CPT code 77074: Skeletal survey, limited examination2026 Medicare rate & RVUs in Vermont
A limited series of skeletal radiographs evaluates selected bones, commonly when a clinician is assessing known or suspected metastatic bone disease.
In Vermont, Medicare pays $63.65 for 77074 in the office.
Check a contract rate as a % of Medicare · 77074 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 77074 covers
This service uses plain X-rays of selected skeletal regions to assess a focused bone question, such as known or suspected metastatic involvement. A radiologic technologist obtains the images, and a radiologist typically interprets them. It may be performed in a hospital or outpatient imaging department when the clinical request calls for a limited survey rather than a comprehensive review of the skeleton.
Choose this code when the ordered and performed examination is limited in scope; a complete skeletal survey is a different service. The imaging order and report should identify the clinical reason and the regions examined, with the interpretation supporting the findings. The professional component is the radiologist’s interpretation and is reported with modifier 26; the technical component covers equipment and staff and is reported with modifier TC. Without either modifier, the claim represents the global service.
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 Vermont compares for 77074
Across 109 of 109 payment localities, the office rate for 77074 runs from $57.23 in Arkansas to $87.46 in San Benito County, CA. Vermont pays $63.65. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$63.65
- Los Angeles, CA · California$73.92+$10.27
- Washington, DC area · District of Columbia$74.46+$10.81
- Miami, FL · Florida$68.85+$5.20
- Chicago, IL · Illinois$66.87+$3.22
- Manhattan, NY · New York$74.45+$10.80
- Alaska · Alaska$74.57+$10.92
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $58.08 | — |
| ArkansasArkansas | $57.23 | — |
| ArizonaArizona | $63.08 | — |
| Bakersfield, CACalifornia | $69.26 | — |
| Chico, CACalifornia | $69.14 | — |
| El Centro, CACalifornia | $69.14 | — |
| Fresno, CACalifornia | $69.14 | — |
| Hanford, CACalifornia | $69.14 | — |
| Madera, CACalifornia | $69.14 | — |
| Merced, CACalifornia | $69.14 | — |
| Modesto, CACalifornia | $69.14 | — |
| Napa, CACalifornia | $80.66 | — |
| Oxnard, CACalifornia | $73.63 | — |
| Redding, CACalifornia | $69.14 | — |
| Rest of CaliforniaCalifornia | $69.14 | — |
| Riverside, CACalifornia | $69.57 | — |
| Sacramento, CACalifornia | $72.70 | — |
| Salinas, CACalifornia | $72.43 | — |
| San Diego, CACalifornia | $74.24 | — |
| Marin County, CACalifornia | $85.57 | — |
| San Francisco, CACalifornia | $85.52 | — |
| San Benito County, CACalifornia | $87.46 | — |
| Santa Clara County, CACalifornia | $87.27 | — |
| San Luis Obispo, CACalifornia | $71.25 | — |
| Santa Cruz, CACalifornia | $75.04 | — |
| Santa Maria, CACalifornia | $72.73 | — |
| Santa Rosa, CACalifornia | $75.80 | — |
| Stockton, CACalifornia | $69.14 | — |
| Vallejo, CACalifornia | $80.59 | — |
| Visalia, CACalifornia | $69.14 | — |
| Yuba City, CACalifornia | $69.14 | — |
| ColoradoColorado | $67.82 | — |
| ConnecticutConnecticut | $69.15 | — |
| DelawareDelaware | $64.15 | — |
| Fort Lauderdale, FLFlorida | $66.52 | — |
| Rest of FloridaFlorida | $63.31 | — |
| Atlanta, GAGeorgia | $65.89 | — |
| Rest of GeorgiaGeorgia | $59.75 | — |
| Hawaii, Guam, HIHawaii | $70.96 | — |
| IowaIowa | $59.82 | — |
| IdahoIdaho | $60.17 | — |
| East St. Louis, ILIllinois | $62.22 | — |
| Rest of IllinoisIllinois | $61.28 | — |
| Suburban Chicago, ILIllinois | $67.26 | — |
| IndianaIndiana | $60.53 | — |
| KansasKansas | $59.42 | — |
| KentuckyKentucky | $59.23 | — |
| New Orleans, LALouisiana | $62.08 | — |
| Rest of LouisianaLouisiana | $59.10 | — |
| Metropolitan Boston, MAMassachusetts | $74.76 | — |
| Rest of MassachusettsMassachusetts | $67.36 | — |
| Baltimore area, MDMaryland | $68.93 | — |
| Rest of MarylandMaryland | $65.42 | — |
