$26.15–$40.26
Choose 74018 for one abdominal view; 74019 is for two views.
On this page
CMS RVU26D · Effective 2026-10-01
74019 Abdominal X-ray Medicare reimbursement rates
Report this abdominal radiographic examination when two views are obtained to assess findings such as bowel obstruction, ileus, or suspected free air. Compare 74019 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 74019?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$31.79–$48.97
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $17.18 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 74019 pays more and less
109 payment localities
$31.79 to $48.97
Radiology
About 74019: Two-view abdominal radiograph
Report this abdominal radiographic examination when two views are obtained to assess findings such as bowel obstruction, ileus, or suspected free air.
This examination uses two abdominal X-ray views to evaluate the distribution of gas, bowel dilation, fluid levels, or other visible abdominal findings. A common approach uses a supine view with an upright or decubitus view when clinically useful. It is performed in settings such as an imaging department, emergency department, or hospital unit, with a radiologic technologist acquiring the images and a physician interpreting them.
Select the code based on the number of abdominal views obtained, not the suspected diagnosis alone. The record should support the examination performed, the views acquired, and the interpreting physician’s findings. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and billing without either modifier represents the global service.
CMS billing rules for 74019
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU0.22 · 20%
- Practice expense (office) RVU0.84 · 78%
- Malpractice RVU0.02 · 2%
269.2K
Medicare services in 2024 · #331 by national volume
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.
74019 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$37.15–$57.20
Choose 74021 when three or more abdominal views are obtained; 74019 represents two.
$43.58–$66.94
74022 is for a complete acute abdomen series that includes a chest view. Use 74019 for a two-view abdominal examination without that broader series.
See how rates vary across the country
74019 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$31.79
$43.78
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $41.27 | 1 |
| AL | $32.28 | 1 |
| AR | $31.79 | 1 |
| AZ | $35.11 | 1 |
| CA | $38.58–$48.97 | 29 |
| CO | $37.81 | 1 |
| CT | $38.52 | 1 |
| DC | $41.54 | 1 |
| DE | $35.71 | 1 |
| FL | $35.17–$38.24 | 3 |
| GA | $33.17–$36.68 | 2 |
| GU | $39.64 | 1 |
| HI | $39.64 | 1 |
| IA | $33.29 | 1 |
| ID | $33.48 | 1 |
| IL | $34.01–$37.40 | 4 |
| IN | $33.68 | 1 |
| KS | $33.05 | 1 |
| KY | $32.90 | 1 |
| LA | $32.82–$34.51 | 2 |
| MA | $37.54–$41.74 | 2 |
| MD | $36.43–$41.54 | 3 |
| ME | $33.58–$35.57 | 2 |
| MI | $33.72–$35.55 | 2 |
| MN | $36.42 | 1 |
| MO | $32.18–$34.73 | 3 |
| MS | $32.00 | 1 |
| MT | $36.07 | 1 |
| NC | $33.95 | 1 |
| ND | $35.68 | 1 |
| NE | $33.50 | 1 |
| NH | $37.14 | 1 |
| NJ | $39.01–$41.07 | 2 |
| NM | $33.88 | 1 |
| NV | $35.99 | 1 |
| NY | $34.47–$42.42 | 5 |
| OH | $33.64 | 1 |
| OK | $32.92 | 1 |
| OR | $35.76–$39.13 | 2 |
| PA | $33.74–$37.48 | 2 |
| PR | $36.37 | 1 |
| RI | $37.07 | 1 |
| SC | $33.84 | 1 |
| SD | $35.63 | 1 |
| TN | $33.21 | 1 |
| TX | $33.50–$37.64 | 8 |
| UT | $34.32 | 1 |
| VA | $35.40–$41.54 | 2 |
| VI | $36.37 | 1 |
| VT | $35.46 | 1 |
| WA | $37.50–$42.69 | 2 |
| WI | $34.43 | 1 |
| WV | $32.69 | 1 |
| WY | $35.90 | 1 |
Compare 74019 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $32.28 | Facility Unavailable |
| Alaska* | Office $41.27 | Facility Unavailable |
| Arizona | Office $35.11 | Facility Unavailable |
| Arkansas | Office $31.79 | Facility Unavailable |
| Atlanta | Office $36.68 | Facility Unavailable |
| Austin | Office $37.64 | Facility Unavailable |
| Bakersfield | Office $38.64 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $38.40 | Facility Unavailable |
| Beaumont | Office $33.50 | Facility Unavailable |
| Brazoria | Office $35.73 | Facility Unavailable |
| Chicago | Office $37.13 | Facility Unavailable |
| Chico | Office $38.58 | Facility Unavailable |
| Colorado | Office $37.81 | Facility Unavailable |
| Connecticut | Office $38.52 | Facility Unavailable |
| Dallas | Office $35.93 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $41.54 | Facility Unavailable |
| Delaware | Office $35.71 | Facility Unavailable |
| Detroit | Office $35.55 | Facility Unavailable |
| East St. Louis | Office $34.51 | Facility Unavailable |
| El Centro | Office $38.58 | Facility Unavailable |
| Fort Lauderdale | Office $36.98 | Facility Unavailable |
| Fort Worth | Office $35.66 | Facility Unavailable |
| Fresno | Office $38.58 | Facility Unavailable |
| Galveston | Office $35.82 | Facility Unavailable |
| Hanford-Corcoran | Office $38.58 | Facility Unavailable |
| Hawaii, Guam | Office $39.64 | Facility Unavailable |
| Houston | Office $36.19 | Facility Unavailable |
| Idaho | Office $33.48 | Facility Unavailable |
| Indiana | Office $33.68 | Facility Unavailable |
| Iowa | Office $33.29 | Facility Unavailable |
| Kansas | Office $33.05 | Facility Unavailable |
| Kentucky | Office $32.90 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $41.28 | Facility Unavailable |
| Madera | Office $38.58 | Facility Unavailable |
| Manhattan | Office $41.48 | Facility Unavailable |
| Merced | Office $38.58 | Facility Unavailable |
| Metropolitan Boston | Office $41.74 | Facility Unavailable |
| Metropolitan Kansas City | Office $34.35 | Facility Unavailable |
| Metropolitan Philadelphia | Office $37.48 | Facility Unavailable |
| Metropolitan St. Louis | Office $34.73 | Facility Unavailable |
| Miami | Office $38.24 | Facility Unavailable |
| Minnesota | Office $36.42 | Facility Unavailable |
| Mississippi | Office $32.00 | Facility Unavailable |
| Modesto | Office $38.58 | Facility Unavailable |
| Montana** | Office $36.07 | Facility Unavailable |
| Napa | Office $45.13 | Facility Unavailable |
| Nebraska | Office $33.50 | Facility Unavailable |
| Nevada** | Office $35.99 | Facility Unavailable |
| New Hampshire | Office $37.14 | Facility Unavailable |
| New Mexico | Office $33.88 | Facility Unavailable |
| New Orleans | Office $34.51 | Facility Unavailable |
| North Carolina | Office $33.95 | Facility Unavailable |
| North Dakota** | Office $35.68 | Facility Unavailable |
| Northern Nj | Office $41.07 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $42.42 | Facility Unavailable |
| Ohio | Office $33.64 | Facility Unavailable |
| Oklahoma | Office $32.92 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $41.13 | Facility Unavailable |
| Portland | Office $39.13 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $39.21 | Facility Unavailable |
| Puerto Rico | Office $36.37 | Facility Unavailable |
| Queens | Office $41.94 | Facility Unavailable |
| Redding | Office $38.58 | Facility Unavailable |
| Rest Of California | Office $38.58 | Facility Unavailable |
| Rest Of Florida | Office $35.17 | Facility Unavailable |
| Rest Of Georgia | Office $33.17 | Facility Unavailable |
| Rest Of Illinois | Office $34.01 | Facility Unavailable |
| Rest Of Louisiana | Office $32.82 | Facility Unavailable |
| Rest Of Maine | Office $33.58 | Facility Unavailable |
| Rest Of Maryland | Office $36.43 | Facility Unavailable |
| Rest Of Massachusetts | Office $37.54 | Facility Unavailable |
| Rest Of Michigan | Office $33.72 | Facility Unavailable |
| Rest Of Missouri | Office $32.18 | Facility Unavailable |
| Rest Of New Jersey | Office $39.01 | Facility Unavailable |
| Rest Of New York | Office $34.47 | Facility Unavailable |
| Rest Of Oregon | Office $35.76 | Facility Unavailable |
| Rest Of Pennsylvania | Office $33.74 | Facility Unavailable |
| Rest Of Texas | Office $34.58 | Facility Unavailable |
| Rest Of Washington | Office $37.50 | Facility Unavailable |
| Rhode Island | Office $37.07 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $38.80 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $40.60 | Facility Unavailable |
| Salinas | Office $40.45 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $41.49 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $47.91 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $47.89 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $48.97 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $48.88 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $39.79 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $41.95 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $40.63 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $42.38 | Facility Unavailable |
| Seattle (King Cnty) | Office $42.69 | Facility Unavailable |
| South Carolina | Office $33.84 | Facility Unavailable |
| South Dakota** | Office $35.63 | Facility Unavailable |
| Southern Maine | Office $35.57 | Facility Unavailable |
| Stockton | Office $38.58 | Facility Unavailable |
| Suburban Chicago | Office $37.40 | Facility Unavailable |
| Tennessee | Office $33.21 | Facility Unavailable |
| Utah | Office $34.32 | Facility Unavailable |
| Vallejo | Office $45.10 | Facility Unavailable |
| Vermont | Office $35.46 | Facility Unavailable |
| Virgin Islands | Office $36.37 | Facility Unavailable |
| Virginia | Office $35.40 | Facility Unavailable |
| Visalia | Office $38.58 | Facility Unavailable |
| West Virginia | Office $32.69 | Facility Unavailable |
| Wisconsin | Office $34.43 | Facility Unavailable |
| Wyoming** | Office $35.90 | Facility Unavailable |
| Yuba City | Office $38.58 | Facility Unavailable |
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74019 billing questions
When should 74019 be chosen over 74018?
Use 74019 when two abdominal views are obtained. Use 74018 when the examination consists of one view.
How does 74019 differ from 74021?
The distinction is the number of abdominal views: two for 74019 and three or more for 74021.
When is 74022 a better fit?
74022 describes a complete acute abdomen series that includes a chest view along with abdominal views. Choose it when that broader series is performed rather than a two-view abdominal examination alone.
Can the interpretation and image acquisition be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Without either modifier, the claim represents the global service.
What documentation supports reporting two views?
Document the abdominal examination and the two views obtained. The radiology report should support the physician’s interpretation of the images.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,28874018,,Radex abdomen 1 view,A,,0.18,0.69,,0.69,NA,0.02,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.05
8,28974018,26,Radex abdomen 1 view,A,,0.18,0.07,,0.07,,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,29074018,TC,Radex abdomen 1 view,A,,0.00,0.62,,0.62,NA,0.01,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
8,29174019,,Radex abdomen 2 views,A,,0.22,0.84,,0.84,NA,0.02,1.08,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.25,3.25,0.05
8,29274019,26,Radex abdomen 2 views,A,,0.22,0.09,,0.09,,0.01,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,29374019,TC,Radex abdomen 2 views,A,,0.00,0.75,,0.75,NA,0.01,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.16,3.16,0.04
8,29474021,,Radex abdomen 3+ views,A,,0.26,0.98,,0.98,NA,0.02,1.26,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.26,3.26,0.05