CPT code 72194: CT pelvis, without and with contrast2026 Medicare rate & RVUs in Utah
Reports pelvic CT imaging acquired before and after contrast when both noncontrast and enhanced views are needed to evaluate a pelvic finding.
CMS doesn’t publish a rate for 72194 in Utah.
Check a contract rate as a % of Medicare · 72194 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 72194 covers
This examination acquires CT images of the pelvis without contrast material and again after contrast administration, allowing the radiologist to assess pelvic anatomy across both phases. It may be ordered to evaluate a pelvic mass, inflammatory or infectious process, or another abnormality when the clinician needs both noncontrast and enhanced images. A CT technologist performs the scan in a hospital or imaging center; a radiologist interprets the study and issues the report.
Report 72194 when the documented examination includes both noncontrast and contrast-enhanced pelvic acquisitions. A study performed in just one phase maps to the corresponding single-phase code. The order, protocol, and report should support the pelvic region examined and both phases, rather than a dedicated pelvic CT angiogram. CMS recognizes separate professional and technical components: report modifier 26 for interpretation, TC for equipment and staff, or neither for the global service. The diagnostic imaging multiple procedure reduction applies to both components.
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 Utah compares for 72194
- Utah · this pageUnavailable
- Los Angeles, CA · CaliforniaUnavailable
- Washington, DC area · District of ColumbiaUnavailable
- Miami, FL · FloridaUnavailable
- Chicago, IL · IllinoisUnavailable
- Manhattan, NY · New YorkUnavailable
- Alaska · AlaskaUnavailable
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
72194 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 72194 rate is calculated
Each of 72194’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 · 72194
RVUs × geographic indexes × conversion factor
Work1.19
1.19 RVUs× 1.000 GPCI
Practice expense6.22
6.22 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
7.5000
Conversion factor
$33.4009
Medicare rate
$250.51
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 72194
The CMS indicators that decide how 72194 is paid alongside other services.
CMS payment indicators · 72194
CT pelvis, without and with contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| 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
72194 without 26 · national office
$250.51
CT pelvis, without and with contrast
72194-26 · Professional component
$56.11
Pays only the interpretation and report.
How 72194 has changed in Utah
72194 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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, 2019
RVU19A
$249.51changed toNo rate
Held through RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2018
RVU18AR1
$247.64changed to$249.51
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 6.04 changed to 6.06
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$246.09changed to$247.64
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 6.03 changed to 6.04
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$245.56changed to$246.09
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 6.00 changed to 6.03
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$244.34changed to$245.56
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$259.96changed to$244.34
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 6.47 changed to 6.00
- Malpractice RVU 0.08 changed to 0.07
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$289.46changed to$259.96
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 7.86 changed to 6.47
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $289.46
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Additional calculation required | Not available in this setting | RVU26D |
| 2026-07-01 | Additional calculation required | Not available in this setting | RVU26C |
| 2026-04-01 | Additional calculation required | Not available in this setting | RVU26B |
| 2026-01-01 | Additional calculation required | Not available in this setting | RVU26A |
| 2025-10-01 | Additional calculation required | Not available in this setting | RVU25D |
| 2025-07-01 | Additional calculation required | Not available in this setting | RVU25C |
| 2025-04-01 | Additional calculation required | Not available in this setting | RVU25B |
| 2025-01-01 | Additional calculation required | Not available in this setting | RVU25A |
| 2024-10-01 | Additional calculation required | Not available in this setting | RVU24D |