| Rest of MaineMaine | $60.36 | — |
| Southern Maine, MEMaine | $63.86 | — |
| Detroit, MIMichigan | $64.00 | — |
| Rest of MichiganMichigan | $60.70 | — |
| MinnesotaMinnesota | $65.28 | — |
| Metropolitan Kansas City, MOMissouri | $61.77 | — |
| Metropolitan St. Louis, MOMissouri | $62.44 | — |
| Rest of MissouriMissouri | $57.99 | — |
| MississippiMississippi | $57.62 | — |
| MontanaMontana | $64.80 | — |
| North CarolinaNorth Carolina | $61.03 | — |
| North DakotaNorth Dakota | $64.00 | — |
| NebraskaNebraska | $60.19 | — |
| New HampshireNew Hampshire | $66.64 | — |
| Northern New JerseyNew Jersey | $73.65 | — |
| Rest of New JerseyNew Jersey | $70.02 | — |
| New MexicoNew Mexico | $60.99 | — |
| NevadaNevada | $64.62 | — |
| NYC suburbs and Long Island, NYNew York | $76.14 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $70.39 | — |
| Queens, NYNew York | $75.24 | — |
| Rest of New YorkNew York | $61.95 | — |
| OhioOhio | $60.54 | — |
| OklahomaOklahoma | $59.25 | — |
| Portland, OROregon | $70.14 | — |
| Rest of OregonOregon | $64.20 | — |
| Metropolitan Philadelphia, PAPennsylvania | $67.33 | — |
| Rest of PennsylvaniaPennsylvania | $60.70 | — |
| Puerto RicoPuerto Rico | $65.32 | — |
| Rhode IslandRhode Island | $66.55 | — |
| South CarolinaSouth Carolina | $60.87 | — |
| South DakotaSouth Dakota | $63.91 | — |
| TennesseeTennessee | $59.71 | — |
| Austin, TXTexas | $67.52 | — |
| Beaumont, TXTexas | $60.28 | — |
| Brazoria, TXTexas | $64.18 | — |
| Dallas, TXTexas | $64.54 | — |
| Fort Worth, TXTexas | $64.07 | — |
| Galveston, TXTexas | $64.34 | — |
| Houston, TXTexas | $65.07 | — |
| Rest of TexasTexas | $62.16 | — |
| UtahUtah | $61.72 | — |
| VirginiaVirginia | $63.57 | — |
| Virgin Islands, VIUnited States Virgin Islands | $65.32 | — |
| Rest of WashingtonWashington | $67.27 | — |
| King County, WAWashington | $76.42 | — |
| WisconsinWisconsin | $61.81 | — |
| West VirginiaWest Virginia | $58.94 | — |
| WyomingWyoming | $64.45 | — |
77074 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.
$57.23
$78.30
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 | $74.57 | 1 |
| AL | $58.08 | 1 |
| AR | $57.23 | 1 |
| AZ | $63.08 | 1 |
| CA | $69.14–$87.46 | 29 |
| CO | $67.82 | 1 |
| CT | $69.15 | 1 |
| DC | $74.46 | 1 |
| DE | $64.15 | 1 |
| FL | $63.31–$68.85 | 3 |
| GA | $59.75–$65.89 | 2 |
| GU | $70.96 | 1 |
| HI | $70.96 | 1 |
| IA | $59.82 | 1 |
| ID | $60.17 | 1 |
| IL | $61.28–$67.26 | 4 |
| IN | $60.53 | 1 |
| KS | $59.42 | 1 |
| KY | $59.23 | 1 |
| LA | $59.10–$62.08 | 2 |
| MA | $67.36–$74.76 | 2 |
| MD | $65.42–$74.46 | 3 |
| ME | $60.36–$63.86 | 2 |
| MI | $60.70–$64.00 | 2 |
| MN | $65.28 | 1 |
| MO | $57.99–$62.44 | 3 |
| MS | $57.62 | 1 |
| MT | $64.80 | 1 |
| NC | $61.03 | 1 |
| ND | $64.00 | 1 |
| NE | $60.19 | 1 |
| NH | $66.64 | 1 |
| NJ | $70.02–$73.65 | 2 |
| NM | $60.99 | 1 |
| NV | $64.62 | 1 |
| NY | $61.95–$76.14 | 5 |
| OH | $60.54 | 1 |
| OK | $59.25 | 1 |
| OR | $64.20–$70.14 | 2 |
| PA | $60.70–$67.33 | 2 |
| PR | $65.32 | 1 |
| RI | $66.55 | 1 |
| SC | $60.87 | 1 |
| SD | $63.91 | 1 |
| TN | $59.71 | 1 |
| TX | $60.28–$67.52 | 8 |
| UT | $61.72 | 1 |
| VA | $63.57–$74.46 | 2 |
| VI | $65.32 | 1 |
| VT | $63.65 | 1 |
| WA | $67.27–$76.42 | 2 |
| WI | $61.81 | 1 |
| WV | $58.94 | 1 |
| WY | $64.45 | 1 |
How the 77074 rate is calculated
Each of 77074’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 · 77074
RVUs × geographic indexes × conversion factor
Work0.43
0.43 RVUs× 1.000 GPCI
Practice expense1.47
1.47 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
1.9400
Conversion factor
$33.4009
Medicare rate
$64.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vermont inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,992
- Code
- 77074
- Physician work
- 0.43
- Practice expense
- 1.47
- Malpractice
- 0.04
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.43 | × 1.000 | 0.4300 |
| Practice expense | 1.47 | × 0.990 | 1.4553 |
| Malpractice | 0.04 | × 0.506 | 0.0202 |
