CPT code 74174: CTA abdomen/pelvis, with contrast2026 Medicare rate & RVUs in Puerto Rico
CTA of the abdomen and pelvis with contrast evaluates arterial anatomy for suspected vascular disease, aneurysm, dissection, or treatment planning.
In Puerto Rico, Medicare pays $381.66 for 74174 in the office.
Check a contract rate as a % of Medicare · 74174 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 74174 covers
This study uses CT acquisition timed to intravenous contrast to show abdominal and pelvic arteries in cross-sectional detail. Image data may be reconstructed into vascular views to assess aneurysm, dissection, narrowing, blockage, or anatomy before or after vascular treatment. Radiologists interpret the examination, commonly ordered by vascular surgeons, emergency clinicians, and other treating physicians when a vascular question involves both regions. Settings include hospital imaging departments and freestanding imaging centers.
Choose 74174 when the CTA examination includes both abdomen and pelvis; 74175 is the abdomen-only counterpart. The order and report should support the vascular indication and anatomic coverage, contrast-enhanced acquisition, and interpretation. Bill the complete service when one entity furnishes acquisition and interpretation; use modifier 26 for the professional interpretation or TC for technical performance when those components are billed separately. CMS diagnostic imaging multiple-procedure reduction applies to both technical and professional components when it applies to multiple procedures.
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 Puerto Rico compares for 74174
Across 109 of 109 payment localities, the office rate for 74174 runs from $333.25 in Arkansas to $516.71 in San Benito County, CA. Puerto Rico pays $381.66. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$381.66
- Los Angeles, CA · California$434.54+$52.88
- Washington, DC area · District of Columbia$436.52+$54.86
- Miami, FL · Florida$399.45+$17.79
- Chicago, IL · Illinois$387.79+$6.13
- Manhattan, NY · New York$435.11+$53.45
- Alaska · Alaska$431.35+$49.69
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $338.35 | — |
| ArkansasArkansas | $333.25 | — |
| ArizonaArizona | $368.29 | — |
| Bakersfield, CACalifornia | $406.47 | — |
| Chico, CACalifornia | $405.91 | — |
| El Centro, CACalifornia | $405.94 | — |
| Fresno, CACalifornia | $405.91 | — |
| Hanford, CACalifornia | $405.91 | — |
| Madera, CACalifornia | $405.91 | — |
| Merced, CACalifornia | $405.91 | — |
| Modesto, CACalifornia | $405.91 | — |
| Napa, CACalifornia | $475.86 | — |
| Oxnard, CACalifornia | $433.07 | — |
| Redding, CACalifornia | $405.91 | — |
| Rest of CaliforniaCalifornia | $405.91 | — |
| Riverside, CACalifornia | $407.78 | — |
| Sacramento, CACalifornia | $427.44 | — |
| Salinas, CACalifornia | $425.87 | — |
| San Diego, CACalifornia | $436.97 | — |
| Marin County, CACalifornia | $505.57 | — |
| San Francisco, CACalifornia | $505.38 | — |
| San Benito County, CACalifornia | $516.71 | — |
| Santa Clara County, CACalifornia | $515.92 | — |
| San Luis Obispo, CACalifornia | $418.85 | — |
| Santa Cruz, CACalifornia | $442.01 | — |
| Santa Maria, CACalifornia | $427.76 | — |
