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.
In South Dakota, Medicare pays $180.60 for 74176 in the office.
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.
On this page 11 sections
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.
- South Dakota · this page$180.60
- Los Angeles, CA · California$206.56+$25.96
- Washington, DC area · District of Columbia$208.34+$27.74
- Miami, FL · Florida$193.68+$13.08
- Chicago, IL · Illinois$188.81+$8.21
- Manhattan, NY · New York$208.68+$28.08
- Alaska · Alaska$217.75+$37.15
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $194.07 | — |
| Merced, CACalifornia | $194.07 | — |
| Modesto, CACalifornia | $194.07 | — |
| Napa, CACalifornia | $223.79 | — |
| Oxnard, CACalifornia | $205.55 | — |
| Redding, CACalifornia | $194.07 | — |
| Rest of CaliforniaCalifornia | $194.07 | — |
| Riverside, CACalifornia | $195.29 | — |
| Sacramento, CACalifornia | $203.36 | — |
| Salinas, CACalifornia | $202.58 | — |
| San Diego, CACalifornia | $207.08 | — |
| Marin County, CACalifornia | $236.70 | — |
| San Francisco, CACalifornia | $236.58 | — |
| San Benito County, CACalifornia | $241.76 | — |
| Santa Clara County, CACalifornia | $241.25 | — |
| San Luis Obispo, CACalifornia | $199.34 | — |
| Santa Cruz, CACalifornia | $208.88 | — |
| Santa Maria, CACalifornia | $203.27 | — |
| Santa Rosa, CACalifornia | $210.98 | — |
| Stockton, CACalifornia | $194.07 | — |
| Vallejo, CACalifornia | $223.61 | — |
| Visalia, CACalifornia | $194.07 | — |
| Yuba City, CACalifornia | $194.07 | — |
| ColoradoColorado | $190.76 | — |
| ConnecticutConnecticut | $194.38 | — |
| DelawareDelaware | $181.48 | — |
| Fort Lauderdale, FLFlorida | $187.60 | — |
| Rest of FloridaFlorida | $179.49 | — |
| Atlanta, GAGeorgia | $185.91 | — |
| Rest of GeorgiaGeorgia | $170.50 | — |
| Hawaii, Guam, HIHawaii | $198.28 | — |
| IowaIowa | $170.40 | — |
| IdahoIdaho | $171.29 | — |
| East St. Louis, ILIllinois | $176.96 | — |
| Rest of IllinoisIllinois | $174.44 | — |
| Suburban Chicago, ILIllinois | $189.58 | — |
| IndianaIndiana | $172.20 | — |
| KansasKansas | $169.45 | — |
| KentuckyKentucky | $169.12 | — |
| New Orleans, LALouisiana | $176.30 | — |
| Rest of LouisianaLouisiana | $168.79 | — |
| Metropolitan Boston, MAMassachusetts | $208.74 | — |
| Rest of MassachusettsMassachusetts | $189.70 | — |
| Baltimore area, MDMaryland | $193.76 | — |
| Rest of MarylandMaryland | $184.77 | — |
| Rest of MaineMaine | $171.84 | — |
| Southern Maine, MEMaine | $180.58 | — |
| Detroit, MIMichigan | $181.27 | — |
| Rest of MichiganMichigan | $172.85 | — |
| MinnesotaMinnesota | $184.01 | — |
| Metropolitan Kansas City, MOMissouri | $175.47 | — |
| Metropolitan St. Louis, MOMissouri | $177.16 | — |
| Rest of MissouriMissouri | $166.03 | — |
| MississippiMississippi | $165.04 | — |
| MontanaMontana | $183.03 | — |
| North CarolinaNorth Carolina | $173.50 | — |
| North DakotaNorth Dakota | $180.85 | — |
| NebraskaNebraska | $171.31 | — |
| New HampshireNew Hampshire | $187.60 | — |
| Northern New JerseyNew Jersey | $206.48 | — |
| Rest of New JerseyNew Jersey | $196.94 | — |
| New MexicoNew Mexico | $173.60 | — |
| NevadaNevada | $182.55 | — |
| NYC suburbs and Long Island, NYNew York | $212.99 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $198.01 | — |
| Queens, NYNew York | $210.60 | — |
| Rest of New YorkNew York | $175.82 | — |
| OhioOhio | $172.40 | — |
| OklahomaOklahoma | $169.10 | — |
| Portland, OROregon | $196.61 | — |
| Rest of OregonOregon | $181.46 | — |
| Metropolitan Philadelphia, PAPennsylvania | $189.79 | — |
| Rest of PennsylvaniaPennsylvania | $172.78 | — |
