CPT code 74415: IV urography, with nephrotomography2026 Medicare rate & RVUs in Montana
Reports intravenous urinary tract imaging using infusion and/or bolus contrast when the examination includes nephrotomographic views of the kidneys.
In Montana, Medicare pays $151.64 for 74415 in the office.
Check a contract rate as a % of Medicare · 74415 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 74415 covers
This examination tracks intravenously administered contrast through the kidneys and urinary tract using radiographs, including nephrotomographic images focused on the kidneys. It may be used to assess suspected abnormalities of the renal collecting systems or urinary tract. Imaging staff acquire the study, typically in a hospital radiology department, and a radiologist interprets the images.
Choose this code when the documented examination uses infusion and/or bolus contrast and includes nephrotomography; the contrast method alone is not enough to distinguish it from related urography services. The report and image record should support the urinary tract examination and the nephrotomographic views. CMS allows billing the professional component with modifier 26 for interpretation, the technical component with modifier TC for equipment and staff, or the global service without either modifier.
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 Montana compares for 74415
Across 109 of 109 payment localities, the office rate for 74415 runs from $131.94 in Arkansas to $211.83 in San Benito County, CA. Montana pays $151.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$151.64
- Los Angeles, CA · California$176.25+$24.61
- Washington, DC area · District of Columbia$176.54+$24.90
- Miami, FL · Florida$159.69+$8.05
- Chicago, IL · Illinois$154.58+$2.94
- Manhattan, NY · New York$175.34+$23.70
- Alaska · Alaska$167.61+$15.97
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $134.17 | — |
| ArkansasArkansas | $131.94 | — |
| ArizonaArizona | $147.25 | — |
| Bakersfield, CACalifornia | $164.15 | — |
| Chico, CACalifornia | $164.00 | — |
| El Centro, CACalifornia | $164.00 | — |
| Fresno, CACalifornia | $164.00 | — |
| Hanford, CACalifornia | $164.00 | — |
| Madera, CACalifornia | $164.00 | — |
| Merced, CACalifornia | $164.00 | — |
| Modesto, CACalifornia | $164.00 | — |
| Napa, CACalifornia | $194.42 | — |
| Oxnard, CACalifornia | $175.84 | — |
| Redding, CACalifornia | $164.00 | — |
| Rest of CaliforniaCalifornia | $164.00 | — |
| Riverside, CACalifornia | $164.54 | — |
| Sacramento, CACalifornia | $173.27 | — |
| Salinas, CACalifornia | $172.66 | — |
| San Diego, CACalifornia | $177.61 | — |
| Marin County, CACalifornia | $207.17 | — |
| San Francisco, CACalifornia | $207.12 | — |
| San Benito County, CACalifornia | $211.83 | — |
| Santa Clara County, CACalifornia | $211.60 | — |
| San Luis Obispo, CACalifornia | $169.76 | — |
| Santa Cruz, CACalifornia | $180.00 | — |
| Santa Maria, CACalifornia | $173.55 | — |
| Santa Rosa, CACalifornia | $181.88 | — |
| Stockton, CACalifornia | $164.00 | — |
| Vallejo, CACalifornia | $194.34 | — |
| Visalia, CACalifornia | $164.00 | — |
| Yuba City, CACalifornia | $164.00 | — |
| ColoradoColorado | $160.04 | — |
| ConnecticutConnecticut | $162.62 | — |
| DelawareDelaware | $149.94 | — |
| Fort Lauderdale, FLFlorida | $154.73 | — |
| Rest of FloridaFlorida | $146.59 | — |
| Atlanta, GAGeorgia | $154.17 | — |
| Rest of GeorgiaGeorgia | $137.50 | — |
| Hawaii, Guam, HIHawaii | $169.29 | — |
| IowaIowa | $139.25 | — |
| IdahoIdaho | $140.04 | — |
| East St. Louis, ILIllinois | $142.62 | — |
| Rest of IllinoisIllinois | $140.93 | — |
| Suburban Chicago, ILIllinois | $156.66 | — |
| IndianaIndiana | $141.00 | — |
| KansasKansas | $137.95 | — |
| KentuckyKentucky | $136.63 | — |
| New Orleans, LALouisiana | $143.96 | — |
| Rest of LouisianaLouisiana | $136.17 | — |
| Metropolitan Boston, MAMassachusetts | $178.10 | — |
| Rest of MassachusettsMassachusetts | $158.66 | — |
| Baltimore area, MDMaryland | $162.07 | — |
