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

In Ohio, Medicare pays $279.71 for 74177 in the office.

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.

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 Ohio 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. Ohio pays $279.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

74177 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 74177

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

What modifiers do to the payment

When to use modifier 26

Codes related to 74177

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 74177 has changed in Ohio

Price 74177 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

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

Open CMS sourceHow we calculate rates