CPT code 74280: Colon X-ray, double-contrast study2026 Medicare rate & RVUs in New Mexico
A radiologist uses fluoroscopy and barium plus air to examine the colon when diagnostic imaging of its structure is needed.
In New Mexico, Medicare pays $198.14 for 74280 in the office.
Check a contract rate as a % of Medicare · 74280 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 74280 covers
This examination uses fluoroscopy and radiographs to evaluate the colon after contrast is introduced through the rectum. Barium outlines the bowel, and air helps show the inner surface. A radiologist typically performs and interprets the study in a hospital radiology department or imaging center. It may be selected when a structural assessment of the colon is needed and colonoscopy is incomplete or not suitable. Scout or delayed images, when obtained as part of the examination, are included in the study.
Report 74280 for the double-contrast technique, rather than the single-contrast colon examination represented by 74270. The imaging report should support the indication, technique used, and findings. Medicare recognizes professional and technical components: report modifier 26 for the physician’s interpretation, modifier TC for the equipment and staff, or neither modifier when billing the global service. The professional and technical components are separately priced when billed with their respective modifiers.
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 74280
Across 109 of 109 payment localities, the office rate for 74280 runs from $186.38 in Arkansas to $288.52 in San Benito County, CA. New Mexico pays $198.14. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$198.14
- Los Angeles, CA · California$242.73+$44.59
- Washington, DC area · District of Columbia$243.77+$45.63
- Miami, FL · Florida$222.88+$24.74
- Chicago, IL · Illinois$216.44+$18.30
- Manhattan, NY · New York$242.93+$44.79
- Alaska · Alaska$241.50+$43.36
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $189.21 | — |
| ArkansasArkansas | $186.38 | — |
| ArizonaArizona | $205.81 | — |
| Bakersfield, CACalifornia | $227.10 | — |
| Chico, CACalifornia | $226.80 | — |
| El Centro, CACalifornia | $226.81 | — |
| Fresno, CACalifornia | $226.80 | — |
| Hanford, CACalifornia | $226.80 | — |
| Madera, CACalifornia | $226.80 | — |
| Merced, CACalifornia | $226.80 | — |
| Modesto, CACalifornia | $226.80 | — |
| Napa, CACalifornia | $265.75 | — |
| Oxnard, CACalifornia | $241.90 | — |
| Redding, CACalifornia | $226.80 | — |
| Rest of CaliforniaCalifornia | $226.80 | — |
| Riverside, CACalifornia | $227.79 | — |
| Sacramento, CACalifornia | $238.79 | — |
| Salinas, CACalifornia | $237.91 | — |
| San Diego, CACalifornia | $244.08 | — |
| Marin County, CACalifornia | $282.31 | — |
| San Francisco, CACalifornia | $282.21 | — |
| San Benito County, CACalifornia | $288.52 | — |
| Santa Clara County, CACalifornia | $288.10 | — |
| San Luis Obispo, CACalifornia | $233.99 | — |
| Santa Cruz, CACalifornia | $246.87 | — |
| Santa Maria, CACalifornia | $238.96 | — |
| Santa Rosa, CACalifornia | $249.42 | — |
