$172.06–$260.88
74181 describes abdominal MRI without contrast. Choose 74182 when contrast is used without a precontrast imaging series.
On this page
CMS RVU26D · Effective 2026-10-01
74182 Abdominal MRI Medicare reimbursement rates
Report this service for an abdominal MRI performed with contrast only, such as imaging to evaluate a liver, pancreatic, or renal finding. Compare 74182 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 74182?
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
$264.52–$410.62
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $146.10 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 74182 pays more and less
109 payment localities
$264.52 to $410.62
Diagnostic imaging
About 74182: Contrast-enhanced abdominal MRI
Report this service for an abdominal MRI performed with contrast only, such as imaging to evaluate a liver, pancreatic, or renal finding.
This service covers MRI imaging of the abdomen after contrast administration, commonly with an IV gadolinium-based agent when clinically appropriate. It may be used to assess findings involving abdominal organs such as the liver, pancreas, kidneys, spleen, or adrenal glands. A radiologist interprets the images; imaging-center or hospital staff provide the technical service using the MRI equipment.
Select this code when the examination uses contrast without both precontrast and postcontrast imaging; an exam performed both before and after contrast is reported with the corresponding with-and-without-contrast code. The order and report should identify the abdominal examination, the clinical indication, and the contrast protocol performed. Bill without a modifier for the global service, or use modifier 26 for interpretation or TC for equipment and staff when billing a separately priced component. When multiple diagnostic imaging procedures are performed, CMS applies the multiple procedure reduction to both the professional and technical components.
CMS billing rules for 74182
- 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.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU1.69 · 19%
- Practice expense (office) RVU7.18 · 80%
- Malpractice RVU0.12 · 1%
3.9K
Medicare services in 2024 · #2016 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.
74182 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$296.92–$455.85
74183 applies when the abdominal MRI includes images both before and after contrast; 74182 is for contrast-only imaging.
$202.49–$315.38
74160 is contrast-enhanced abdominal CT. Use the MRI code when the performed examination is MRI rather than CT.
74185
No office rateMra abd w or w/o cntrst
74185 describes abdominal MR angiography focused on blood vessels, not routine contrast-enhanced MRI of abdominal organs.
See how rates vary across the country
74182 · 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.
$264.52
$366.51
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 | $342.29 | 1 |
| AL | $268.56 | 1 |
| AR | $264.52 | 1 |
| AZ | $292.26 | 1 |
| CA | $322.40–$410.62 | 29 |
| CO | $315.42 | 1 |
| CT | $320.71 | 1 |
| DC | $346.46 | 1 |
| DE | $297.27 | 1 |
| FL | $291.74–$316.24 | 3 |
| GA | $275.14–$305.09 | 2 |
| GU | $331.44 | 1 |
| HI | $331.44 | 1 |
| IA | $277.47 | 1 |
| ID | $278.98 | 1 |
| IL | $281.67–$310.24 | 4 |
| IN | $280.71 | 1 |
| KS | $275.26 | 1 |
| KY | $273.31 | 1 |
| LA | $272.53–$286.67 | 2 |
| MA | $313.07–$348.67 | 2 |
| MD | $303.39–$346.46 | 3 |
| ME | $279.57–$296.64 | 2 |
| MI | $279.93–$294.63 | 2 |
| MN | $304.41 | 1 |
| MO | $267.07–$288.77 | 3 |
| MS | $265.89 | 1 |
| MT | $300.27 | 1 |
| NC | $282.76 | 1 |
| ND | $297.89 | 1 |
| NE | $279.32 | 1 |
| NH | $309.61 | 1 |
| NJ | $324.98–$342.47 | 2 |
| NM | $281.17 | 1 |
| NV | $299.84 | 1 |
| NY | $287.09–$352.65 | 5 |
| OH | $279.44 | 1 |
| OK | $273.72 | 1 |
| OR | $298.12–$326.77 | 2 |
| PA | $280.39–$311.90 | 2 |
| PR | $302.85 | 1 |
| RI | $308.83 | 1 |
| SC | $281.45 | 1 |
| SD | $297.61 | 1 |
| TN | $276.59 | 1 |
| TX | $278.41–$313.84 | 8 |
| UT | $285.48 | 1 |
| VA | $295.02–$346.46 | 2 |
| VI | $302.85 | 1 |
| VT | $295.90 | 1 |
| WA | $312.76–$356.80 | 2 |
