CPT code 74176: CT abdomen and pelvis, without contrast2026 Medicare rate & RVUs in South Dakota

Single combined CT exam of the abdomen and pelvis performed without intravenous contrast, commonly ordered for suspected kidney stones, flank pain, or contrast intolerance.

CMS RVU26DEffective Oct 1, 2026One payment locality2M Medicare services in 2024

In South Dakota, Medicare pays $180.60 for 74176 in the office.

$180.60Office (non-facility)
Not available in this settingHospital or facility
−1.3%vs the national office rate ($183.04)

Check a contract rate as a % of Medicare · 74176 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 74176 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 74176 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 74176 covers

This noncontrast CT images both the abdomen and pelvis, usually from the lung bases through the pubic symphysis. A common use is a renal stone protocol for flank pain or hematuria. It may also be ordered when IV contrast is avoided because of severe kidney impairment or a prior contrast reaction, including evaluation for free air, hemorrhage, or bowel obstruction. Technologists acquire the images in emergency departments, hospital imaging departments, or freestanding centers; a radiologist interprets the study.

Report 74176 once when both regions are imaged without IV contrast, rather than billing separate abdomen and pelvis CT codes. Oral or rectal contrast alone does not change the study to a with-contrast CT. The global code includes image acquisition and interpretation; modifier 26 identifies interpretation alone, and modifier TC identifies the technical portion when separately billed under the physician fee schedule. CMS diagnostic imaging multiple-procedure reduction can affect both components when eligible imaging studies are furnished together; the professional reduction depends on the same physician interpreting the studies in the same session. Documentation should identify both regions, IV contrast status, the indication, and findings.

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 South Dakota compares for 74176

Across 109 of 109 payment localities, the office rate for 74176 runs from $163.97 in Arkansas to $241.76 in San Benito County, CA. South Dakota pays $180.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

74176 in South Dakota vs other payment areas
  1. South Dakota · this page$180.60
  2. Los Angeles, CA · California$206.56+$25.96
  3. Washington, DC area · District of Columbia$208.34+$27.74
  4. Miami, FL · Florida$193.68+$13.08
  5. Chicago, IL · Illinois$188.81+$8.21
  6. Manhattan, NY · New York$208.68+$28.08
  7. Alaska · Alaska$217.75+$37.15

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

74176 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$166.12—
ArkansasArkansas$163.97—
ArizonaArizona$178.71—
Bakersfield, CACalifornia$194.45—
Chico, CACalifornia$194.07—
El Centro, CACalifornia$194.08—
Fresno, CACalifornia$194.07—
Hanford, CACalifornia$194.07—

74176 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.

$163.97

$217.92

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
74176 office rate range by state
State / territoryOffice rate rangeLocalities
AK$217.751
AL$166.121
AR$163.971
AZ$178.711
CA$194.07–$241.7629
CO$190.761
CT$194.381
DC$208.341
DE$181.481
FL$179.49–$193.683
GA$170.50–$185.912
GU$198.281
HI$198.281
IA$170.401
ID$171.291
IL$174.44–$189.584
IN$172.201
KS$169.451
KY$169.121
LA$168.79–$176.302
MA$189.70–$208.742
MD$184.77–$208.343
ME$171.84–$180.582
MI$172.85–$181.272
MN$184.011
MO$166.03–$177.163
MS$165.041
MT$183.031
NC$173.501
ND$180.851
NE$171.311
NH$187.601
NJ$196.94–$206.482
NM$173.601
NV$182.551
NY$175.82–$212.995
OH$172.401
OK$169.101
OR$181.46–$196.612
PA$172.78–$189.792
PR$184.331
RI$187.761
SC$173.171
SD$180.601
TN$170.181
TX$171.74–$189.848
UT$175.311
VA$179.87–$208.342
VI$184.331
VT$180.001
WA$189.39–$213.032
WI$175.351
WV$168.561
WY$182.081

See 74176 in every payment locality

How the 74176 rate is calculated

Each of 74176’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 · 74176

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.70

1.70 RVUs× 1.000 GPCI

Practice expense3.67

3.67 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

5.4800

Conversion factor

$33.4009

Medicare rate

$183.04

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,315

Code
74176
Physician work
1.70
Practice expense
3.67
Malpractice
0.11

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 74176 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.70× 1.0001.7000
Practice expense3.67× 1.0003.6700
Malpractice0.11× 0.3360.0370
Total RVUs5.4070
Conversion factor× 33.4009

Office rate, South Dakota$180.60

Office: (1.7 × 1 + 3.67 × 1 + 0.11 × 0.336) × $33.4009 = $180.60

Open 74176 in the RVU calculator

Payment rules and modifiers for 74176

The CMS indicators that decide how 74176 is paid alongside other services.

CMS payment indicators · 74176

CT abdomen and pelvis, without contrast

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)9The concept doesn’t apply.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

74176 without 26 · national office

$183.04

CT abdomen and pelvis, without contrast

74176-26 · Professional component

$79.83

Pays only the interpretation and report.

