CPT code 74021: Abdominal X-ray, three or more views2026 Medicare rate & RVUs in Nebraska
Reports abdominal radiography using at least three views, often to assess abdominal pain, bowel gas patterns, suspected obstruction, or a radiopaque foreign body.
In Nebraska, Medicare pays $39.15 for 74021 in the office.
Check a contract rate as a % of Medicare · 74021 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 74021 covers
This service is an abdominal X-ray examination using three or more views to show the distribution of bowel gas and other radiopaque findings. It may be ordered for abdominal pain or suspected ileus or bowel obstruction, and can help evaluate a radiopaque foreign body. Radiologic technologists acquire the images; a physician, commonly a radiologist, interprets the study. It is performed in settings such as hospital imaging departments and outpatient radiology centers.
Select this code when the documented abdominal study includes at least three views; the number and types of views should support that selection. Report the study once rather than billing separately for each image. Documentation should identify the views obtained and support the clinical reason for imaging. CMS recognizes professional and technical components: modifier 26 represents the interpretation, modifier TC represents equipment and staff, and billing without either modifier represents the global service.
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 Nebraska compares for 74021
Across 109 of 109 payment localities, the office rate for 74021 runs from $37.15 in Arkansas to $57.20 in San Benito County, CA. Nebraska pays $39.15. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nebraska · this page$39.15
- Los Angeles, CA · California$48.21+$9.06
- Washington, DC area · District of Columbia$48.46+$9.31
- Miami, FL · Florida$44.45+$5.30
- Chicago, IL · Illinois$43.17+$4.02
- Manhattan, NY · New York$48.34+$9.19
- Alaska · Alaska$48.25+$9.10
Other areas in Nebraska first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $37.70 | — |
| ArkansasArkansas | $37.15 | — |
| ArizonaArizona | $40.97 | — |
| Bakersfield, CACalifornia | $45.13 | — |
| Chico, CACalifornia | $45.07 | — |
| El Centro, CACalifornia | $45.07 | — |
| Fresno, CACalifornia | $45.07 | — |
| Hanford, CACalifornia | $45.07 | — |
| Madera, CACalifornia | $45.07 | — |
| Merced, CACalifornia | $45.07 | — |
| Modesto, CACalifornia | $45.07 | — |
| Napa, CACalifornia | $52.71 | — |
| Oxnard, CACalifornia | $48.03 | — |
| Redding, CACalifornia | $45.07 | — |
| Rest of CaliforniaCalifornia | $45.07 | — |
| Riverside, CACalifornia | $45.29 | — |
| Sacramento, CACalifornia | $47.42 | — |
| Salinas, CACalifornia | $47.25 | — |
| San Diego, CACalifornia | $48.46 | — |
| Marin County, CACalifornia | $55.97 | — |
| San Francisco, CACalifornia | $55.95 | — |
| San Benito County, CACalifornia | $57.20 | — |
| Santa Clara County, CACalifornia | $57.11 | — |
| San Luis Obispo, CACalifornia | $46.47 | — |
| Santa Cruz, CACalifornia | $49.00 | — |
| Santa Maria, CACalifornia | $47.45 | — |