| WI | $287.43 | 1 |
| WV | $270.59 | 1 |
| WY | $299.23 | 1 |
Compare 74182 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 $268.56 | Facility Unavailable |
| Alaska* | Office $342.29 | Facility Unavailable |
| Arizona | Office $292.26 | Facility Unavailable |
| Arkansas | Office $264.52 | Facility Unavailable |
| Atlanta | Office $305.09 | Facility Unavailable |
| Austin | Office $313.84 | Facility Unavailable |
| Bakersfield | Office $322.80 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $319.63 | Facility Unavailable |
| Beaumont | Office $278.41 | Facility Unavailable |
| Brazoria | Office $297.69 | Facility Unavailable |
| Chicago | Office $307.06 | Facility Unavailable |
| Chico | Office $322.40 | Facility Unavailable |
| Colorado | Office $315.42 | Facility Unavailable |
| Connecticut | Office $320.71 | Facility Unavailable |
| Dallas | Office $299.25 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $346.46 | Facility Unavailable |
| Delaware | Office $297.27 | Facility Unavailable |
| Detroit | Office $294.63 | Facility Unavailable |
| East St. Louis | Office $285.15 | Facility Unavailable |
| El Centro | Office $322.42 | Facility Unavailable |
| Fort Lauderdale | Office $306.63 | Facility Unavailable |
| Fort Worth | Office $296.91 | Facility Unavailable |
| Fresno | Office $322.40 | Facility Unavailable |
| Galveston | Office $298.36 | Facility Unavailable |
| Hanford-Corcoran | Office $322.40 | Facility Unavailable |
| Hawaii, Guam | Office $331.44 | Facility Unavailable |
| Houston | Office $300.55 | Facility Unavailable |
| Idaho | Office $278.98 | Facility Unavailable |
| Indiana | Office $280.71 | Facility Unavailable |
| Iowa | Office $277.47 | Facility Unavailable |
| Kansas | Office $275.26 | Facility Unavailable |
| Kentucky | Office $273.31 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $345.13 | Facility Unavailable |
| Madera | Office $322.40 | Facility Unavailable |
| Manhattan | Office $345.09 | Facility Unavailable |
| Merced | Office $322.40 | Facility Unavailable |
| Metropolitan Boston | Office $348.67 | Facility Unavailable |
| Metropolitan Kansas City | Office $285.55 | Facility Unavailable |
| Metropolitan Philadelphia | Office $311.90 | Facility Unavailable |
| Metropolitan St. Louis | Office $288.77 | Facility Unavailable |
| Miami | Office $316.24 | Facility Unavailable |
| Minnesota | Office $304.41 | Facility Unavailable |
| Mississippi | Office $265.89 | Facility Unavailable |
| Modesto | Office $322.40 | Facility Unavailable |
| Montana** | Office $300.27 | Facility Unavailable |
| Napa | Office $378.12 | Facility Unavailable |
| Nebraska | Office $279.32 | Facility Unavailable |
| Nevada** | Office $299.84 | Facility Unavailable |
| New Hampshire | Office $309.61 | Facility Unavailable |
| New Mexico | Office $281.17 | Facility Unavailable |
| New Orleans | Office $286.67 | Facility Unavailable |
| North Carolina | Office $282.76 | Facility Unavailable |
| North Dakota** | Office $297.89 | Facility Unavailable |
| Northern Nj | Office $342.47 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $352.65 | Facility Unavailable |
| Ohio | Office $279.44 | Facility Unavailable |
| Oklahoma | Office $273.72 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $343.99 | Facility Unavailable |
| Portland | Office $326.77 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $326.44 | Facility Unavailable |
| Puerto Rico | Office $302.85 | Facility Unavailable |
| Queens | Office $349.31 | Facility Unavailable |
| Redding | Office $322.40 | Facility Unavailable |
| Rest Of California | Office $322.40 | Facility Unavailable |
| Rest Of Florida | Office $291.74 | Facility Unavailable |
| Rest Of Georgia | Office $275.14 | Facility Unavailable |
| Rest Of Illinois | Office $281.67 | Facility Unavailable |
| Rest Of Louisiana | Office $272.53 | Facility Unavailable |
| Rest Of Maine | Office $279.57 | Facility Unavailable |
| Rest Of Maryland | Office $303.39 | Facility Unavailable |
| Rest Of Massachusetts | Office $313.07 | Facility Unavailable |
| Rest Of Michigan | Office $279.93 | Facility Unavailable |