| Stockton, CACalifornia | $226.80 | — |
| Vallejo, CACalifornia | $265.60 | — |
| Visalia, CACalifornia | $226.80 | — |
| Yuba City, CACalifornia | $226.80 | — |
| ColoradoColorado | $221.97 | — |
| ConnecticutConnecticut | $225.77 | — |
| DelawareDelaware | $209.32 | — |
| Fort Lauderdale, FLFlorida | $216.03 | — |
| Rest of FloridaFlorida | $205.58 | — |
| Atlanta, GAGeorgia | $214.83 | — |
| Rest of GeorgiaGeorgia | $193.93 | — |
| Hawaii, Guam, HIHawaii | $233.09 | — |
| IowaIowa | $195.39 | — |
| IdahoIdaho | $196.46 | — |
| East St. Louis, ILIllinois | $201.09 | — |
| Rest of IllinoisIllinois | $198.56 | — |
| Suburban Chicago, ILIllinois | $218.55 | — |
| IndianaIndiana | $197.67 | — |
| KansasKansas | $193.87 | — |
| KentuckyKentucky | $192.60 | — |
| New Orleans, LALouisiana | $201.96 | — |
| Rest of LouisianaLouisiana | $192.06 | — |
| Metropolitan Boston, MAMassachusetts | $245.25 | — |
| Rest of MassachusettsMassachusetts | $220.34 | — |
| Baltimore area, MDMaryland | $225.01 | — |
| Rest of MarylandMaryland | $213.60 | — |
| Rest of MaineMaine | $196.90 | — |
| Southern Maine, MEMaine | $208.81 | — |
| Detroit, MIMichigan | $207.63 | — |
| Rest of MichiganMichigan | $197.26 | — |
| MinnesotaMinnesota | $214.16 | — |
| Metropolitan Kansas City, MOMissouri | $201.15 | — |
| Metropolitan St. Louis, MOMissouri | $203.40 | — |
| Rest of MissouriMissouri | $188.26 | — |
| MississippiMississippi | $187.38 | — |
| MontanaMontana | $211.42 | — |
| North CarolinaNorth Carolina | $199.13 | — |
| North DakotaNorth Dakota | $209.64 | — |
| NebraskaNebraska | $196.67 | — |
| New HampshireNew Hampshire | $217.91 | — |
| Northern New JerseyNew Jersey | $240.99 | — |
| Rest of New JerseyNew Jersey | $228.76 | — |
| NevadaNevada | $211.09 | — |
| NYC suburbs and Long Island, NYNew York | $248.26 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $229.80 | — |
| Queens, NYNew York | $245.84 | — |
| Rest of New YorkNew York | $202.17 | — |
| OhioOhio | $196.89 | — |
| OklahomaOklahoma | $192.85 | — |
| Portland, OROregon | $229.89 | — |
| Rest of OregonOregon | $209.87 | — |
| Metropolitan Philadelphia, PAPennsylvania | $219.61 | — |
| Rest of PennsylvaniaPennsylvania | $197.54 | — |
| Puerto RicoPuerto Rico | $213.22 | — |
| Rhode IslandRhode Island | $217.41 | — |
| South CarolinaSouth Carolina | $198.26 | — |
| South DakotaSouth Dakota | $209.43 | — |
| TennesseeTennessee | $194.81 | — |
| Austin, TXTexas | $220.87 | — |
| Beaumont, TXTexas | $196.15 | — |
| Brazoria, TXTexas | $209.59 | — |
| Dallas, TXTexas | $210.70 | — |
| Fort Worth, TXTexas | $209.07 | — |
| Galveston, TXTexas | $210.07 | — |
| Houston, TXTexas | $211.72 | — |
| Rest of TexasTexas | $202.60 | — |
| UtahUtah | $201.08 | — |
| VirginiaVirginia | $207.70 | — |
| Virgin Islands, VIUnited States Virgin Islands | $213.22 | — |
| VermontVermont | $208.27 | — |
| Rest of WashingtonWashington | $220.11 | — |
| King County, WAWashington | $250.92 | — |
| WisconsinWisconsin | $202.32 | — |
| West VirginiaWest Virginia | $190.80 | — |
| WyomingWyoming | $210.65 | — |
74280 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.
