CPT code 74177: CT abdomen and pelvis, with contrast only2026 Medicare rate & RVUs in Minnesota

Computed tomography of the abdomen and pelvis after intravenous contrast, without a diagnostic precontrast series, is reported for abdominal pain, infection, trauma, or cancer staging.

CMS RVU26DEffective Oct 1, 2026One payment locality3.6M Medicare services in 2024

In Minnesota, Medicare pays $304.08 for 74177 in the office.

$304.08Office (non-facility)
Not available in this settingHospital or facility
+1.3%vs the national office rate ($300.27)

Check a contract rate as a % of Medicare · 74177 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 74177 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 74177 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 74177 covers

This study images the abdomen and pelvis, generally from the diaphragm through the pubic symphysis, during one combined examination. Diagnostic images are acquired after iodinated intravenous contrast, without a diagnostic precontrast series. Common indications include suspected appendicitis or diverticulitis, abscess, bowel obstruction, blunt trauma, and cancer staging or surveillance. Technologists perform the scan in hospital CT departments, emergency departments, and freestanding imaging centers; a radiologist interprets the images and issues a report.

Report one unit when both regions are imaged as a combined contrast-enhanced exam; do not substitute separate abdomen-only and pelvis-only CT codes. Documentation should identify the regions scanned, intravenous contrast administration, the series acquired, and the findings. On physician fee schedule claims, modifier 26 identifies the radiologist's interpretation and modifier TC identifies the equipment-and-staff portion. Report the global service without either modifier when the same billing entity provides both components. The diagnostic imaging multiple procedure reduction can affect both professional and technical components when another eligible imaging study, such as chest CT, is performed in the same session.

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 Minnesota compares for 74177

Across 109 of 109 payment localities, the office rate for 74177 runs from $264.78 in Arkansas to $409.43 in San Benito County, CA. Minnesota pays $304.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

74177 in Minnesota vs other payment areas
  1. Minnesota · this page$304.08
  2. Los Angeles, CA · California$344.58+$40.50
  3. Washington, DC area · District of Columbia$346.11+$42.03
  4. Miami, FL · Florida$316.62+$12.54
  5. Chicago, IL · Illinois$307.50+$3.42
  6. Manhattan, NY · New York$344.97+$40.89
  7. Alaska · Alaska$343.28+$39.20

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

Every other payment area

74177 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$268.79—
ArkansasArkansas$264.78—
ArizonaArizona$292.31—
Bakersfield, CACalifornia$322.43—
Chico, CACalifornia$322.00—
El Centro, CACalifornia$322.02—
Fresno, CACalifornia$322.00—
Hanford, CACalifornia$322.00—

74177 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.

$264.78

$365.72

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

View every state and territory as a table
74177 office rate range by state
State / territoryOffice rate rangeLocalities
AK$343.281
AL$268.791
AR$264.781
AZ$292.311
CA$322.00–$409.4329
CO$315.191
CT$320.601
DC$346.111
DE$297.291
FL$292.04–$316.623
GA$275.53–$305.112
GU$330.891
HI$330.891
IA$277.531
ID$279.041
IL$282.12–$310.434
IN$280.751
KS$275.391
KY$273.621
LA$272.86–$286.892
MA$312.89–$348.162
MD$303.35–$346.113
ME$279.69–$296.542
MI$280.23–$294.962
MN$304.081
MO$267.48–$288.923
MS$266.221
MT$300.271
NC$282.841
ND$297.691
NE$279.341
NH$309.441
NJ$324.85–$342.182
NM$281.491
NV$299.791
NY$287.14–$352.545
OH$279.711
OK$273.971
OR$298.04–$326.392
PA$280.62–$311.892
PR$302.811
RI$308.741
SC$281.631
SD$297.391
TN$276.711
TX$278.65–$313.638
UT$285.621
VA$294.97–$346.112
VI$302.811
VT$295.761
WA$312.56–$356.192
WI$287.321
WV$271.121
WY$299.151