| Puerto RicoPuerto Rico | $184.33 | — |
| Rhode IslandRhode Island | $187.76 | — |
| South CarolinaSouth Carolina | $173.17 | — |
| TennesseeTennessee | $170.18 | — |
| Austin, TXTexas | $189.84 | — |
| Beaumont, TXTexas | $171.74 | — |
| Brazoria, TXTexas | $181.58 | — |
| Dallas, TXTexas | $182.54 | — |
| Fort Worth, TXTexas | $181.36 | — |
| Galveston, TXTexas | $182.00 | — |
| Houston, TXTexas | $184.01 | — |
| Rest of TexasTexas | $176.43 | — |
| UtahUtah | $175.31 | — |
| VirginiaVirginia | $179.87 | — |
| Virgin Islands, VIUnited States Virgin Islands | $184.33 | — |
| VermontVermont | $180.00 | — |
| Rest of WashingtonWashington | $189.39 | — |
| King County, WAWashington | $213.03 | — |
| WisconsinWisconsin | $175.35 | — |
| West VirginiaWest Virginia | $168.56 | — |
| WyomingWyoming | $182.08 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $217.75 | 1 |
| AL | $166.12 | 1 |
| AR | $163.97 | 1 |
| AZ | $178.71 | 1 |
| CA | $194.07–$241.76 | 29 |
| CO | $190.76 | 1 |
| CT | $194.38 | 1 |
| DC | $208.34 | 1 |
| DE | $181.48 | 1 |
| FL | $179.49–$193.68 | 3 |
| GA | $170.50–$185.91 | 2 |
| GU | $198.28 | 1 |
| HI | $198.28 | 1 |
| IA | $170.40 | 1 |
| ID | $171.29 | 1 |
| IL | $174.44–$189.58 | 4 |
| IN | $172.20 | 1 |
| KS | $169.45 | 1 |
| KY | $169.12 | 1 |
| LA | $168.79–$176.30 | 2 |
| MA | $189.70–$208.74 | 2 |
| MD | $184.77–$208.34 | 3 |
| ME | $171.84–$180.58 | 2 |
| MI | $172.85–$181.27 | 2 |
| MN | $184.01 | 1 |
| MO | $166.03–$177.16 | 3 |
| MS | $165.04 | 1 |
| MT | $183.03 | 1 |
| NC | $173.50 | 1 |
| ND | $180.85 | 1 |
| NE | $171.31 | 1 |
| NH | $187.60 | 1 |
| NJ | $196.94–$206.48 | 2 |
| NM | $173.60 | 1 |
| NV | $182.55 | 1 |
| NY | $175.82–$212.99 | 5 |
| OH | $172.40 | 1 |
| OK | $169.10 | 1 |
| OR | $181.46–$196.61 | 2 |
| PA | $172.78–$189.79 | 2 |
| PR | $184.33 | 1 |
| RI | $187.76 | 1 |
| SC | $173.17 | 1 |
| SD | $180.60 | 1 |
| TN | $170.18 | 1 |
| TX | $171.74–$189.84 | 8 |
| UT | $175.31 | 1 |
| VA | $179.87–$208.34 | 2 |
| VI | $184.33 | 1 |
| VT | $180.00 | 1 |
| WA | $189.39–$213.03 | 2 |
| WI | $175.35 | 1 |
| WV | $168.56 | 1 |
| WY | $182.08 | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.70 | × 1.000 | 1.7000 |
| Practice expense | 3.67 | × 1.000 | 3.6700 |
| Malpractice | 0.11 | × 0.336 | 0.0370 |
| Total RVUs | 5.4070 | ||
| 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
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
| 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) | 9 | The concept doesn’t apply. |
| 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
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.
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.
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
$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.
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.
March 9, 2024
RVU24AR
$182.12changed to$185.15
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
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
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.
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.
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.
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.
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.
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.
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.
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.
July 1, 2015
RVU15C
$198.58changed to$199.57
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
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.
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.