| Santa Rosa, CACalifornia | $49.50 | — |
| Stockton, CACalifornia | $45.07 | — |
| Vallejo, CACalifornia | $52.68 | — |
| Visalia, CACalifornia | $45.07 | — |
| Yuba City, CACalifornia | $45.07 | — |
| ColoradoColorado | $44.14 | — |
| ConnecticutConnecticut | $44.92 | — |
| DelawareDelaware | $41.67 | — |
| Fort Lauderdale, FLFlorida | $43.05 | — |
| Rest of FloridaFlorida | $40.98 | — |
| Atlanta, GAGeorgia | $42.77 | — |
| Rest of GeorgiaGeorgia | $38.68 | — |
| Hawaii, Guam, HIHawaii | $46.29 | — |
| IowaIowa | $38.90 | — |
| IdahoIdaho | $39.11 | — |
| East St. Louis, ILIllinois | $40.14 | — |
| Rest of IllinoisIllinois | $39.61 | — |
| Suburban Chicago, ILIllinois | $43.55 | — |
| IndianaIndiana | $39.35 | — |
| KansasKansas | $38.61 | — |
| KentuckyKentucky | $38.40 | — |
| New Orleans, LALouisiana | $40.24 | — |
| Rest of LouisianaLouisiana | $38.29 | — |
| Metropolitan Boston, MAMassachusetts | $48.72 | — |
| Rest of MassachusettsMassachusetts | $43.82 | — |
| Baltimore area, MDMaryland | $44.77 | — |
| Rest of MarylandMaryland | $42.51 | — |
| Rest of MaineMaine | $39.21 | — |
| Southern Maine, MEMaine | $41.54 | — |
| Detroit, MIMichigan | $41.40 | — |
| Rest of MichiganMichigan | $39.32 | — |
| MinnesotaMinnesota | $42.56 | — |
| Metropolitan Kansas City, MOMissouri | $40.07 | — |
| Metropolitan St. Louis, MOMissouri | $40.52 | — |
| Rest of MissouriMissouri | $37.55 | — |
| MississippiMississippi | $37.36 | — |
| MontanaMontana | $42.08 | — |
| North CarolinaNorth Carolina | $39.65 | — |
| North DakotaNorth Dakota | $41.69 | — |
| New HampshireNew Hampshire | $43.34 | — |
| Northern New JerseyNew Jersey | $47.91 | — |
| Rest of New JerseyNew Jersey | $45.51 | — |
| New MexicoNew Mexico | $39.50 | — |
| NevadaNevada | $42.01 | — |
| NYC suburbs and Long Island, NYNew York | $49.40 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $45.73 | — |
| Queens, NYNew York | $48.89 | — |
| Rest of New YorkNew York | $40.25 | — |
| OhioOhio | $39.24 | — |
| OklahomaOklahoma | $38.43 | — |
| Portland, OROregon | $45.69 | — |
| Rest of OregonOregon | $41.76 | — |
| Metropolitan Philadelphia, PAPennsylvania | $43.71 | — |
| Rest of PennsylvaniaPennsylvania | $39.36 | — |
| Puerto RicoPuerto Rico | $42.44 | — |
| Rhode IslandRhode Island | $43.26 | — |
| South CarolinaSouth Carolina | $39.50 | — |
| South DakotaSouth Dakota | $41.64 | — |
| TennesseeTennessee | $38.80 | — |
| Austin, TXTexas | $43.92 | — |
| Beaumont, TXTexas | $39.09 | — |
| Brazoria, TXTexas | $41.71 | — |
| Dallas, TXTexas | $41.94 | — |
| Fort Worth, TXTexas | $41.62 | — |
| Galveston, TXTexas | $41.81 | — |
| Houston, TXTexas | $42.18 | — |
| Rest of TexasTexas | $40.35 | — |
| UtahUtah | $40.05 | — |
| VirginiaVirginia | $41.33 | — |
| Virgin Islands, VIUnited States Virgin Islands | $42.44 | — |
| VermontVermont | $41.43 | — |
| Rest of WashingtonWashington | $43.77 | — |
| King County, WAWashington | $49.83 | — |
| WisconsinWisconsin | $40.25 | — |
| West VirginiaWest Virginia | $38.09 | — |
| WyomingWyoming | $41.91 | — |
74021 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.