See 74177 in every payment locality

How the 74177 rate is calculated

Each of 74177’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 · 74177

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.77

1.77 RVUs× 1.000 GPCI

Practice expense7.09

7.09 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

8.9900

Conversion factor

$33.4009

Medicare rate

$300.27

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,318

Code
74177
Physician work
1.77
Practice expense
7.09
Malpractice
0.13

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 74177 in Minnesota
ComponentRVULocality factorAdjusted
Physician work1.77× 1.0001.7700
Practice expense7.09× 1.0297.2956
Malpractice0.13× 0.2960.0385
Total RVUs9.1041
Conversion factor× 33.4009

Office rate, Minnesota$304.08

Office: (1.77 × 1 + 7.09 × 1.029 + 0.13 × 0.296) × $33.4009 = $304.08

Open 74177 in the RVU calculator

Payment rules and modifiers for 74177

The CMS indicators that decide how 74177 is paid alongside other services.

CMS payment indicators · 74177

CT abdomen and pelvis, with contrast only

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

74177 without 26 · national office

$300.27

CT abdomen and pelvis, with contrast only

74177-26 · Professional component

$83.84

Pays only the interpretation and report.

When to use modifier 26

How 74177 has changed in Minnesota

74177 · Office / nonfacility

$304.08

Effective 2026-10-01

The base rate is $3.67 higher than on 2025-10-01, moving from $300.41 to $304.08 (1.2%).

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

    $300.41changed to$304.08

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.82 changed to 1.77
    • Practice expense RVU 7.25 changed to 7.09
    • Malpractice RVU 0.12 changed to 0.13
    • Practice expense GPCI 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $314.51changed to$300.41

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.41 changed to 7.25
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $309.38changed to$314.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $324.75changed to$309.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.58 changed to 7.41
    • Malpractice RVU 0.12 changed to 0.11
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300
  5. January 1, 2023

    RVU23A

    $334.26changed to$324.75

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.70 changed to 7.58
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $340.21changed to$334.26

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.79 changed to 7.70

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $332.99changed to$340.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.28 changed to 7.79
    • Practice expense GPCI 1.012 changed to 1.013
    • Malpractice GPCI 0.357 changed to 0.353

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $324.26changed to$332.99

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.06 changed to 7.28
    • Practice expense GPCI 1.011 changed to 1.012
    • Malpractice GPCI 0.362 changed to 0.357

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $317.72changed to$324.26

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.89 changed to 7.06

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $316.80changed to$317.72

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.86 changed to 6.89
    • Practice expense GPCI 1.016 changed to 1.011
    • Malpractice GPCI 0.341 changed to 0.362

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $315.49changed to$316.80

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.82 changed to 6.86
    • Practice expense GPCI 1.020 changed to 1.016
    • Malpractice GPCI 0.319 changed to 0.341

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $316.01changed to$315.49

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.80 changed to 6.82
    • Malpractice RVU 0.12 changed to 0.11

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $314.44changed to$316.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $328.80changed to$314.44

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.21 changed to 6.80
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 1.016 changed to 1.020
    • Malpractice GPCI 0.301 changed to 0.319

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $350.48changed to$328.80

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.35 changed to 7.21
    • Practice expense GPCI 1.012 changed to 1.016
    • Malpractice GPCI 0.282 changed to 0.301

