$228.76–$240.99
Both codes image the colon with a contrast enema, but 74270 describes a single-contrast technique and 74280 a double-contrast technique.
On this page
CMS RVU26D · Effective 2026-10-01
74270 Colon imaging Medicare reimbursement rates in New Jersey
Radiographic imaging of the colon using a single rectally administered contrast medium, reported for diagnostic evaluation of colonic anatomy or suspected disease. Compare 74270 office and facility rates across CMS payment localities in New Jersey.
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 74270 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$160.57–$168.93
2 of 2 localities have a supported rate.
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.
Radiology
About 74270: Single-contrast colon radiography
Radiographic imaging of the colon using a single rectally administered contrast medium, reported for diagnostic evaluation of colonic anatomy or suspected disease.
This examination uses fluoroscopy and radiographs to evaluate the colon after contrast is introduced through the rectum. A radiologist typically performs and interprets the study in a hospital or outpatient imaging department. Clinicians may request it to assess suspected narrowing, obstruction, diverticular changes, or other abnormalities of the colon when a contrast enema is appropriate. The technique uses one contrast medium rather than the air-and-contrast approach associated with a double-contrast study.
Report 74270 for the single-contrast colon examination, not for imaging limited to the esophagus, stomach, or small intestine. The report should support the colon-focused study and its single-contrast technique. CMS recognizes separately priced professional and technical portions: modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Billing without either modifier represents the global service, including both portions.
CMS billing rules for 74270
- 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 RVU1.01 · 23%
- Practice expense (office) RVU3.37 · 76%
- Malpractice RVU0.07 · 2%
15.6K
Medicare services in 2024 · #1240 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.
74270 compared with similar codes
Office rates for New Jersey, from the same CMS release.
74261
No office rateCt colonography dx
74261 is diagnostic CT colonography; 74270 is radiographic colon imaging after rectal contrast administration.
74263
No office rateCt colonography screening
74263 is for screening CT colonography. Use 74270 for a diagnostic radiographic contrast-enema examination of the colon.
Compare 74270 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
$168.93
Facility
Unavailable
Rest Of New Jersey →
Office / nonfacility
$160.57
Facility
Unavailable
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74270 billing questions
How does 74270 differ from 74280?
74270 is for a colon study using one contrast medium. Use 74280 when the examination uses a double-contrast technique.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical portion, such as equipment and staff. Without either modifier, the claim represents the global service.
Can the professional and technical portions be billed separately?
Yes. CMS separately prices the 26 and TC portions for this diagnostic test; the unmodified code represents the global service.
What documentation supports reporting 74270?
The imaging documentation should establish that the examination evaluated the colon and used a single-contrast technique. The interpretation should describe the relevant colonic findings.
Is CT colonography reported with 74270?
No. CT colonography uses a different imaging method and is reported with the applicable CT colonography code, rather than 74270.
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.
8,37574263,,Ct colonography screening,A,,2.22,22.67,,22.67,NA,0.11,25.00,25.00,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,8.59,8.59,0.09
8,37674263,26,Ct colonography screening,A,,2.22,1.30,,1.30,,0.08,3.60,3.60,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,37774263,TC,Ct colonography screening,A,,0.00,21.37,,21.37,NA,0.03,21.40,21.40,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,7.29,7.29,0.01
8,37874270,,X-ray xm colon 1cntrst std,A,,1.01,3.37,,3.37,NA,0.07,4.45,4.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.71,5.71,0.08
8,37974270,26,X-ray xm colon 1cntrst std,A,,1.01,0.36,,0.36,,0.06,1.43,1.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,38074270,TC,X-ray xm colon 1cntrst std,A,,0.00,3.01,,3.01,NA,0.01,3.02,3.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,5.35,5.35,0.02
8,38174280,,X-ray xm colon 2cntrst std,A,,1.23,5.01,,5.01,NA,0.09,6.33,6.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.77,5.77,0.09