$119.08–$182.53
Choose 74240 for a single-contrast upper GI examination; choose 74246 when the documented technique is double contrast.
On this page
CMS RVU26D · Effective 2026-10-01
74240 Upper GI series Medicare reimbursement rates
A fluoroscopic single-contrast upper GI study images the esophagus, stomach, and duodenum when evaluating upper digestive tract symptoms. Compare 74240 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 74240?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$107.82–$165.64
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $57.82 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 74240 pays more and less
109 payment localities
$107.82 to $165.64
Diagnostic radiology
About 74240: Single-contrast upper GI radiographic study
A fluoroscopic single-contrast upper GI study images the esophagus, stomach, and duodenum when evaluating upper digestive tract symptoms.
This study follows swallowed contrast through the esophagus, stomach, and duodenum using fluoroscopy and radiographic images. A radiologic technologist typically performs the imaging in a hospital radiology department or outpatient imaging center, while a radiologist interprets the findings. It may be ordered to evaluate upper digestive tract symptoms or suspected structural abnormalities; the service is defined by the single-contrast technique, commonly using barium.
Report 74240 when the examination covers the upper GI tract using a single-contrast approach, rather than a double-contrast study or an examination limited to the esophagus. Documentation should identify the clinical indication, the areas examined, the contrast technique, and the interpreting physician’s findings. The global service includes the technical work and professional interpretation. If those portions are billed separately, use modifier 26 for the interpretation or TC for the equipment and staff portion.
CMS billing rules for 74240
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU0.78 · 21%
- Practice expense (office) RVU2.82 · 77%
- Malpractice RVU0.05 · 1%
58.5K
Medicare services in 2024 · #723 by national volume
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.
74240 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$83.23–$128.07
74220 describes imaging limited to the esophagus. 74240 covers an upper GI examination that includes the stomach and duodenum.
$105.28–$166.41
74230 is a functional swallowing examination. 74240 follows contrast through the upper GI tract.
$80.60–$123.85
74210 focuses on the pharynx and cervical esophagus; 74240 examines the esophagus, stomach, and duodenum.
See how rates vary across the country
74240 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$107.82
$148.13
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $140.31 | 1 |
| AL | $109.41 | 1 |
| AR | $107.82 | 1 |
| AZ | $118.75 | 1 |
| CA | $130.62–$165.64 | 29 |
| CO | $127.89 | 1 |
| CT | $130.04 | 1 |
| DC | $140.27 | 1 |
| DE | $120.74 | 1 |
| FL | $118.61–$128.33 | 3 |
| GA | $112.06–$123.83 | 2 |
| GU | $134.11 | 1 |
| HI | $134.11 | 1 |
| IA | $112.90 | 1 |
| ID | $113.50 | 1 |
| IL | $114.66–$125.93 | 4 |
| IN | $114.18 | 1 |
| KS | $112.04 | 1 |
| KY | $111.32 | 1 |
| LA | $111.01–$116.58 | 2 |
| MA | $126.98–$141.07 | 2 |
| MD | $123.17–$140.27 | 3 |
| ME | $113.75–$120.45 | 2 |
| MI | $113.93–$119.76 | 2 |
| MN | $123.47 | 1 |
| MO | $108.87–$117.40 | 3 |
| MS | $108.38 | 1 |
| MT | $121.91 | 1 |
| NC | $115.00 | 1 |
| ND | $120.92 | 1 |
| NE | $113.62 | 1 |
| NH | $125.57 | 1 |
| NJ | $131.78–$138.74 | 2 |
| NM | $114.43 | 1 |
| NV | $121.73 | 1 |
| NY | $116.71–$142.81 | 5 |
| OH | $113.73 | 1 |
| OK | $111.46 | 1 |
| OR | $121.04–$132.36 | 2 |
| PA | $114.10–$126.57 | 2 |
| PR | $122.92 | 1 |
| RI | $125.34 | 1 |
| SC | $114.50 | 1 |
| SD | $120.80 | 1 |
| TN | $112.57 | 1 |
| TX | $113.32–$127.24 | 8 |
| UT | $116.09 | 1 |
| VA | $119.82–$140.27 | 2 |
| VI | $122.92 | 1 |
| VT | $120.15 | 1 |
| WA | $126.84–$144.29 | 2 |