$186.38
$257.66
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 | $241.50 | 1 |
| AL | $189.21 | 1 |
| AR | $186.38 | 1 |
| AZ | $205.81 | 1 |
| CA | $226.80–$288.52 | 29 |
| CO | $221.97 | 1 |
| CT | $225.77 | 1 |
| DC | $243.77 | 1 |
| DE | $209.32 | 1 |
| FL | $205.58–$222.88 | 3 |
| GA | $193.93–$214.83 | 2 |
| GU | $233.09 | 1 |
| HI | $233.09 | 1 |
| IA | $195.39 | 1 |
| ID | $196.46 | 1 |
| IL | $198.56–$218.55 | 4 |
| IN | $197.67 | 1 |
| KS | $193.87 | 1 |
| KY | $192.60 | 1 |
| LA | $192.06–$201.96 | 2 |
| MA | $220.34–$245.25 | 2 |
| MD | $213.60–$243.77 | 3 |
| ME | $196.90–$208.81 | 2 |
| MI | $197.26–$207.63 | 2 |
| MN | $214.16 | 1 |
| MO | $188.26–$203.40 | 3 |
| MS | $187.38 | 1 |
| MT | $211.42 | 1 |
| NC | $199.13 | 1 |
| ND | $209.64 | 1 |
| NE | $196.67 | 1 |
| NH | $217.91 | 1 |
| NJ | $228.76–$240.99 | 2 |
| NM | $198.14 | 1 |
| NV | $211.09 | 1 |
| NY | $202.17–$248.26 | 5 |
| OH | $196.89 | 1 |
| OK | $192.85 | 1 |
| OR | $209.87–$229.89 | 2 |
| PA | $197.54–$219.61 | 2 |
| PR | $213.22 | 1 |
| RI | $217.41 | 1 |
| SC | $198.26 | 1 |
| SD | $209.43 | 1 |
| TN | $194.81 | 1 |
| TX | $196.15–$220.87 | 8 |
| UT | $201.08 | 1 |
| VA | $207.70–$243.77 | 2 |
| VI | $213.22 | 1 |
| VT | $208.27 | 1 |
| WA | $220.11–$250.92 | 2 |
| WI | $202.32 | 1 |
| WV | $190.80 | 1 |
| WY | $210.65 | 1 |
How the 74280 rate is calculated
Each of 74280’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 · 74280
RVUs × geographic indexes × conversion factor
Work1.23
1.23 RVUs× 1.000 GPCI
Practice expense5.01
5.01 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
6.3300
Conversion factor
$33.4009
Medicare rate
$211.43
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
8,381
- Code
- 74280
- Physician work
- 1.23
- Practice expense
- 5.01
- Malpractice
- 0.09
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.23 | × 1.000 | 1.2300 |
| Practice expense | 5.01 | × 0.917 | 4.5942 |
| Malpractice | 0.09 | × 1.201 | 0.1081 |
| Total RVUs | 5.9323 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$198.14
Office: (1.23 × 1 + 5.01 × 0.917 + 0.09 × 1.201) × $33.4009 = $198.14
Payment rules and modifiers for 74280
The CMS indicators that decide how 74280 is paid alongside other services.
CMS payment indicators · 74280
Colon X-ray, double-contrast study
| 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
74280 without 26 · national office
$211.43
Colon X-ray, double-contrast study
74280-26 · Professional component
$57.78
Pays only the interpretation and report.
How 74280 has changed in New Mexico
74280 · Office / nonfacility
$198.14
Effective 2026-10-01
The base rate is $4.27 higher than on 2025-10-01, moving from $193.87 to $198.14 (2.2%).
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
$193.87changed to$198.14
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.26 changed to 1.23
- Practice expense RVU 5.11 changed to 5.01
- Malpractice RVU 0.08 changed to 0.09
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$203.83changed to$193.87
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.24 changed to 5.11
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$200.51changed to$203.83
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$210.71changed to$200.51
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.38 changed to 5.24
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$216.75changed to$210.71
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.48 changed to 5.38
- Malpractice RVU 0.08 changed to 0.09
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$215.55changed to$216.75
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.41 changed to 5.48
- Malpractice RVU 0.06 changed to 0.08
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$209.42changed to$215.55
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.91 changed to 5.41
- Malpractice RVU 0.07 changed to 0.06
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$216.40changed to$209.42
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 0.99 changed to 1.26
- Practice expense RVU 5.35 changed to 4.91
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$203.23changed to$216.40
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.96 changed to 5.35
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$203.23
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$200.24changed toNo rate
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged to$200.24
Held through RVU16B, RVU16C, RVU16D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $198.14 | Not available in this setting | RVU26D |
| 2026-07-01 | $198.14 | Not available in this setting | RVU26C |