| Santa Rosa, CACalifornia | $446.57 | — |
| Stockton, CACalifornia | $405.91 | — |
| Vallejo, CACalifornia | $475.58 | — |
| Visalia, CACalifornia | $405.91 | — |
| Yuba City, CACalifornia | $405.91 | — |
| ColoradoColorado | $397.31 | — |
| ConnecticutConnecticut | $404.23 | — |
| DelawareDelaware | $374.61 | — |
| Fort Lauderdale, FLFlorida | $386.93 | — |
| Rest of FloridaFlorida | $368.05 | — |
| Atlanta, GAGeorgia | $384.60 | — |
| Rest of GeorgiaGeorgia | $347.02 | — |
| Hawaii, Guam, HIHawaii | $417.27 | — |
| IowaIowa | $349.43 | — |
| IdahoIdaho | $351.36 | — |
| East St. Louis, ILIllinois | $360.11 | — |
| Rest of IllinoisIllinois | $355.45 | — |
| Suburban Chicago, ILIllinois | $391.44 | — |
| IndianaIndiana | $353.54 | — |
| KansasKansas | $346.73 | — |
| KentuckyKentucky | $344.54 | — |
| New Orleans, LALouisiana | $361.45 | — |
| Rest of LouisianaLouisiana | $343.59 | — |
| Metropolitan Boston, MAMassachusetts | $439.13 | — |
| Rest of MassachusettsMassachusetts | $394.38 | — |
| Baltimore area, MDMaryland | $402.90 | — |
| Rest of MarylandMaryland | $382.30 | — |
| Rest of MaineMaine | $352.21 | — |
| Southern Maine, MEMaine | $373.63 | — |
| Detroit, MIMichigan | $371.79 | — |
| Rest of MichiganMichigan | $352.98 | — |
| MinnesotaMinnesota | $383.16 | — |
| Metropolitan Kansas City, MOMissouri | $359.94 | — |
| Metropolitan St. Louis, MOMissouri | $364.00 | — |
| Rest of MissouriMissouri | $336.75 | — |
| MississippiMississippi | $335.12 | — |
| MontanaMontana | $378.42 | — |
| North CarolinaNorth Carolina | $356.22 | — |
| North DakotaNorth Dakota | $375.06 | — |
| NebraskaNebraska | $351.73 | — |
| New HampshireNew Hampshire | $390.06 | — |
| Northern New JerseyNew Jersey | $431.49 | — |
| Rest of New JerseyNew Jersey | $409.54 | — |
| New MexicoNew Mexico | $354.60 | — |
| NevadaNevada | $377.78 | — |
| NYC suburbs and Long Island, NYNew York | $444.77 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $411.45 | — |
| Queens, NYNew York | $440.31 | — |
| Rest of New YorkNew York | $361.70 | — |
| OhioOhio | $352.30 | — |
| OklahomaOklahoma | $344.97 | — |
| Portland, OROregon | $411.53 | — |
| Rest of OregonOregon | $375.54 | — |
| Metropolitan Philadelphia, PAPennsylvania | $393.16 | — |
| Rest of PennsylvaniaPennsylvania | $353.44 | — |
| Rhode IslandRhode Island | $389.11 | — |
| South CarolinaSouth Carolina | $354.71 | — |
| South DakotaSouth Dakota | $374.66 | — |
| TennesseeTennessee | $348.42 | — |
| Austin, TXTexas | $395.38 | — |
| Beaumont, TXTexas | $350.94 | — |
| Brazoria, TXTexas | $375.05 | — |
| Dallas, TXTexas | $377.07 | — |
| Fort Worth, TXTexas | $374.13 | — |
| Galveston, TXTexas | $375.92 | — |
| Houston, TXTexas | $379.04 | — |
| Rest of TexasTexas | $362.53 | — |
| UtahUtah | $359.80 | — |
| VirginiaVirginia | $371.65 | — |
| Virgin Islands, VIUnited States Virgin Islands | $381.66 | — |
| VermontVermont | $372.62 | — |
| Rest of WashingtonWashington | $393.96 | — |
| King County, WAWashington | $449.30 | — |
| WisconsinWisconsin | $361.86 | — |
| West VirginiaWest Virginia | $341.46 | — |
| WyomingWyoming | $376.96 | — |
74174 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.