| WI | $116.80 | 1 |
| WV | $110.29 | 1 |
| WY | $121.48 | 1 |
Compare 74240 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $109.41 | Facility Unavailable |
| Alaska* | Office $140.31 | Facility Unavailable |
| Arizona | Office $118.75 | Facility Unavailable |
| Arkansas | Office $107.82 | Facility Unavailable |
| Atlanta | Office $123.83 | Facility Unavailable |
| Austin | Office $127.24 | Facility Unavailable |
| Bakersfield | Office $130.80 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $129.60 | Facility Unavailable |
| Beaumont | Office $113.32 | Facility Unavailable |
| Brazoria | Office $120.91 | Facility Unavailable |
| Chicago | Office $124.73 | Facility Unavailable |
| Chico | Office $130.62 | Facility Unavailable |
| Colorado | Office $127.89 | Facility Unavailable |
| Connecticut | Office $130.04 | Facility Unavailable |
| Dallas | Office $121.53 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $140.27 | Facility Unavailable |
| Delaware | Office $120.74 | Facility Unavailable |
| Detroit | Office $119.76 | Facility Unavailable |
| East St. Louis | Office $116.07 | Facility Unavailable |
| El Centro | Office $130.63 | Facility Unavailable |
| Fort Lauderdale | Office $124.49 | Facility Unavailable |
| Fort Worth | Office $120.61 | Facility Unavailable |
| Fresno | Office $130.62 | Facility Unavailable |
| Galveston | Office $121.18 | Facility Unavailable |
| Hanford-Corcoran | Office $130.62 | Facility Unavailable |
| Hawaii, Guam | Office $134.11 | Facility Unavailable |
| Houston | Office $122.09 | Facility Unavailable |
| Idaho | Office $113.50 | Facility Unavailable |
| Indiana | Office $114.18 | Facility Unavailable |
| Iowa | Office $112.90 | Facility Unavailable |
| Kansas | Office $112.04 | Facility Unavailable |
| Kentucky | Office $111.32 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $139.66 | Facility Unavailable |
| Madera | Office $130.62 | Facility Unavailable |
| Manhattan | Office $139.82 | Facility Unavailable |
| Merced | Office $130.62 | Facility Unavailable |
| Metropolitan Boston | Office $141.07 | Facility Unavailable |
| Metropolitan Kansas City | Office $116.13 | Facility Unavailable |
| Metropolitan Philadelphia | Office $126.57 | Facility Unavailable |
| Metropolitan St. Louis | Office $117.40 | Facility Unavailable |
| Miami | Office $128.33 | Facility Unavailable |
| Minnesota | Office $123.47 | Facility Unavailable |
| Mississippi | Office $108.38 | Facility Unavailable |
| Modesto | Office $130.62 | Facility Unavailable |
| Montana** | Office $121.91 | Facility Unavailable |
| Napa | Office $152.69 | Facility Unavailable |
| Nebraska | Office $113.62 | Facility Unavailable |
| Nevada** | Office $121.73 | Facility Unavailable |
| New Hampshire | Office $125.57 | Facility Unavailable |
| New Mexico | Office $114.43 | Facility Unavailable |
| New Orleans | Office $116.58 | Facility Unavailable |
| North Carolina | Office $115.00 | Facility Unavailable |
| North Dakota** | Office $120.92 | Facility Unavailable |
| Northern Nj | Office $138.74 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $142.81 | Facility Unavailable |
| Ohio | Office $113.73 | Facility Unavailable |
| Oklahoma | Office $111.46 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $139.16 | Facility Unavailable |
| Portland | Office $132.36 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $132.38 | Facility Unavailable |
| Puerto Rico | Office $122.92 | Facility Unavailable |
| Queens | Office $141.46 | Facility Unavailable |
| Redding | Office $130.62 | Facility Unavailable |
| Rest Of California | Office $130.62 | Facility Unavailable |
| Rest Of Florida | Office $118.61 | Facility Unavailable |
| Rest Of Georgia | Office $112.06 | Facility Unavailable |
| Rest Of Illinois | Office $114.66 | Facility Unavailable |
| Rest Of Louisiana | Office $111.01 | Facility Unavailable |
| Rest Of Maine | Office $113.75 | Facility Unavailable |
| Rest Of Maryland | Office $123.17 | Facility Unavailable |