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$350.48

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$304.08Not available in this settingRVU26D
2026-07-01$304.08Not available in this settingRVU26C
2026-04-01$304.08Not available in this settingRVU26B
2026-01-01$304.08Not available in this settingRVU26A
2025-10-01$300.41Not available in this settingRVU25D
2025-07-01$300.41Not available in this settingRVU25C
2025-04-01$300.41Not available in this settingRVU25B
2025-01-01$300.41Not available in this settingRVU25A
2024-10-01$314.51Not available in this settingRVU24D
2024-07-01$314.51Not available in this settingRVU24C
2024-04-01$314.51Not available in this settingRVU24B
2024-03-09$314.51Not available in this settingRVU24AR
2024-01-01$309.38Not available in this settingRVU24A
2023-10-01$324.75Not available in this settingRVU23D
2023-07-01$324.75Not available in this settingRVU23C
2023-04-01$324.75Not available in this settingRVU23B
2023-01-01$324.75Not available in this settingRVU23A
2022-10-01$334.26Not available in this settingRVU22D
2022-07-01$334.26Not available in this settingRVU22C
2022-04-01$334.26Not available in this settingRVU22B
2022-01-01$334.26Not available in this settingRVU22A
2021-10-01$340.21Not available in this settingRVU21D
2021-07-01$340.21Not available in this settingRVU21C
2021-04-01$340.21Not available in this settingRVU21B
2021-01-01$340.21Not available in this settingRVU21A
2020-10-01$332.99Not available in this settingRVU20D
2020-07-01$332.99Not available in this settingRVU20C
2020-04-01$332.99Not available in this settingRVU20B
2020-01-01$332.99Not available in this settingRVU20A
2019-10-01$324.26Not available in this settingRVU19D
2019-07-01$324.26Not available in this settingRVU19C
2019-04-01$324.26Not available in this settingRVU19B
2019-01-01$324.26Not available in this settingRVU19A
2018-10-01$317.72Not available in this settingRVU18D
2018-07-01$317.72Not available in this settingRVU18C
2018-04-01$317.72Not available in this settingRVU18B
2018-01-01$317.72Not available in this settingRVU18AR1
2017-10-01$316.80Not available in this settingRVU17D
2017-07-01$316.80Not available in this settingRVU17C
2017-04-01$316.80Not available in this settingRVU17B
2017-01-01$316.80Not available in this settingRVU17A
2016-10-01$315.49Not available in this settingRVU16D
2016-07-01$315.49Not available in this settingRVU16C
2016-04-01$315.49Not available in this settingRVU16B
2016-01-01$315.49Not available in this settingRVU16A
2015-10-01$316.01Not available in this settingRVU15D
2015-07-01$316.01Not available in this settingRVU15C
2015-04-01$314.44Not available in this settingRVU15B
2015-01-01$314.44Not available in this settingRVU15A
2014-10-01$328.80Not available in this settingRVU14D
2014-07-01$328.80Not available in this settingRVU14C
2014-04-01$328.80Not available in this settingRVU14B
2014-01-01$328.80Not available in this settingRVU14A
2013-10-01$350.48Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 74177 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

74177 billing questions

Can CT abdomen with contrast and CT pelvis with contrast be billed separately when both are done in the same combined exam?

No. Report one unit of 74177 for the combined exam rather than 74160 plus 72193. The regional codes describe exams limited to their respective regions.

When should 74178 be used instead of 74177?

Use 74178 when a diagnostic noncontrast series is followed by contrast-enhanced imaging of the abdomen and pelvis. Use 74177 when the diagnostic acquisition is contrast-enhanced without a diagnostic precontrast series.

Does giving only oral contrast qualify the study as with contrast?

No. Oral contrast alone does not make this an intravenous contrast study; an abdomen and pelvis CT performed with oral contrast but without intravenous contrast is reported with 74176.

Which modifiers apply for split billing?

On physician fee schedule claims, the interpreting radiologist reports modifier 26 for the interpretation, while the provider billing for equipment and staff reports modifier TC. A billing entity that provides both components reports the global code without either modifier.

How is payment affected when CT chest is performed in the same session?

The diagnostic imaging multiple procedure reduction can affect the professional and technical components of eligible studies performed in the same session. A contrast-enhanced chest, abdomen, and pelvis staging exam may be reported with 71260 and 74177.

Do delayed images after intravenous contrast change the code to 74178?

No. Additional postcontrast images do not make the exam a without-and-with-contrast study; 74178 requires diagnostic imaging before contrast followed by contrast-enhanced imaging.

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 74177PPRRVU2026_Oct_nonQPP.csv, line 8,318 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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