$333.25
$461.31
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 | $431.35 | 1 |
| AL | $338.35 | 1 |
| AR | $333.25 | 1 |
| AZ | $368.29 | 1 |
| CA | $405.91–$516.71 | 29 |
| CO | $397.31 | 1 |
| CT | $404.23 | 1 |
| DC | $436.52 | 1 |
| DE | $374.61 | 1 |
| FL | $368.05–$399.45 | 3 |
| GA | $347.02–$384.60 | 2 |
| GU | $417.27 | 1 |
| HI | $417.27 | 1 |
| IA | $349.43 | 1 |
| ID | $351.36 | 1 |
| IL | $355.45–$391.44 | 4 |
| IN | $353.54 | 1 |
| KS | $346.73 | 1 |
| KY | $344.54 | 1 |
| LA | $343.59–$361.45 | 2 |
| MA | $394.38–$439.13 | 2 |
| MD | $382.30–$436.52 | 3 |
| ME | $352.21–$373.63 | 2 |
| MI | $352.98–$371.79 | 2 |
| MN | $383.16 | 1 |
| MO | $336.75–$364.00 | 3 |
| MS | $335.12 | 1 |
| MT | $378.42 | 1 |
| NC | $356.22 | 1 |
| ND | $375.06 | 1 |
| NE | $351.73 | 1 |
| NH | $390.06 | 1 |
| NJ | $409.54–$431.49 | 2 |
| NM | $354.60 | 1 |
| NV | $377.78 | 1 |
| NY | $361.70–$444.77 | 5 |
| OH | $352.30 | 1 |
| OK | $344.97 | 1 |
| OR | $375.54–$411.53 | 2 |
| PA | $353.44–$393.16 | 2 |
| PR | $381.66 | 1 |
| RI | $389.11 | 1 |
| SC | $354.71 | 1 |
| SD | $374.66 | 1 |
| TN | $348.42 | 1 |
| TX | $350.94–$395.38 | 8 |
| UT | $359.80 | 1 |
| VA | $371.65–$436.52 | 2 |
| VI | $381.66 | 1 |
| VT | $372.62 | 1 |
| WA | $393.96–$449.30 | 2 |
| WI | $361.86 | 1 |
| WV | $341.46 | 1 |
| WY | $376.96 | 1 |
How the 74174 rate is calculated
Each of 74174’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 · 74174
RVUs × geographic indexes × conversion factor
Work2.15
2.15 RVUs× 1.000 GPCI
Practice expense9.01
9.01 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
11.3300
Conversion factor
$33.4009
Medicare rate
$378.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,309
- Code
- 74174
- Physician work
- 2.15
- Practice expense
- 9.01
- Malpractice
- 0.17
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.15 | × 1.000 | 2.1500 |
| Practice expense | 9.01 | × 1.011 | 9.1091 |
| Malpractice | 0.17 | × 0.985 | 0.1675 |
| Total RVUs | 11.4266 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$381.66
Office: (2.15 × 1 + 9.01 × 1.011 + 0.17 × 0.985) × $33.4009 = $381.66
Payment rules and modifiers for 74174
The CMS indicators that decide how 74174 is paid alongside other services.
CMS payment indicators · 74174
CTA abdomen/pelvis, 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
74174 without 26 · national office
$378.43
CTA abdomen/pelvis, with contrast
74174-26 · Professional component
$100.87
Pays only the interpretation and report.
How 74174 has changed in Puerto Rico
74174 · Office / nonfacility
$381.66
Effective 2026-10-01
The base rate is $5.43 higher than on 2025-10-01, moving from $376.23 to $381.66 (1.4%).
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
$376.23changed to$381.66
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.20 changed to 2.15
- Practice expense RVU 9.20 changed to 9.01
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$391.88changed to$376.23
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.35 changed to 9.20
- Malpractice RVU 0.16 changed to 0.17
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$385.48changed to$391.88
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$404.39changed to$385.48
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.50 changed to 9.35
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$401.90changed to$404.39
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$415.43changed to$401.90
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 9.58 changed to 9.50
- Malpractice RVU 0.15 changed to 0.16
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$420.99changed to$415.43
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 9.64 changed to 9.58
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$413.98changed to$420.99
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 9.06 changed to 9.64
- Malpractice RVU 0.14 changed to 0.15
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$404.36changed to$413.98
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 8.81 changed to 9.06
- Malpractice RVU 0.15 changed to 0.14
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$404.36
Held through RVU19B, RVU19C, RVU19D.
January 1, 2017
RVU17A
$296.92changed toNo rate
Held through RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
January 1, 2016
RVU16A
$297.19changed to$296.92
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 8.54 changed to 8.58
- Malpractice RVU 0.17 changed to 0.15
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$295.71changed to$297.19
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$295.71
Held through RVU15B.
