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CPT code 74440: Vasography, vas deferens imaging2026 Medicare rate & RVUs in Delaware

Vasography documents the radiographic evaluation of the vas deferens after contrast introduction, commonly to investigate suspected obstruction during a male infertility workup.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Delaware, Medicare pays $99.81 for 74440 in the office.

$99.81Office (non-facility)
Not available in this settingHospital or facility
−1.1%vs the national office rate ($100.87)

Check a contract rate as a % of Medicare · 74440 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 74440 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 74440 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 74440 covers

This code represents the radiologic service for imaging the vas deferens after contrast is introduced into the duct. Vasography may be performed during a urologic evaluation of male infertility when obstruction or vasal patency is a clinical question. A urologist may access and cannulate the vas deferens, while radiology staff acquire the images and a qualified practitioner interprets them. The study is distinct from imaging the urethra, bladder, or penis because its target is the vas deferens.

Report the service when the record supports a vasography examination and includes the clinical indication, images or imaging record, and interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment-and-staff portion, and an unmodified claim represents the global service. The documentation and claim should reflect which portion the billing entity furnished; do not report the global service when billing only one component.

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 Delaware compares for 74440

Across 109 of 109 payment localities, the office rate for 74440 runs from $88.16 in Arkansas to $140.75 in San Benito County, CA. Delaware pays $99.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

74440 in Delaware vs other payment areas
  1. Delaware · this page$99.81
  2. Los Angeles, CA · California$117.23+$17.42
  3. Washington, DC area · District of Columbia$117.25+$17.44
  4. Miami, FL · Florida$105.49+$5.68
  5. Chicago, IL · Illinois$102.26+$2.45
  6. Manhattan, NY · New York$116.28+$16.47
  7. Alaska · Alaska$112.46+$12.65

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

Every other payment area

74440 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$89.60—
ArkansasArkansas$88.16—
ArizonaArizona$98.05—
Bakersfield, CACalifornia$109.28—
Chico, CACalifornia$109.20—
El Centro, CACalifornia$109.21—
Fresno, CACalifornia$109.20—
Hanford, CACalifornia$109.20—

74440 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$88.16

$124.98

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

View every state and territory as a table
74440 office rate range by state
State / territoryOffice rate rangeLocalities
AK$112.461
AL$89.601
AR$88.161
AZ$98.051
CA$109.20–$140.7529
CO$106.491
CT$108.021
DC$117.251
DE$99.811
FL$97.34–$105.493
GA$91.51–$102.452
GU$112.621
HI$112.621
IA$93.001
ID$93.491
IL$93.60–$103.844
IN$94.111
KS$92.111
KY$91.061
LA$90.74–$95.782
MA$105.59–$118.352
MD$101.99–$117.253
ME$93.59–$99.832
MI$93.31–$98.252
MN$102.951
MO$88.73–$96.663
MS$88.491
MT$100.871
NC$94.741
ND$100.471
NE$93.691
NH$104.391
NJ$109.51–$115.752
NM$93.711
NV$100.851
NY$96.28–$118.845
OH$93.231
OK$91.321
OR$100.32–$110.652
PA$93.63–$104.822
PR$101.831
RI$103.931
SC$94.091
SD$100.431
TN$92.571
TX$92.92–$105.918
UT$95.531
VA$99.18–$117.252
VI$101.831
VT$99.661
WA$105.53–$121.312
WI$96.721
WV$89.651
WY$100.701

See 74440 in every payment locality

How the 74440 rate is calculated

Each of 74440’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 · 74440

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.37

0.37 RVUs× 1.000 GPCI

Practice expense2.63

2.63 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

3.0200

Conversion factor

$33.4009

Medicare rate

$100.87

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,435

Code
74440
Physician work
0.37
Practice expense
2.63
Malpractice
0.02

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 74440 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0050.3718
Practice expense2.63× 0.9882.5984
Malpractice0.02× 0.8990.0180
Total RVUs2.9883
Conversion factor× 33.4009

Office rate, Delaware$99.81

Office: (0.37 × 1.005 + 2.63 × 0.988 + 0.02 × 0.899) × $33.4009 = $99.81

Open 74440 in the RVU calculator

Payment rules and modifiers for 74440

The CMS indicators that decide how 74440 is paid alongside other services.

CMS payment indicators · 74440

Vasography, vas deferens imaging

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
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

74440 without 26 · national office

$100.87

Vasography, vas deferens imaging

74440-26 · Professional component

$18.04

Pays only the interpretation and report.

When to use modifier 26

Codes related to 74440

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

Codes related to 74440
CodeHow it relatesOffice range, Delaware
Used instead
74450Urethrocystography, retrograde studyRetrograde urethral imaging when the diagnostic target is the urethra rather than the vas deferens.No office rate
74455Voiding study, urethra and bladderVoiding urethra-and-bladder imaging for a question involving those structures.$104.37
74445Penile X-rayPenile imaging, including cavernosography, when the diagnostic target is the penis.No office rate
74430Bladder imaging, retrograde contrastCystography when the examination targets the bladder.$41.34

How 74440 has changed in Delaware

74440 · Office / nonfacility

$99.81

Effective 2026-10-01

The base rate is $7.86 higher than on 2025-10-01, moving from $91.95 to $99.81 (8.5%).