| Total RVUs | 1.9055 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$63.65
Office: (0.43 × 1 + 1.47 × 0.99 + 0.04 × 0.506) × $33.4009 = $63.65
Payment rules and modifiers for 77074
The CMS indicators that decide how 77074 is paid alongside other services.
CMS payment indicators · 77074
Skeletal survey, limited examination
| 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
77074 without 26 · national office
$64.80
Skeletal survey, limited examination
77074-26 · Professional component
$20.71
Pays only the interpretation and report.
How 77074 has changed in Vermont
77074 · Office / nonfacility
$63.65
Effective 2026-10-01
The base rate is $1.06 higher than on 2025-10-01, moving from $62.59 to $63.65 (1.7%).
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
$62.59changed to$63.65
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.44 changed to 0.43
- Practice expense RVU 1.49 changed to 1.47
- Malpractice RVU 0.03 changed to 0.04
- Practice expense GPCI 0.993 changed to 0.990
- Malpractice GPCI 0.518 changed to 0.506
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$64.41changed to$62.59
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$63.36changed to$64.41
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$65.46changed to$63.36
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.48 changed to 1.49
- Practice expense GPCI 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$67.09changed to$65.46
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 1.001 changed to 0.997
- Malpractice GPCI 0.569 changed to 0.543
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$65.90changed to$67.09
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.43 changed to 1.48
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$64.17changed to$65.90
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.31 changed to 1.43
- Practice expense GPCI 1.008 changed to 1.001
- Malpractice GPCI 0.582 changed to 0.569
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$69.02changed to$64.17
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 0.45 changed to 0.44
- Practice expense RVU 1.42 changed to 1.31
- Malpractice RVU 0.04 changed to 0.03
- Practice expense GPCI 1.015 changed to 1.008
- Malpractice GPCI 0.595 changed to 0.582
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$65.65changed to$69.02
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.33 changed to 1.42
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$65.28changed to$65.65
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 1.010 changed to 1.015
- Malpractice GPCI 0.639 changed to 0.595
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$64.54changed to$65.28
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.32 changed to 1.33
- Practice expense GPCI 1.004 changed to 1.010
- Malpractice GPCI 0.682 changed to 0.639
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$64.17changed to$64.54
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.31 changed to 1.32
- Malpractice RVU 0.03 changed to 0.04
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$63.85changed to$64.17
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$72.14changed to$63.85
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.53 changed to 1.31
- Malpractice RVU 0.04 changed to 0.03
- Practice expense GPCI 1.006 changed to 1.004
- Malpractice GPCI 0.618 changed to 0.682
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$72.14
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $63.65 | Not available in this setting | RVU26D |
| 2026-07-01 | $63.65 | Not available in this setting | RVU26C |
| 2026-04-01 | $63.65 | Not available in this setting | RVU26B |
| 2026-01-01 | $63.65 | Not available in this setting | RVU26A |
| 2025-10-01 | $62.59 | Not available in this setting | RVU25D |
| 2025-07-01 | $62.59 | Not available in this setting | RVU25C |
| 2025-04-01 | $62.59 | Not available in this setting | RVU25B |
| 2025-01-01 | $62.59 | Not available in this setting | RVU25A |