January 1, 2014
RVU14A
$365.62changed toNo rate
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $365.62
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $381.66 | Not available in this setting | RVU26D |
| 2026-07-01 | $381.66 | Not available in this setting | RVU26C |
| 2026-04-01 | $381.66 | Not available in this setting | RVU26B |
| 2026-01-01 | $381.66 | Not available in this setting | RVU26A |
| 2025-10-01 | $376.23 | Not available in this setting | RVU25D |
| 2025-07-01 | $376.23 | Not available in this setting | RVU25C |
| 2025-04-01 | $376.23 | Not available in this setting | RVU25B |
| 2025-01-01 | $376.23 | Not available in this setting | RVU25A |
| 2024-10-01 | $391.88 | Not available in this setting | RVU24D |
| 2024-07-01 | $391.88 | Not available in this setting | RVU24C |
| 2024-04-01 | $391.88 | Not available in this setting | RVU24B |
| 2024-03-09 | $391.88 | Not available in this setting | RVU24AR |
| 2024-01-01 | $385.48 | Not available in this setting | RVU24A |
| 2023-10-01 | $404.39 | Not available in this setting | RVU23D |
| 2023-07-01 | $401.90 | Not available in this setting | RVU23C |
| 2023-04-01 | $401.90 | Not available in this setting | RVU23B |
| 2023-01-01 | $401.90 | Not available in this setting | RVU23A |
| 2022-10-01 | $415.43 | Not available in this setting | RVU22D |
| 2022-07-01 | $415.43 | Not available in this setting | RVU22C |
| 2022-04-01 | $415.43 | Not available in this setting | RVU22B |
| 2022-01-01 | $415.43 | Not available in this setting | RVU22A |
| 2021-10-01 | $420.99 | Not available in this setting | RVU21D |
| 2021-07-01 | $420.99 | Not available in this setting | RVU21C |
| 2021-04-01 | $420.99 | Not available in this setting | RVU21B |
| 2021-01-01 | $420.99 | Not available in this setting | RVU21A |
| 2020-10-01 | $413.98 | Not available in this setting | RVU20D |
| 2020-07-01 | $413.98 | Not available in this setting | RVU20C |
| 2020-04-01 | $413.98 | Not available in this setting | RVU20B |
| 2020-01-01 | $413.98 | Not available in this setting | RVU20A |
| 2019-10-01 | $404.36 | Not available in this setting | RVU19D |
| 2019-07-01 | $404.36 | Not available in this setting | RVU19C |
| 2019-04-01 | $404.36 | Not available in this setting | RVU19B |
| 2019-01-01 | $404.36 | Not available in this setting | RVU19A |
| 2018-10-01 | Additional calculation required | Not available in this setting | RVU18D |
| 2018-07-01 | Additional calculation required | Not available in this setting | RVU18C |
| 2018-04-01 | Additional calculation required | Not available in this setting | RVU18B |
| 2018-01-01 | Additional calculation required | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Additional calculation required | Not available in this setting | RVU17D |
| 2017-07-01 | Additional calculation required | Not available in this setting | RVU17C |
| 2017-04-01 | Additional calculation required | Not available in this setting | RVU17B |
| 2017-01-01 | Additional calculation required | Not available in this setting | RVU17A |
| 2016-10-01 | $296.92 | Not available in this setting | RVU16D |
| 2016-07-01 | $296.92 | Not available in this setting | RVU16C |
| 2016-04-01 | $296.92 | Not available in this setting | RVU16B |
| 2016-01-01 | $296.92 | Not available in this setting | RVU16A |
| 2015-10-01 | $297.19 | Not available in this setting | RVU15D |
| 2015-07-01 | $297.19 | Not available in this setting | RVU15C |
| 2015-04-01 | $295.71 | Not available in this setting | RVU15B |
| 2015-01-01 | $295.71 | Not available in this setting | RVU15A |
| 2014-10-01 | Additional calculation required | Not available in this setting | RVU14D |
| 2014-07-01 | Additional calculation required | Not available in this setting | RVU14C |
| 2014-04-01 | Additional calculation required | Not available in this setting | RVU14B |
| 2014-01-01 | Additional calculation required | Not available in this setting | RVU14A |
| 2013-10-01 | $365.62 | Not available in this setting | RVU13D |
| 2013-07-01 | $365.62 | Not available in this setting | RVU13C |
| 2013-04-01 | $365.62 | Not available in this setting | RVU13B |
| 2013-01-01 | $365.62 | Not available in this setting | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
74174 billing questions
When should 74174 be used instead of 74175?
Use 74174 when the CTA covers both the abdomen and pelvis. Use 74175 when the vascular imaging is limited to the abdomen.
Does 74174 include image acquisition and interpretation?
The global service includes both. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical component when billed separately.
Can 74175 also be reported for the abdominal portion?
Do not report 74175 separately to represent the abdominal portion of the same CTA that covers both abdomen and pelvis.
How does the multiple-procedure reduction affect this code?
When the diagnostic imaging multiple-procedure reduction applies, CMS applies it to both the technical and professional components.
What documentation supports reporting 74174?
The record should establish the vascular indication, that the CTA covered both abdominal and pelvic regions, use of contrast, and the interpreting physician's findings.
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
Fee sheets
Put 74174 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet