CPT code 74170: Abdominal CT, without and with contrast2026 Medicare rate & RVUs in Washington, DC area
Reports an abdominal CT with images acquired before and after contrast when both phases are needed to evaluate an abdominal organ or lesion.
CMS doesn’t publish a rate for 74170 in Washington, DC area.
Check a contract rate as a % of Medicare · 74170 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 74170 covers
This examination combines unenhanced abdominal CT images with additional images after contrast administration. The unenhanced phase provides a baseline for comparison with contrast enhancement, which can help characterize findings such as an abdominal organ lesion. A radiologic technologist typically performs the scan in a hospital or outpatient imaging center, and a radiologist interprets the images.
Select this code when the documented study covers the abdomen and includes both phases; a single-phase examination belongs to a different code. The order and report should support why both phases were obtained and identify the anatomy imaged. The physician may report the interpretation with modifier 26, the imaging site may report equipment and staff with modifier TC, or the global service may be billed without a component modifier. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components when applicable.
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 Washington, DC area compares for 74170
- Washington, DC area · this pageUnavailable
- Los Angeles, CA · CaliforniaUnavailable
- Miami, FL · FloridaUnavailable
- Chicago, IL · IllinoisUnavailable
- Manhattan, NY · New YorkUnavailable
- Alaska · AlaskaUnavailable
- Alabama · AlabamaUnavailable
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
74170 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 74170 rate is calculated
Each of 74170’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 · 74170
RVUs × geographic indexes × conversion factor
Work1.37
1.37 RVUs× 1.000 GPCI
Practice expense6.29
6.29 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
7.7500
Conversion factor
$33.4009
Medicare rate
$258.86
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 74170
The CMS indicators that decide how 74170 is paid alongside other services.
CMS payment indicators · 74170
Abdominal CT, 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
74170 without 26 · national office
$258.86
Abdominal CT, without and with contrast
74170-26 · Professional component
$64.13
Pays only the interpretation and report.
How 74170 has changed in Washington, DC area
74170 · 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
$314.43changed 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
$312.78changed to$314.43
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.92 changed to 5.94
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$310.93changed to$312.78
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.89 changed to 5.92
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$310.72changed to$310.93
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 5.87 changed to 5.89
- Malpractice RVU 0.08 changed to 0.09
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$309.18changed to$310.72
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$329.11changed to$309.18
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 6.33 changed to 5.87
- Malpractice RVU 0.09 changed to 0.08
- Work GPCI 1.050 changed to 1.051
- Practice expense GPCI 1.202 changed to 1.205
- Malpractice GPCI 1.205 changed to 1.280
Held through RVU15B.
January 1, 2014
RVU14A
$382.76changed to$329.11
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 8.08 changed to 6.33
- Work GPCI 1.049 changed to 1.050
- Practice expense GPCI 1.198 changed to 1.202
- Malpractice GPCI 1.130 changed to 1.205
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $382.76
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 | $314.43 | Not available in this setting | RVU18D |
| 2018-07-01 | $314.43 | Not available in this setting | RVU18C |
| 2018-04-01 | $314.43 | Not available in this setting | RVU18B |
| 2018-01-01 | $314.43 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $312.78 | Not available in this setting | RVU17D |
| 2017-07-01 | $312.78 | Not available in this setting | RVU17C |
| 2017-04-01 | $312.78 | Not available in this setting | RVU17B |
| 2017-01-01 | $312.78 | Not available in this setting | RVU17A |
| 2016-10-01 | $310.93 | Not available in this setting | RVU16D |
| 2016-07-01 | $310.93 | Not available in this setting | RVU16C |
| 2016-04-01 | $310.93 | Not available in this setting | RVU16B |
| 2016-01-01 | $310.93 | Not available in this setting | RVU16A |
| 2015-10-01 | $310.72 | Not available in this setting | RVU15D |
| 2015-07-01 | $310.72 | Not available in this setting | RVU15C |
| 2015-04-01 | $309.18 | Not available in this setting | RVU15B |
| 2015-01-01 | $309.18 | Not available in this setting | RVU15A |
| 2014-10-01 | $329.11 | Not available in this setting | RVU14D |
| 2014-07-01 | $329.11 | Not available in this setting | RVU14C |
| 2014-04-01 | $329.11 | Not available in this setting | RVU14B |
| 2014-01-01 | $329.11 | Not available in this setting | RVU14A |
| 2013-10-01 | $382.76 | Not available in this setting | RVU13D |
| 2013-07-01 | $382.76 | Not available in this setting | RVU13C |
| 2013-04-01 | $382.76 | Not available in this setting | RVU13B |
| 2013-01-01 | $382.76 | Not available in this setting | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
74170 billing questions
How does this differ from 74150 or 74160?
74150 describes an abdominal CT without contrast only, while 74160 describes one with contrast only. Use 74170 when the examination includes both unenhanced and post-contrast imaging.
Can 74150 and 74160 be reported separately for the same scan?
When the abdominal examination includes both phases, report 74170 rather than separately reporting the single-phase codes for that same study.
Which component modifier should the claim use?
Use modifier 26 for the physician's interpretation or TC for the technical service. A claim without either modifier represents the global service.
What documentation supports reporting both phases?
The order and imaging report should establish that the abdomen was examined before and after contrast and support the need for both phases.
How does the multiple procedure reduction affect this code?
When the applicable diagnostic imaging multiple procedure reduction is triggered, CMS applies it to both the technical and professional components.
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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