| 2024-10-01 | $64.41 | Not available in this setting | RVU24D |
| 2024-07-01 | $64.41 | Not available in this setting | RVU24C |
| 2024-04-01 | $64.41 | Not available in this setting | RVU24B |
| 2024-03-09 | $64.41 | Not available in this setting | RVU24AR |
| 2024-01-01 | $63.36 | Not available in this setting | RVU24A |
| 2023-10-01 | $65.46 | Not available in this setting | RVU23D |
| 2023-07-01 | $65.46 | Not available in this setting | RVU23C |
| 2023-04-01 | $65.46 | Not available in this setting | RVU23B |
| 2023-01-01 | $65.46 | Not available in this setting | RVU23A |
| 2022-10-01 | $67.09 | Not available in this setting | RVU22D |
| 2022-07-01 | $67.09 | Not available in this setting | RVU22C |
| 2022-04-01 | $67.09 | Not available in this setting | RVU22B |
| 2022-01-01 | $67.09 | Not available in this setting | RVU22A |
| 2021-10-01 | $65.90 | Not available in this setting | RVU21D |
| 2021-07-01 | $65.90 | Not available in this setting | RVU21C |
| 2021-04-01 | $65.90 | Not available in this setting | RVU21B |
| 2021-01-01 | $65.90 | Not available in this setting | RVU21A |
| 2020-10-01 | $64.17 | Not available in this setting | RVU20D |
| 2020-07-01 | $64.17 | Not available in this setting | RVU20C |
| 2020-04-01 | $64.17 | Not available in this setting | RVU20B |
| 2020-01-01 | $64.17 | Not available in this setting | RVU20A |
| 2019-10-01 | $69.02 | Not available in this setting | RVU19D |
| 2019-07-01 | $69.02 | Not available in this setting | RVU19C |
| 2019-04-01 | $69.02 | Not available in this setting | RVU19B |
| 2019-01-01 | $69.02 | Not available in this setting | RVU19A |
| 2018-10-01 | $65.65 | Not available in this setting | RVU18D |
| 2018-07-01 | $65.65 | Not available in this setting | RVU18C |
| 2018-04-01 | $65.65 | Not available in this setting | RVU18B |
| 2018-01-01 | $65.65 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $65.28 | Not available in this setting | RVU17D |
| 2017-07-01 | $65.28 | Not available in this setting | RVU17C |
| 2017-04-01 | $65.28 | Not available in this setting | RVU17B |
| 2017-01-01 | $65.28 | Not available in this setting | RVU17A |
| 2016-10-01 | $64.54 | Not available in this setting | RVU16D |
| 2016-07-01 | $64.54 | Not available in this setting | RVU16C |
| 2016-04-01 | $64.54 | Not available in this setting | RVU16B |
| 2016-01-01 | $64.54 | Not available in this setting | RVU16A |
| 2015-10-01 | $64.17 | Not available in this setting | RVU15D |
| 2015-07-01 | $64.17 | Not available in this setting | RVU15C |
| 2015-04-01 | $63.85 | Not available in this setting | RVU15B |
| 2015-01-01 | $63.85 | Not available in this setting | RVU15A |
| 2014-10-01 | $72.14 | Not available in this setting | RVU14D |
| 2014-07-01 | $72.14 | Not available in this setting | RVU14C |
| 2014-04-01 | $72.14 | Not available in this setting | RVU14B |
| 2014-01-01 | $72.14 | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
77074 billing questions
When should 77074 be used instead of 77075?
Use 77074 for a limited skeletal survey of selected regions. Use 77075 when the examination is a complete skeletal survey.
How should the professional and technical services be billed?
Report modifier 26 for the interpretation and modifier TC for the equipment and staff portion. Without a modifier, the code represents the global service.
Should each radiographic view be reported as a separate unit?
The code represents the limited survey, not individual images. The documentation should show the regions examined and support the scope of the survey.
What documentation supports reporting the limited survey?
Keep the order and imaging report showing the clinical reason, the skeletal regions examined, and the radiologist’s interpretation.
Is 77074 the appropriate code for an infant skeletal survey?
No. The infant skeletal survey is represented by 77076; 77074 is for a limited survey.
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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