$37.15
$51.14
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 | $48.25 | 1 |
| AL | $37.70 | 1 |
| AR | $37.15 | 1 |
| AZ | $40.97 | 1 |
| CA | $45.07–$57.20 | 29 |
| CO | $44.14 | 1 |
| CT | $44.92 | 1 |
| DC | $48.46 | 1 |
| DE | $41.67 | 1 |
| FL | $40.98–$44.45 | 3 |
| GA | $38.68–$42.77 | 2 |
| GU | $46.29 | 1 |
| HI | $46.29 | 1 |
| IA | $38.90 | 1 |
| ID | $39.11 | 1 |
| IL | $39.61–$43.55 | 4 |
| IN | $39.35 | 1 |
| KS | $38.61 | 1 |
| KY | $38.40 | 1 |
| LA | $38.29–$40.24 | 2 |
| MA | $43.82–$48.72 | 2 |
| MD | $42.51–$48.46 | 3 |
| ME | $39.21–$41.54 | 2 |
| MI | $39.32–$41.40 | 2 |
| MN | $42.56 | 1 |
| MO | $37.55–$40.52 | 3 |
| MS | $37.36 | 1 |
| MT | $42.08 | 1 |
| NC | $39.65 | 1 |
| ND | $41.69 | 1 |
| NE | $39.15 | 1 |
| NH | $43.34 | 1 |
| NJ | $45.51–$47.91 | 2 |
| NM | $39.50 | 1 |
| NV | $42.01 | 1 |
| NY | $40.25–$49.40 | 5 |
| OH | $39.24 | 1 |
| OK | $38.43 | 1 |
| OR | $41.76–$45.69 | 2 |
| PA | $39.36–$43.71 | 2 |
| PR | $42.44 | 1 |
| RI | $43.26 | 1 |
| SC | $39.50 | 1 |
| SD | $41.64 | 1 |
| TN | $38.80 | 1 |
| TX | $39.09–$43.92 | 8 |
| UT | $40.05 | 1 |
| VA | $41.33–$48.46 | 2 |
| VI | $42.44 | 1 |
| VT | $41.43 | 1 |
| WA | $43.77–$49.83 | 2 |
| WI | $40.25 | 1 |
| WV | $38.09 | 1 |
| WY | $41.91 | 1 |
How the 74021 rate is calculated
Each of 74021’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 · 74021
RVUs × geographic indexes × conversion factor
Work0.26
0.26 RVUs× 1.000 GPCI
Practice expense0.98
0.98 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.2600
Conversion factor
$33.4009
Medicare rate
$42.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nebraska inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,294
- Code
- 74021
- Physician work
- 0.26
- Practice expense
- 0.98
- Malpractice
- 0.02
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.26 | × 1.000 | 0.2600 |
| Practice expense | 0.98 | × 0.923 | 0.9045 |
| Malpractice | 0.02 | × 0.378 | 0.0076 |
| Total RVUs | 1.1721 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Nebraska$39.15
Office: (0.26 × 1 + 0.98 × 0.923 + 0.02 × 0.378) × $33.4009 = $39.15
Payment rules and modifiers for 74021
The CMS indicators that decide how 74021 is paid alongside other services.
CMS payment indicators · 74021
Abdominal X-ray, three or more views
| 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
74021 without 26 · national office
$42.09
Abdominal X-ray, three or more views
74021-26 · Professional component
$12.36
Pays only the interpretation and report.