January 1, 2013
RVU13AR
Earliest loaded release: $230.25
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $180.60 | Not available in this setting | RVU26D |
| 2026-07-01 | $180.60 | Not available in this setting | RVU26C |
| 2026-04-01 | $180.60 | Not available in this setting | RVU26B |
| 2026-01-01 | $180.60 | Not available in this setting | RVU26A |
| 2025-10-01 | $178.82 | Not available in this setting | RVU25D |
| 2025-07-01 | $178.82 | Not available in this setting | RVU25C |
| 2025-04-01 | $178.82 | Not available in this setting | RVU25B |
| 2025-01-01 | $178.82 | Not available in this setting | RVU25A |
| 2024-10-01 | $185.15 | Not available in this setting | RVU24D |
| 2024-07-01 | $185.15 | Not available in this setting | RVU24C |
| 2024-04-01 | $185.15 | Not available in this setting | RVU24B |
| 2024-03-09 | $185.15 | Not available in this setting | RVU24AR |
| 2024-01-01 | $182.12 | Not available in this setting | RVU24A |
| 2023-10-01 | $189.89 | Not available in this setting | RVU23D |
| 2023-07-01 | $189.89 | Not available in this setting | RVU23C |
| 2023-04-01 | $189.89 | Not available in this setting | RVU23B |
| 2023-01-01 | $189.89 | Not available in this setting | RVU23A |
| 2022-10-01 | $193.61 | Not available in this setting | RVU22D |
| 2022-07-01 | $193.61 | Not available in this setting | RVU22C |
| 2022-04-01 | $193.61 | Not available in this setting | RVU22B |
| 2022-01-01 | $193.61 | Not available in this setting | RVU22A |
| 2021-10-01 | $198.36 | Not available in this setting | RVU21D |
| 2021-07-01 | $198.36 | Not available in this setting | RVU21C |
| 2021-04-01 | $198.36 | Not available in this setting | RVU21B |
| 2021-01-01 | $198.36 | Not available in this setting | RVU21A |
| 2020-10-01 | $200.90 | Not available in this setting | RVU20D |
| 2020-07-01 | $200.90 | Not available in this setting | RVU20C |
| 2020-04-01 | $200.90 | Not available in this setting | RVU20B |
| 2020-01-01 | $200.90 | Not available in this setting | RVU20A |
| 2019-10-01 | $201.20 | Not available in this setting | RVU19D |
| 2019-07-01 | $201.20 | Not available in this setting | RVU19C |
| 2019-04-01 | $201.20 | Not available in this setting | RVU19B |
| 2019-01-01 | $201.20 | Not available in this setting | RVU19A |
| 2018-10-01 | $202.06 | Not available in this setting | RVU18D |
| 2018-07-01 | $202.06 | Not available in this setting | RVU18C |
| 2018-04-01 | $202.06 | Not available in this setting | RVU18B |
| 2018-01-01 | $202.06 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $201.46 | Not available in this setting | RVU17D |
| 2017-07-01 | $201.46 | Not available in this setting | RVU17C |
| 2017-04-01 | $201.46 | Not available in this setting | RVU17B |
| 2017-01-01 | $201.46 | Not available in this setting | RVU17A |
| 2016-10-01 | $199.57 | Not available in this setting | RVU16D |
| 2016-07-01 | $199.57 | Not available in this setting | RVU16C |
| 2016-04-01 | $199.57 | Not available in this setting | RVU16B |
| 2016-01-01 | $199.57 | Not available in this setting | RVU16A |
| 2015-10-01 | $199.57 | Not available in this setting | RVU15D |
| 2015-07-01 | $199.57 | Not available in this setting | RVU15C |
| 2015-04-01 | $198.58 | Not available in this setting | RVU15B |
| 2015-01-01 | $198.58 | Not available in this setting | RVU15A |
| 2014-10-01 | $216.58 | Not available in this setting | RVU14D |
| 2014-07-01 | $216.58 | Not available in this setting | RVU14C |
| 2014-04-01 | $216.58 | Not available in this setting | RVU14B |
| 2014-01-01 | $216.58 | Not available in this setting | RVU14A |
| 2013-10-01 | $230.25 | Not available in this setting | RVU13D |
| 2013-07-01 | $230.25 | Not available in this setting | RVU13C |
| 2013-04-01 | $230.25 | Not available in this setting | RVU13B |
| 2013-01-01 | $230.25 | Not available in this setting | RVU13AR |
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
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
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