| Rest Of Massachusetts | Office $126.98 | Facility Unavailable |
| Rest Of Michigan | Office $113.93 | Facility Unavailable |
| Rest Of Missouri | Office $108.87 | Facility Unavailable |
| Rest Of New Jersey | Office $131.78 | Facility Unavailable |
| Rest Of New York | Office $116.71 | Facility Unavailable |
| Rest Of Oregon | Office $121.04 | Facility Unavailable |
| Rest Of Pennsylvania | Office $114.10 | Facility Unavailable |
| Rest Of Texas | Office $116.95 | Facility Unavailable |
| Rest Of Washington | Office $126.84 | Facility Unavailable |
| Rhode Island | Office $125.34 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $131.18 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $137.43 | Facility Unavailable |
| Salinas | Office $136.92 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $140.39 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $162.10 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $162.05 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $165.64 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $165.40 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $134.67 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $141.94 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $137.50 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $143.40 | Facility Unavailable |
| Seattle (King Cnty) | Office $144.29 | Facility Unavailable |
| South Carolina | Office $114.50 | Facility Unavailable |
| South Dakota** | Office $120.80 | Facility Unavailable |
| Southern Maine | Office $120.45 | Facility Unavailable |
| Stockton | Office $130.62 | Facility Unavailable |
| Suburban Chicago | Office $125.93 | Facility Unavailable |
| Tennessee | Office $112.57 | Facility Unavailable |
| Utah | Office $116.09 | Facility Unavailable |
| Vallejo | Office $152.60 | Facility Unavailable |
| Vermont | Office $120.15 | Facility Unavailable |
| Virgin Islands | Office $122.92 | Facility Unavailable |
| Virginia | Office $119.82 | Facility Unavailable |
| Visalia | Office $130.62 | Facility Unavailable |
| West Virginia | Office $110.29 | Facility Unavailable |
| Wisconsin | Office $116.80 | Facility Unavailable |
| Wyoming** | Office $121.48 | Facility Unavailable |
| Yuba City | Office $130.62 | Facility Unavailable |
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74240 billing questions
How does 74240 differ from 74246?
74240 is for a single-contrast upper GI examination. Use 74246 when the documented examination uses a double-contrast technique.
Can the interpretation and imaging be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Billing without either modifier represents the global service.
Is 74240 appropriate for an esophagus-only study?
No. An examination confined to the esophagus is represented by an esophageal imaging code; 74240 describes imaging that proceeds through the upper GI tract.
What should the report document?
The record should support the clinical indication, the single-contrast technique, the anatomy examined, and the radiologist’s interpretation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,35174235,,Remove esophagus obstruction,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,35274235,26,Remove esophagus obstruction,A,,1.16,0.41,,0.41,,0.07,1.64,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,35374235,TC,Remove esophagus obstruction,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
8,35474240,,X-ray xm upr gi trc 1cntrst,A,,0.78,2.82,,2.82,NA,0.05,3.65,3.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.65,5.65,0.06
8,35574240,26,X-ray xm upr gi trc 1cntrst,A,,0.78,0.31,,0.31,,0.04,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,35674240,TC,X-ray xm upr gi trc 1cntrst,A,,0.00,2.51,,2.51,NA,0.01,2.52,2.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,5.34,5.34,0.02
8,35774246,,X-ray xm upr gi trc 2cntrst,A,,0.88,3.09,,3.09,NA,0.06,4.03,4.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.67,5.67,0.07