| Rest of MarylandMaryland | $153.27 | — |
| Rest of MaineMaine | $140.29 | — |
| Southern Maine, MEMaine | $149.82 | — |
| Detroit, MIMichigan | $148.10 | — |
| Rest of MichiganMichigan | $140.20 | — |
| MinnesotaMinnesota | $154.35 | — |
| Metropolitan Kansas City, MOMissouri | $143.43 | — |
| Metropolitan St. Louis, MOMissouri | $145.21 | — |
| Rest of MissouriMissouri | $133.11 | — |
| MississippiMississippi | $132.59 | — |
| North CarolinaNorth Carolina | $142.06 | — |
| North DakotaNorth Dakota | $150.65 | — |
| NebraskaNebraska | $140.29 | — |
| New HampshireNew Hampshire | $156.92 | — |
| Northern New JerseyNew Jersey | $174.19 | — |
| Rest of New JerseyNew Jersey | $164.77 | — |
| New MexicoNew Mexico | $140.86 | — |
| NevadaNevada | $151.50 | — |
| NYC suburbs and Long Island, NYNew York | $179.41 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $165.44 | — |
| Queens, NYNew York | $177.78 | — |
| Rest of New YorkNew York | $144.45 | — |
| OhioOhio | $140.00 | — |
| OklahomaOklahoma | $136.94 | — |
| Portland, OROregon | $166.34 | — |
| Rest of OregonOregon | $150.61 | — |
| Metropolitan Philadelphia, PAPennsylvania | $157.74 | — |
| Rest of PennsylvaniaPennsylvania | $140.57 | — |
| Puerto RicoPuerto Rico | $153.09 | — |
| Rhode IslandRhode Island | $156.18 | — |
| South CarolinaSouth Carolina | $141.21 | — |
| South DakotaSouth Dakota | $150.53 | — |
| TennesseeTennessee | $138.68 | — |
| Austin, TXTexas | $159.25 | — |
| Beaumont, TXTexas | $139.47 | — |
| Brazoria, TXTexas | $150.20 | — |
| Dallas, TXTexas | $151.01 | — |
| Fort Worth, TXTexas | $149.69 | — |
| Galveston, TXTexas | $150.54 | — |
| Houston, TXTexas | $151.46 | — |
| Rest of TexasTexas | $144.65 | — |
| UtahUtah | $143.43 | — |
| VirginiaVirginia | $148.87 | — |
| Virgin Islands, VIUnited States Virgin Islands | $153.09 | — |
| VermontVermont | $149.48 | — |
| Rest of WashingtonWashington | $158.55 | — |
| King County, WAWashington | $182.54 | — |
| WisconsinWisconsin | $144.86 | — |
| West VirginiaWest Virginia | $134.81 | — |
| WyomingWyoming | $151.21 | — |
74415 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.
$131.94
$187.92
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 | $167.61 | 1 |
| AL | $134.17 | 1 |
| AR | $131.94 | 1 |
| AZ | $147.25 | 1 |
| CA | $164.00–$211.83 | 29 |
| CO | $160.04 | 1 |
| CT | $162.62 | 1 |
| DC | $176.54 | 1 |
| DE | $149.94 | 1 |
| FL | $146.59–$159.69 | 3 |
| GA | $137.50–$154.17 | 2 |
| GU | $169.29 | 1 |
| HI | $169.29 | 1 |
| IA | $139.25 | 1 |
| ID | $140.04 | 1 |
| IL | $140.93–$156.66 | 4 |
| IN | $141.00 | 1 |
| KS | $137.95 | 1 |
| KY | $136.63 | 1 |
| LA | $136.17–$143.96 | 2 |
| MA | $158.66–$178.10 | 2 |
| MD | $153.27–$176.54 | 3 |
| ME | $140.29–$149.82 | 2 |
| MI | $140.20–$148.10 | 2 |
| MN | $154.35 | 1 |
| MO | $133.11–$145.21 | 3 |
| MS | $132.59 | 1 |
| MT | $151.64 | 1 |
| NC | $142.06 | 1 |
| ND | $150.65 | 1 |
| NE | $140.29 | 1 |
| NH | $156.92 | 1 |
| NJ | $164.77–$174.19 | 2 |
| NM | $140.86 | 1 |
| NV | $151.50 | 1 |
| NY | $144.45–$179.41 | 5 |
| OH | $140.00 | 1 |
| OK | $136.94 | 1 |
| OR | $150.61–$166.34 | 2 |
| PA | $140.57–$157.74 | 2 |
| PR | $153.09 | 1 |
| RI | $156.18 | 1 |
| SC | $141.21 | 1 |
| SD | $150.53 | 1 |
| TN | $138.68 | 1 |
| TX | $139.47–$159.25 | 8 |
| UT | $143.43 | 1 |
| VA | $148.87–$176.54 | 2 |
| VI | $153.09 | 1 |
| VT | $149.48 | 1 |
| WA | $158.55–$182.54 | 2 |
| WI | $144.86 | 1 |
| WV | $134.81 | 1 |
| WY | $151.21 | 1 |
How the 74415 rate is calculated
Each of 74415’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 · 74415
RVUs × geographic indexes × conversion factor
Work0.48
0.48 RVUs× 1.000 GPCI
Practice expense4.01
4.01 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
4.5400
Conversion factor
$33.4009
Medicare rate
$151.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,423
- Code
- 74415
- Physician work
- 0.48
- Practice expense
- 4.01
- Malpractice
- 0.05
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.48 | × 1.000 | 0.4800 |
| Practice expense | 4.01 | × 1.000 | 4.0100 |