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

    $91.95changed to$99.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.38 changed to 0.37
    • Practice expense RVU 2.46 changed to 2.63
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $96.61changed to$91.95

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.52 changed to 2.46

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $95.03changed to$96.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $99.60changed to$95.03

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $104.40changed to$99.60

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.56 changed to 2.52
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $102.77changed to$104.40

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.49 changed to 2.56

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $95.23changed to$102.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.19 changed to 2.49
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $89.51changed to$95.23

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.04 changed to 2.19
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $83.18changed to$89.51

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.87 changed to 2.04

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $84.12changed to$83.18

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.88 changed to 1.87
    • Malpractice RVU 0.03 changed to 0.02
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $83.94changed to$84.12

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.02 changed to 0.03
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $82.39changed to$83.94

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.83 changed to 1.88

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $81.98changed to$82.39

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $86.43changed to$81.98

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.92 changed to 1.83
    • Malpractice RVU 0.04 changed to 0.02
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $88.95changed to$86.43

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.11 changed to 1.92
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $88.95

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$99.81Not available in this settingRVU26D
2026-07-01$99.81Not available in this settingRVU26C
2026-04-01$99.81Not available in this settingRVU26B
2026-01-01$99.81Not available in this settingRVU26A
2025-10-01$91.95Not available in this settingRVU25D
2025-07-01$91.95Not available in this settingRVU25C
2025-04-01$91.95Not available in this settingRVU25B
2025-01-01$91.95Not available in this settingRVU25A
2024-10-01$96.61Not available in this settingRVU24D
2024-07-01$96.61Not available in this settingRVU24C
2024-04-01$96.61Not available in this settingRVU24B
2024-03-09$96.61Not available in this settingRVU24AR
2024-01-01$95.03Not available in this settingRVU24A
2023-10-01$99.60Not available in this settingRVU23D
2023-07-01$99.60Not available in this settingRVU23C
2023-04-01$99.60Not available in this settingRVU23B
2023-01-01$99.60Not available in this settingRVU23A
2022-10-01$104.40Not available in this settingRVU22D
2022-07-01$104.40Not available in this settingRVU22C
2022-04-01$104.40Not available in this settingRVU22B
2022-01-01$104.40Not available in this settingRVU22A
2021-10-01$102.77Not available in this settingRVU21D
2021-07-01$102.77Not available in this settingRVU21C
2021-04-01$102.77Not available in this settingRVU21B
2021-01-01$102.77Not available in this settingRVU21A
2020-10-01$95.23Not available in this settingRVU20D
2020-07-01$95.23Not available in this settingRVU20C
2020-04-01$95.23Not available in this settingRVU20B
2020-01-01$95.23Not available in this settingRVU20A
2019-10-01$89.51Not available in this settingRVU19D
2019-07-01$89.51Not available in this settingRVU19C
2019-04-01$89.51Not available in this settingRVU19B
2019-01-01$89.51Not available in this settingRVU19A
2018-10-01$83.18Not available in this settingRVU18D
2018-07-01$83.18Not available in this settingRVU18C
2018-04-01$83.18Not available in this settingRVU18B
2018-01-01$83.18Not available in this settingRVU18AR1
2017-10-01$84.12Not available in this settingRVU17D
2017-07-01$84.12Not available in this settingRVU17C
2017-04-01$84.12Not available in this settingRVU17B
2017-01-01$84.12Not available in this settingRVU17A
2016-10-01$83.94Not available in this settingRVU16D
2016-07-01$83.94Not available in this settingRVU16C
2016-04-01$83.94Not available in this settingRVU16B
2016-01-01$83.94Not available in this settingRVU16A
2015-10-01$82.39Not available in this settingRVU15D
2015-07-01$82.39Not available in this settingRVU15C
2015-04-01$81.98Not available in this settingRVU15B
2015-01-01$81.98Not available in this settingRVU15A
2014-10-01$86.43Not available in this settingRVU14D
2014-07-01$86.43Not available in this settingRVU14C
2014-04-01$86.43Not available in this settingRVU14B
2014-01-01$86.43Not available in this settingRVU14A
2013-10-01$88.95Not available in this settingRVU13D
2013-07-01$88.95Not available in this settingRVU13C
2013-04-01$88.95Not available in this settingRVU13B
2013-01-01$88.95Not available in this settingRVU13AR

Price 74440 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

74440 billing questions

When should I choose 74440 instead of a urethrography code?

Use 74440 for radiographic imaging of the vas deferens. Urethrography codes apply when the examination targets the urethra or urethra and bladder.

What do modifiers 26 and TC identify?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. An unmodified claim represents the global service.

Does 74440 describe the vas deferens cannulation procedure?

The code represents the radiologic examination, not the urologic access procedure itself. The record should support the imaging service and its interpretation.

What documentation supports reporting 74440?

Document the indication for vasography, the examination performed, the images or imaging record, and the interpretation. The claim should also reflect whether the professional, technical, or global service was furnished.

Can the professional and technical portions be billed separately?

Yes. CMS identifies modifier 26 for the professional portion and modifier TC for the technical portion; an unmodified claim represents both.

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 74440PPRRVU2026_Oct_nonQPP.csv, line 8,435 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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