| 2026-04-01 | $198.14 | Not available in this setting | RVU26B |
| 2026-01-01 | $198.14 | Not available in this setting | RVU26A |
| 2025-10-01 | $193.87 | Not available in this setting | RVU25D |
| 2025-07-01 | $193.87 | Not available in this setting | RVU25C |
| 2025-04-01 | $193.87 | Not available in this setting | RVU25B |
| 2025-01-01 | $193.87 | Not available in this setting | RVU25A |
| 2024-10-01 | $203.83 | Not available in this setting | RVU24D |
| 2024-07-01 | $203.83 | Not available in this setting | RVU24C |
| 2024-04-01 | $203.83 | Not available in this setting | RVU24B |
| 2024-03-09 | $203.83 | Not available in this setting | RVU24AR |
| 2024-01-01 | $200.51 | Not available in this setting | RVU24A |
| 2023-10-01 | $210.71 | Not available in this setting | RVU23D |
| 2023-07-01 | $210.71 | Not available in this setting | RVU23C |
| 2023-04-01 | $210.71 | Not available in this setting | RVU23B |
| 2023-01-01 | $210.71 | Not available in this setting | RVU23A |
| 2022-10-01 | $216.75 | Not available in this setting | RVU22D |
| 2022-07-01 | $216.75 | Not available in this setting | RVU22C |
| 2022-04-01 | $216.75 | Not available in this setting | RVU22B |
| 2022-01-01 | $216.75 | Not available in this setting | RVU22A |
| 2021-10-01 | $215.55 | Not available in this setting | RVU21D |
| 2021-07-01 | $215.55 | Not available in this setting | RVU21C |
| 2021-04-01 | $215.55 | Not available in this setting | RVU21B |
| 2021-01-01 | $215.55 | Not available in this setting | RVU21A |
| 2020-10-01 | $209.42 | Not available in this setting | RVU20D |
| 2020-07-01 | $209.42 | Not available in this setting | RVU20C |
| 2020-04-01 | $209.42 | Not available in this setting | RVU20B |
| 2020-01-01 | $209.42 | Not available in this setting | RVU20A |
| 2019-10-01 | $216.40 | Not available in this setting | RVU19D |
| 2019-07-01 | $216.40 | Not available in this setting | RVU19C |
| 2019-04-01 | $216.40 | Not available in this setting | RVU19B |
| 2019-01-01 | $216.40 | Not available in this setting | RVU19A |
| 2018-10-01 | $203.23 | Not available in this setting | RVU18D |
| 2018-07-01 | $203.23 | Not available in this setting | RVU18C |
| 2018-04-01 | $203.23 | Not available in this setting | RVU18B |
| 2018-01-01 | $203.23 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Additional calculation required | Not available in this setting | RVU17D |
| 2017-07-01 | Additional calculation required | Not available in this setting | RVU17C |
| 2017-04-01 | Additional calculation required | Not available in this setting | RVU17B |
| 2017-01-01 | Additional calculation required | Not available in this setting | RVU17A |
| 2016-10-01 | $200.24 | Not available in this setting | RVU16D |
| 2016-07-01 | $200.24 | Not available in this setting | RVU16C |
| 2016-04-01 | $200.24 | Not available in this setting | RVU16B |
| 2016-01-01 | $200.24 | Not available in this setting | RVU16A |
| 2015-10-01 | Additional calculation required | Not available in this setting | RVU15D |
| 2015-07-01 | Additional calculation required | Not available in this setting | RVU15C |
| 2015-04-01 | Additional calculation required | Not available in this setting | RVU15B |
| 2015-01-01 | Additional calculation required | Not available in this setting | RVU15A |
| 2014-10-01 | Additional calculation required | Not available in this setting | RVU14D |
| 2014-07-01 | Additional calculation required | Not available in this setting | RVU14C |
| 2014-04-01 | Additional calculation required | Not available in this setting | RVU14B |
| 2014-01-01 | Additional calculation required | 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 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
74280 billing questions
How does 74280 differ from 74270?
74280 describes a double-contrast colon study using barium and air. Use 74270 for the single-contrast colon examination.
Can the interpretation and imaging service be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.
Are scout or delayed images separately reported?
Scout abdominal radiographs and delayed images obtained as part of this colon examination are included in the study.
What documentation supports 74280?
The record should identify the diagnostic reason for examining the colon, document the double-contrast technique, and include the radiologist’s findings.
When might CT colonography be considered instead?
CT colonography codes 74261 and 74262 describe a different imaging method for diagnostic colon evaluation; 74280 is the fluoroscopic barium-and-air examination.
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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