How 74021 has changed in Nebraska
74021 · Office / nonfacility
$39.15
Effective 2026-10-01
The base rate is $0.85 higher than on 2025-10-01, moving from $38.30 to $39.15 (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
$38.30changed to$39.15
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.27 changed to 0.26
- Practice expense RVU 0.99 changed to 0.98
- Practice expense GPCI 0.917 changed to 0.923
- Malpractice GPCI 0.304 changed to 0.378
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$39.71changed to$38.30
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.00 changed to 0.99
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$39.07changed to$39.71
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$40.27changed to$39.07
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.913 changed to 0.917
- Malpractice GPCI 0.269 changed to 0.304
January 1, 2023
RVU23A
$40.93changed to$40.27
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.235 changed to 0.269
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$40.00changed to$40.93
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.96 changed to 1.00
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$38.81changed to$40.00
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.88 changed to 0.96
- Practice expense GPCI 0.909 changed to 0.908
- Malpractice GPCI 0.277 changed to 0.235
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$37.29changed to$38.81
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.83 changed to 0.88
- Malpractice RVU 0.03 changed to 0.02
- Practice expense GPCI 0.910 changed to 0.909
- Malpractice GPCI 0.318 changed to 0.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$36.27changed to$37.29
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.80 changed to 0.83
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$36.27
Held through RVU18B, RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $39.15 | Not available in this setting | RVU26D |
| 2026-07-01 | $39.15 | Not available in this setting | RVU26C |
| 2026-04-01 | $39.15 | Not available in this setting | RVU26B |
| 2026-01-01 | $39.15 | Not available in this setting | RVU26A |
| 2025-10-01 | $38.30 | Not available in this setting | RVU25D |
| 2025-07-01 | $38.30 | Not available in this setting | RVU25C |
| 2025-04-01 | $38.30 | Not available in this setting | RVU25B |
| 2025-01-01 | $38.30 | Not available in this setting | RVU25A |
| 2024-10-01 | $39.71 | Not available in this setting | RVU24D |
| 2024-07-01 | $39.71 | Not available in this setting | RVU24C |
| 2024-04-01 | $39.71 | Not available in this setting | RVU24B |
| 2024-03-09 | $39.71 | Not available in this setting | RVU24AR |
| 2024-01-01 | $39.07 | Not available in this setting | RVU24A |
| 2023-10-01 | $40.27 | Not available in this setting | RVU23D |
| 2023-07-01 | $40.27 | Not available in this setting | RVU23C |
| 2023-04-01 | $40.27 | Not available in this setting | RVU23B |
| 2023-01-01 | $40.27 | Not available in this setting | RVU23A |
| 2022-10-01 | $40.93 | Not available in this setting | RVU22D |
| 2022-07-01 | $40.93 | Not available in this setting | RVU22C |
| 2022-04-01 | $40.93 | Not available in this setting | RVU22B |
| 2022-01-01 | $40.93 | Not available in this setting | RVU22A |
| 2021-10-01 | $40.00 | Not available in this setting | RVU21D |
| 2021-07-01 | $40.00 | Not available in this setting | RVU21C |
| 2021-04-01 | $40.00 | Not available in this setting | RVU21B |
| 2021-01-01 | $40.00 | Not available in this setting | RVU21A |
| 2020-10-01 | $38.81 | Not available in this setting | RVU20D |
| 2020-07-01 | $38.81 | Not available in this setting | RVU20C |
| 2020-04-01 | $38.81 | Not available in this setting | RVU20B |
| 2020-01-01 | $38.81 | Not available in this setting | RVU20A |
| 2019-10-01 | $37.29 | Not available in this setting | RVU19D |
| 2019-07-01 | $37.29 | Not available in this setting | RVU19C |
| 2019-04-01 | $37.29 | Not available in this setting | RVU19B |
| 2019-01-01 | $37.29 | Not available in this setting | RVU19A |
| 2018-10-01 | $36.27 | Not available in this setting | RVU18D |
| 2018-07-01 | $36.27 | Not available in this setting | RVU18C |
| 2018-04-01 | $36.27 | Not available in this setting | RVU18B |
| 2018-01-01 | $36.27 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Nebraska rate applies
Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.
- Abie
- Adams
- Agnew
- Ainsworth
- Albion
- Alda
- Alexandria
- Allen
74021 billing questions
Does each abdominal view generate a separate unit?
No. Report the radiographic study, not a separate unit for every image; the record should support the number and types of views.
How are the professional and technical portions billed?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
How does 74021 differ from an acute abdomen series?
74021 represents an abdominal study with at least three views. The acute abdomen series code, 74022, includes chest imaging as part of the series.
What documentation supports reporting 74021?
The imaging record should identify at least three abdominal views, and the report should document the findings and interpretation. The order or clinical record should support the reason for the 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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