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Billing code 74150: CT abdomenMedicare rate & RVUs

Reports a CT examination of the abdomen performed without contrast, such as imaging for suspected urinary stones or other abdominal findings.

CMS RVU26DEffective Oct 1, 2026109 payment localities54.1K Medicare services in 2024

Medicare pays $136.28 for 74150 nationally in the office. Local office rates run $121.60–$181.23.

Medicare rate · 74150

CT abdomen

Swap in your local Medicare rate.

Work RVUs
1.16
Total RVUs
4.08
Global days
XXX

National rate · 2026

$136.28

Office setting, before claim adjustments.

See every locality for 74150 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 74150 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 74150 covers

This service uses computed tomography to produce cross-sectional images of the abdomen without contrast material. A radiologic technologist typically acquires the images in a hospital or imaging center, and a radiologist interprets them. It may be selected when the clinical question calls for noncontrast abdominal imaging, including evaluation for suspected urinary calculi. The documented study must cover the abdomen rather than both the abdomen and pelvis as a combined examination.

Report 74150 when the performed study is limited to the abdomen and uses no contrast; the imaging order and report should support the anatomy examined and contrast protocol. The professional component represents the physician’s interpretation, while the technical component represents the equipment and staff used to perform the scan. Bill without a component modifier for the global service, or use modifier 26 or TC for the respective component. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components.

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.

Where 74150 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$121.60 to $181.23

$121.60$151.41$181.23
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

74150 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$123.26Unavailable
Alaska*$160.61Unavailable
Arizona$132.95Unavailable
Arkansas$121.60Unavailable
Atlanta$138.45Unavailable
Austin$141.55Unavailable
Bakersfield$145.07Unavailable
Baltimore/Surr. Cntys$144.45Unavailable
Beaumont$127.55Unavailable
Brazoria$135.14Unavailable

74150 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.

$121.60

$163.02

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

View every state and territory as a table
74150 office rate range by state
State / territoryOffice rate rangeLocalities
AK$160.611
AL$123.261
AR$121.601
AZ$132.951
CA$144.80–$181.2329
CO$142.231
CT$144.921
DC$155.551
DE$135.061
FL$133.45–$144.253
GA$126.54–$138.452
GU$148.151
HI$148.151
IA$126.601
ID$127.281
IL$129.53–$141.174
IN$127.981
KS$125.841
KY$125.521
LA$125.25–$131.042
MA$141.38–$155.972
MD$137.58–$155.553
ME$127.68–$134.442
MI$128.37–$134.792
MN$137.151
MO$123.12–$131.733
MS$122.391
MT$136.271
NC$128.961
ND$134.691
NE$127.311
NH$139.831
NJ$146.81–$154.082
NM$128.941
NV$135.921
NY$130.74–$158.975
OH$128.041
OK$125.531
OR$135.10–$146.742
PA$128.35–$141.382
PR$137.281
RI$139.851
SC$128.671
SD$134.501
TN$126.411
TX$127.55–$141.558
UT$130.311
VA$133.88–$155.552
VI$137.281
VT$134.011
WA$141.17–$159.262
WI$130.441
WV$125.001
WY$135.581

How the 74150 rate is calculated

Each of 74150’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 · 74150

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.16Practice expense 2.84Malpractice 0.08

4.0800 adjusted RVUs×$33.4009 conversion factor=$136.28

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 74150

The CMS indicators that decide how 74150 is paid alongside other services.

CMS payment indicators · 74150

CT abdomen

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
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

74150 without 26 · national office

$136.28

CT abdomen

74150-26 · Professional component

$54.78

Pays only the interpretation and report.

When to use modifier 26

74150 compared with similar codes

Compare codes

74150 vs 74160 vs 74170 vs 74176 vs 74181: national Medicare rates

Swap in your local Medicare rate.

  • 74150
    CT abdomen · 1.16 wRVU
    $136.28
  • 74160
    Abdominal CT · 1.24 wRVU
    $230.13+$93.85
  • 74170
    · 1.37 wRVU
    $258.86+$122.58
  • 74176
    CT abdomen and pelvis · 1.7 wRVU
    $183.04+$46.76
  • 74181
    Abdominal MRI · 1.42 wRVU
    $193.73+$57.45

How to choose

74160Abdominal CT
74160 is for abdominal CT performed with contrast; 74150 is for the abdomen without contrast.
74170Ct abd wo cntrst flwd cntrst
Choose 74170 when the abdominal CT includes imaging without contrast followed by imaging with contrast. Use 74150 for the noncontrast examination alone.
74176CT abdomen and pelvis
74176 covers CT of both the abdomen and pelvis without contrast. 74150 describes an abdomen-only examination.
74181Abdominal MRI
74181 describes MRI of the abdomen without contrast, while 74150 describes CT of the abdomen without contrast.

Codes related to 74150

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

Codes related to 74150
CodeHow it relatesNational office range
Same family
74160Abdominal CTAbdominal CT sibling for examinations performed with contrast.$202.49–$315.38
74170Ct abd wo cntrst flwd cntrstAbdominal CT sibling for studies performed without and then with contrast.No office rate
Used instead
74176CT abdomen and pelvisCovers a combined abdomen and pelvis CT performed without contrast.$163.97–$241.76
74181Abdominal MRIMRI alternative for an abdominal examination performed without contrast.$172.06–$260.88

74150 billing questions

When should 74150 be used instead of 74160?

Use 74150 for an abdominal CT performed without contrast. Use 74160 when the abdominal CT is performed with contrast.

How does 74150 differ from 74170?

74150 represents an abdomen CT without contrast. 74170 is for an abdomen CT performed without contrast followed by imaging with contrast.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the interpretation or modifier TC for the technical service; billing without either modifier represents the global service.

Does the multiple procedure reduction apply to 74150?

Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.

Should 74150 be reported when the scan covers the abdomen and pelvis?

No. For a combined abdomen and pelvis CT performed without contrast, compare the study with 74176; 74150 describes the abdomen examination.

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 74150PPRRVU2026_Oct_nonQPP.csv, line 8,300 (RVU26D)

Open CMS sourceHow we calculate rates

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