| Malpractice | 0.05 | × 0.998 | 0.0499 |
| Total RVUs | 4.5399 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$151.64
Office: (0.48 × 1 + 4.01 × 1 + 0.05 × 0.998) × $33.4009 = $151.64
Payment rules and modifiers for 74415
The CMS indicators that decide how 74415 is paid alongside other services.
CMS payment indicators · 74415
IV urography, with nephrotomography
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
74415 without 26 · national office
$151.64
IV urography, with nephrotomography
74415-26 · Professional component
$22.71
Pays only the interpretation and report.
How 74415 has changed in Montana
74415 · Office / nonfacility
$151.64
Effective 2026-10-01
The base rate is $6.76 higher than on 2025-10-01, moving from $144.88 to $151.64 (4.7%).
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
$144.88changed to$151.64
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.49 changed to 0.48
- Practice expense RVU 3.94 changed to 4.01
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$150.76changed to$144.88
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.00 changed to 3.94
- Malpractice RVU 0.04 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$148.30changed to$150.76
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$158.22changed to$148.30
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.14 changed to 4.00
January 1, 2023
RVU23A
$163.32changed to$158.22
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.20 changed to 4.14
- Malpractice RVU 0.03 changed to 0.04
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$162.93changed to$163.32
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.15 changed to 4.20
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$154.79changed to$162.93
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.76 changed to 4.15
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$147.59changed to$154.79
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.54 changed to 3.76
- Malpractice RVU 0.04 changed to 0.03
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$139.51changed to$147.59
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.32 changed to 3.54
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$138.79changed to$139.51
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$137.81changed to$138.79
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.31 changed to 3.32
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$137.51changed to$137.81
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.30 changed to 3.31
- Malpractice RVU 0.03 changed to 0.04
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$136.83changed to$137.51
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$141.38changed to$136.83
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.41 changed to 3.30
- Malpractice RVU 0.04 changed to 0.03
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$142.36changed to$141.38
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.65 changed to 3.41
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $142.36
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $151.64 | Not available in this setting | RVU26D |
| 2026-07-01 | $151.64 | Not available in this setting | RVU26C |
| 2026-04-01 | $151.64 | Not available in this setting | RVU26B |
| 2026-01-01 | $151.64 | Not available in this setting | RVU26A |
| 2025-10-01 | $144.88 | Not available in this setting | RVU25D |
| 2025-07-01 | $144.88 | Not available in this setting | RVU25C |
| 2025-04-01 | $144.88 | Not available in this setting | RVU25B |
| 2025-01-01 | $144.88 | Not available in this setting | RVU25A |
| 2024-10-01 | $150.76 | Not available in this setting | RVU24D |
| 2024-07-01 | $150.76 | Not available in this setting | RVU24C |
| 2024-04-01 | $150.76 | Not available in this setting | RVU24B |
| 2024-03-09 | $150.76 | Not available in this setting | RVU24AR |
| 2024-01-01 | $148.30 | Not available in this setting | RVU24A |
| 2023-10-01 | $158.22 | Not available in this setting | RVU23D |