| 2024-07-01 | Additional calculation required | Not available in this setting | RVU24C |
| 2024-04-01 | Additional calculation required | Not available in this setting | RVU24B |
| 2024-03-09 | Additional calculation required | Not available in this setting | RVU24AR |
| 2024-01-01 | Additional calculation required | Not available in this setting | RVU24A |
| 2023-10-01 | Additional calculation required | Not available in this setting | RVU23D |
| 2023-07-01 | Additional calculation required | Not available in this setting | RVU23C |
| 2023-04-01 | Additional calculation required | Not available in this setting | RVU23B |
| 2023-01-01 | Additional calculation required | Not available in this setting | RVU23A |
| 2022-10-01 | Additional calculation required | Not available in this setting | RVU22D |
| 2022-07-01 | Additional calculation required | Not available in this setting | RVU22C |
| 2022-04-01 | Additional calculation required | Not available in this setting | RVU22B |
| 2022-01-01 | Additional calculation required | Not available in this setting | RVU22A |
| 2021-10-01 | Additional calculation required | Not available in this setting | RVU21D |
| 2021-07-01 | Additional calculation required | Not available in this setting | RVU21C |
| 2021-04-01 | Additional calculation required | Not available in this setting | RVU21B |
| 2021-01-01 | Additional calculation required | Not available in this setting | RVU21A |
| 2020-10-01 | Additional calculation required | Not available in this setting | RVU20D |
| 2020-07-01 | Additional calculation required | Not available in this setting | RVU20C |
| 2020-04-01 | Additional calculation required | Not available in this setting | RVU20B |
| 2020-01-01 | Additional calculation required | Not available in this setting | RVU20A |
| 2019-10-01 | Additional calculation required | Not available in this setting | RVU19D |
| 2019-07-01 | Additional calculation required | Not available in this setting | RVU19C |
| 2019-04-01 | Additional calculation required | Not available in this setting | RVU19B |
| 2019-01-01 | Additional calculation required | Not available in this setting | RVU19A |
| 2018-10-01 | $249.51 | Not available in this setting | RVU18D |
| 2018-07-01 | $249.51 | Not available in this setting | RVU18C |
| 2018-04-01 | $249.51 | Not available in this setting | RVU18B |
| 2018-01-01 | $249.51 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $247.64 | Not available in this setting | RVU17D |
| 2017-07-01 | $247.64 | Not available in this setting | RVU17C |
| 2017-04-01 | $247.64 | Not available in this setting | RVU17B |
| 2017-01-01 | $247.64 | Not available in this setting | RVU17A |
| 2016-10-01 | $246.09 | Not available in this setting | RVU16D |
| 2016-07-01 | $246.09 | Not available in this setting | RVU16C |
| 2016-04-01 | $246.09 | Not available in this setting | RVU16B |
| 2016-01-01 | $246.09 | Not available in this setting | RVU16A |
| 2015-10-01 | $245.56 | Not available in this setting | RVU15D |
| 2015-07-01 | $245.56 | Not available in this setting | RVU15C |
| 2015-04-01 | $244.34 | Not available in this setting | RVU15B |
| 2015-01-01 | $244.34 | Not available in this setting | RVU15A |
| 2014-10-01 | $259.96 | Not available in this setting | RVU14D |
| 2014-07-01 | $259.96 | Not available in this setting | RVU14C |
| 2014-04-01 | $259.96 | Not available in this setting | RVU14B |
| 2014-01-01 | $259.96 | Not available in this setting | RVU14A |
| 2013-10-01 | $289.46 | Not available in this setting | RVU13D |
| 2013-07-01 | $289.46 | Not available in this setting | RVU13C |
| 2013-04-01 | $289.46 | Not available in this setting | RVU13B |
| 2013-01-01 | $289.46 | Not available in this setting | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
72194 billing questions
Does 72194 include the radiologist's interpretation?
Billing without a component modifier represents the global service, including the professional and technical components. Modifier 26 identifies interpretation; modifier TC identifies the technical component.
How does the multiple procedure reduction apply?
CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.
What documentation supports reporting 72194?
The record should support a pelvic CT performed in both phases, including the order, imaging protocol, and report. A single-phase study does not support this code.
Is 72194 the right code for a pelvic CT angiogram?
Not for a dedicated pelvic CT angiogram; 72191 describes that angiographic study. Code 72194 is for routine pelvic CT imaging acquired without and with contrast.
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
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