

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 74261 for the payment locality that covers the ZIP.

On this page 6 sections
  1. Rate in Barrington, Illinois
  2. By payment locality
  3. City and payment areas
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 74261 pays more and less in Barrington, Illinois

Barrington, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

74261 office and facility rates by payment locality
Payment localityOfficeFacility
Chicago, ILUnavailableUnavailable
Suburban Chicago, ILUnavailableUnavailable

How payment areas work in Barrington

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

  • Chicago · Cook County
  • Suburban Chicago · Lake County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 74261 rate is calculated

Each of 74261’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 · 74261

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.34

2.34 RVUs× 1.000 GPCI

Practice expense9.74

9.74 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

12.2500

Conversion factor

$33.4009

Medicare rate

$409.16

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

Payment rules and modifiers for 74261

The CMS indicators that decide how 74261 is paid alongside other services.

CMS payment indicators · 74261

CT colonography, diagnostic, without contrast

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
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

74261 without 26 · national office

$409.16

CT colonography, diagnostic, without contrast

74261-26 · Professional component

$110.89

Pays only the interpretation and report.

When to use modifier 26

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

Open CMS sourceHow we calculate rates

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

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