| 2023-07-01 | $158.22 | Not available in this setting | RVU23C |
| 2023-04-01 | $158.22 | Not available in this setting | RVU23B |
| 2023-01-01 | $158.22 | Not available in this setting | RVU23A |
| 2022-10-01 | $163.32 | Not available in this setting | RVU22D |
| 2022-07-01 | $163.32 | Not available in this setting | RVU22C |
| 2022-04-01 | $163.32 | Not available in this setting | RVU22B |
| 2022-01-01 | $163.32 | Not available in this setting | RVU22A |
| 2021-10-01 | $162.93 | Not available in this setting | RVU21D |
| 2021-07-01 | $162.93 | Not available in this setting | RVU21C |
| 2021-04-01 | $162.93 | Not available in this setting | RVU21B |
| 2021-01-01 | $162.93 | Not available in this setting | RVU21A |
| 2020-10-01 | $154.79 | Not available in this setting | RVU20D |
| 2020-07-01 | $154.79 | Not available in this setting | RVU20C |
| 2020-04-01 | $154.79 | Not available in this setting | RVU20B |
| 2020-01-01 | $154.79 | Not available in this setting | RVU20A |
| 2019-10-01 | $147.59 | Not available in this setting | RVU19D |
| 2019-07-01 | $147.59 | Not available in this setting | RVU19C |
| 2019-04-01 | $147.59 | Not available in this setting | RVU19B |
| 2019-01-01 | $147.59 | Not available in this setting | RVU19A |
| 2018-10-01 | $139.51 | Not available in this setting | RVU18D |
| 2018-07-01 | $139.51 | Not available in this setting | RVU18C |
| 2018-04-01 | $139.51 | Not available in this setting | RVU18B |
| 2018-01-01 | $139.51 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $138.79 | Not available in this setting | RVU17D |
| 2017-07-01 | $138.79 | Not available in this setting | RVU17C |
| 2017-04-01 | $138.79 | Not available in this setting | RVU17B |
| 2017-01-01 | $138.79 | Not available in this setting | RVU17A |
| 2016-10-01 | $137.81 | Not available in this setting | RVU16D |
| 2016-07-01 | $137.81 | Not available in this setting | RVU16C |
| 2016-04-01 | $137.81 | Not available in this setting | RVU16B |
| 2016-01-01 | $137.81 | Not available in this setting | RVU16A |
| 2015-10-01 | $137.51 | Not available in this setting | RVU15D |
| 2015-07-01 | $137.51 | Not available in this setting | RVU15C |
| 2015-04-01 | $136.83 | Not available in this setting | RVU15B |
| 2015-01-01 | $136.83 | Not available in this setting | RVU15A |
| 2014-10-01 | $141.38 | Not available in this setting | RVU14D |
| 2014-07-01 | $141.38 | Not available in this setting | RVU14C |
| 2014-04-01 | $141.38 | Not available in this setting | RVU14B |
| 2014-01-01 | $141.38 | Not available in this setting | RVU14A |
| 2013-10-01 | $142.36 | Not available in this setting | RVU13D |
| 2013-07-01 | $142.36 | Not available in this setting | RVU13C |
| 2013-04-01 | $142.36 | Not available in this setting | RVU13B |
| 2013-01-01 | $142.36 | Not available in this setting | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
74415 billing questions
How does 74415 differ from 74410?
Both describe intravenous urography using infusion and/or bolus contrast. 74415 is the choice when nephrotomography is included; 74410 is the related code without that feature.
What documentation supports reporting 74415?
The imaging record should support the intravenous contrast examination and show that nephrotomographic views of the kidneys were obtained. The interpretation should document the findings from the study.
Can the professional and technical services be billed separately?
Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical service; bill without a modifier for the global service.
Is nephrotomography required for this code?
Yes. The distinguishing feature is nephrotomography as part of the intravenous urography examination.
How does 74415 differ from retrograde urography?
74415 follows contrast given intravenously. Retrograde urography, such as 74420, evaluates the urinary tract with contrast introduced retrograde rather than through an intravenous injection.
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
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