When to use modifier 26

How 74176 has changed in South Dakota

74176 · Office / nonfacility

$180.60

Effective 2026-10-01

The base rate is $1.78 higher than on 2025-10-01, moving from $178.82 to $180.60 (1.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $178.82changed to$180.60

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.74 changed to 1.70
    • Practice expense RVU 3.75 changed to 3.67
    • Malpractice RVU 0.10 changed to 0.11
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $185.15changed to$178.82

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.78 changed to 3.75
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $182.12changed to$185.15

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $189.89changed to$182.12

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.82 changed to 3.78
    • Malpractice RVU 0.12 changed to 0.11
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $193.61changed to$189.89

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.10 changed to 0.12
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $198.36changed to$193.61

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.91 changed to 3.82

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $200.90changed to$198.36

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.79 changed to 3.91
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $201.20changed to$200.90

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.80 changed to 3.79
    • Malpractice RVU 0.11 changed to 0.10
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $202.06changed to$201.20

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.83 changed to 3.80

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $201.46changed to$202.06

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $199.57changed to$201.46

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.79 changed to 3.83
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $199.57changed to$199.57

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.77 changed to 3.79

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $198.58changed to$199.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $216.58changed to$198.58

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.26 changed to 3.77
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $230.25changed to$216.58

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.98 changed to 4.26
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $230.25

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$180.60Not available in this settingRVU26D
2026-07-01$180.60Not available in this settingRVU26C
2026-04-01$180.60Not available in this settingRVU26B
2026-01-01$180.60Not available in this settingRVU26A
2025-10-01$178.82Not available in this settingRVU25D
2025-07-01$178.82Not available in this settingRVU25C
2025-04-01$178.82Not available in this settingRVU25B
2025-01-01$178.82Not available in this settingRVU25A
2024-10-01$185.15Not available in this settingRVU24D
2024-07-01$185.15Not available in this settingRVU24C
2024-04-01$185.15Not available in this settingRVU24B
2024-03-09$185.15Not available in this settingRVU24AR
2024-01-01$182.12Not available in this settingRVU24A
2023-10-01$189.89Not available in this settingRVU23D
2023-07-01$189.89Not available in this settingRVU23C
2023-04-01$189.89Not available in this settingRVU23B
2023-01-01$189.89Not available in this settingRVU23A
2022-10-01$193.61Not available in this settingRVU22D
2022-07-01$193.61Not available in this settingRVU22C
2022-04-01$193.61Not available in this settingRVU22B
2022-01-01$193.61Not available in this settingRVU22A
2021-10-01$198.36Not available in this settingRVU21D
2021-07-01$198.36Not available in this settingRVU21C
2021-04-01$198.36Not available in this settingRVU21B
2021-01-01$198.36Not available in this settingRVU21A
2020-10-01$200.90Not available in this settingRVU20D
2020-07-01$200.90Not available in this settingRVU20C
2020-04-01$200.90Not available in this settingRVU20B
2020-01-01$200.90Not available in this settingRVU20A
2019-10-01$201.20Not available in this settingRVU19D
2019-07-01$201.20Not available in this settingRVU19C
2019-04-01$201.20Not available in this settingRVU19B
2019-01-01$201.20Not available in this settingRVU19A
2018-10-01$202.06Not available in this settingRVU18D
2018-07-01$202.06Not available in this settingRVU18C
2018-04-01$202.06Not available in this settingRVU18B
2018-01-01$202.06Not available in this settingRVU18AR1
2017-10-01$201.46Not available in this settingRVU17D
2017-07-01$201.46Not available in this settingRVU17C
2017-04-01$201.46Not available in this settingRVU17B
2017-01-01$201.46Not available in this settingRVU17A
2016-10-01$199.57Not available in this settingRVU16D
2016-07-01$199.57Not available in this settingRVU16C
2016-04-01$199.57Not available in this settingRVU16B
2016-01-01$199.57Not available in this settingRVU16A
2015-10-01$199.57Not available in this settingRVU15D
2015-07-01$199.57Not available in this settingRVU15C
2015-04-01$198.58Not available in this settingRVU15B
2015-01-01$198.58Not available in this settingRVU15A
2014-10-01$216.58Not available in this settingRVU14D
2014-07-01$216.58Not available in this settingRVU14C
2014-04-01$216.58Not available in this settingRVU14B
2014-01-01$216.58Not available in this settingRVU14A
2013-10-01$230.25Not available in this settingRVU13D
2013-07-01$230.25Not available in this settingRVU13C
2013-04-01$230.25Not available in this settingRVU13B
2013-01-01$230.25Not available in this settingRVU13AR

Price 74176 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

74176 billing questions

Can CT abdomen without contrast and CT pelvis without contrast be billed separately when both are scanned?

No. When both regions are imaged without IV contrast at the same session, report the combined code once instead of 74150 plus 72192.

If the patient drank oral contrast, should a with-contrast code be used?

No. Contrast status in CT coding refers to intravascular contrast. Oral or rectal contrast alone is still reported with this without-contrast code.

What if the abdomen and pelvis were scanned without contrast and then repeated after IV contrast?

Report 74178, which covers noncontrast imaging followed by contrast imaging in one or both regions, rather than 74176 plus 74177.

Which modifier does a radiologist use when reading a hospital CT?

Append modifier 26 for interpretation alone. An entity billing only the technical portion under the physician fee schedule uses modifier TC; bill the global code without a modifier when the same billing entity furnishes both components.

How does the multiple-procedure reduction affect a chest and abdomen-pelvis CT done together?

For eligible services billed under the physician fee schedule, CMS reduces payment for the lower-valued technical component. The professional-component reduction applies when the same physician interprets both studies in the same session.

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
RVUs for 74176PPRRVU2026_Oct_nonQPP.csv, line 8,315 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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