| Rest Of Missouri | Office $267.07 | Facility Unavailable |
| Rest Of New Jersey | Office $324.98 | Facility Unavailable |
| Rest Of New York | Office $287.09 | Facility Unavailable |
| Rest Of Oregon | Office $298.12 | Facility Unavailable |
| Rest Of Pennsylvania | Office $280.39 | Facility Unavailable |
| Rest Of Texas | Office $287.65 | Facility Unavailable |
| Rest Of Washington | Office $312.76 | Facility Unavailable |
| Rhode Island | Office $308.83 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $323.72 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $339.54 | Facility Unavailable |
| Salinas | Office $338.30 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $347.14 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $401.79 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $401.66 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $410.62 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $410.07 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $332.71 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $351.16 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $339.80 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $354.79 | Facility Unavailable |
| Seattle (King Cnty) | Office $356.80 | Facility Unavailable |
| South Carolina | Office $281.45 | Facility Unavailable |
| South Dakota** | Office $297.61 | Facility Unavailable |
| Southern Maine | Office $296.64 | Facility Unavailable |
| Stockton | Office $322.40 | Facility Unavailable |
| Suburban Chicago | Office $310.24 | Facility Unavailable |
| Tennessee | Office $276.59 | Facility Unavailable |
| Utah | Office $285.48 | Facility Unavailable |
| Vallejo | Office $377.92 | Facility Unavailable |
| Vermont | Office $295.90 | Facility Unavailable |
| Virgin Islands | Office $302.85 | Facility Unavailable |
| Virginia | Office $295.02 | Facility Unavailable |
| Visalia | Office $322.40 | Facility Unavailable |
| West Virginia | Office $270.59 | Facility Unavailable |
| Wisconsin | Office $287.43 | Facility Unavailable |
| Wyoming** | Office $299.23 | Facility Unavailable |
| Yuba City | Office $322.40 | Facility Unavailable |
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74182 billing questions
When is 74182 used instead of 74183?
Use 74182 when the abdominal MRI is performed with contrast only. Use 74183 when the exam includes imaging both before and after contrast.
Can the interpretation and technical service be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the code represents the global service.
Does the multiple procedure reduction affect both components?
Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.
What documentation supports this code?
The record should support an abdominal MRI, the clinical reason for imaging, and the contrast protocol actually performed. The radiology report should document the examination and its findings.
How does this differ from an abdominal MRI without contrast?
Code 74182 represents an abdominal MRI with contrast only. Code 74181 is for an abdominal MRI performed without contrast.
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.
8,32474181,,Mri abdomen w/o contrast,A,,1.42,4.29,,4.29,NA,0.09,5.80,5.80,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,7.76,7.76,0.11
8,32574181,26,Mri abdomen w/o contrast,A,,1.42,0.50,,0.50,,0.07,1.99,1.99,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,32674181,TC,Mri abdomen w/o contrast,A,,0.00,3.79,,3.79,NA,0.02,3.81,3.81,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,7.26,7.26,0.04
8,32774182,,Mri abdomen w/contrast,A,,1.69,7.18,,7.18,NA,0.12,8.99,8.99,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.21,11.21,0.14
8,32874182,26,Mri abdomen w/contrast,A,,1.69,0.59,,0.59,,0.09,2.37,2.37,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,32974182,TC,Mri abdomen w/contrast,A,,0.00,6.59,,6.59,NA,0.03,6.62,6.62,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.62,10.62,0.05
8,33074183,,Mri abd w/o cntr flwd cntr,A,,2.15,7.75,,7.75,NA,0.16,10.06,10.06,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.39,11.39,0.18