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CMS RVU26D · Effective 2026-10-01

74183 MRI abdomen Medicare reimbursement rates

Reports an abdominal MRI that includes imaging before and after contrast, commonly used to characterize a lesion or evaluate abdominal organs. Compare 74183 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 74183?

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

$296.92–$455.85

109 of 109 localities have a supported rate.

Lowest: Arkansas

Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

A spread of $158.93 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.

Find 74183 in your payment locality →

Where 74183 pays more and less

109 payment localities

$296.92 to $455.85

$296.92$376.38$455.85
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

MRI

About 74183: MRI abdomen without and with contrast

Reports an abdominal MRI that includes imaging before and after contrast, commonly used to characterize a lesion or evaluate abdominal organs.

This code describes an MRI examination of the abdomen with images acquired both before and after contrast administration. A radiologist interprets the images; the technical work uses the MRI scanner, staff, and related equipment. Common clinical questions include characterizing a liver lesion, evaluating a pancreatic or adrenal abnormality, and assessing other abdominal organ findings. The examination is performed in hospital imaging departments and freestanding diagnostic imaging centers.

Choose this code when the documented abdominal study includes both noncontrast and postcontrast imaging, rather than only one contrast approach. The order and report should support the abdominal anatomy examined, the use of contrast, and the diagnostic interpretation. CMS recognizes separate professional and technical components: modifier 26 identifies interpretation, modifier TC identifies the technical service, and billing without either modifier represents the global service. When multiple diagnostic imaging procedures are reported, the CMS multiple-procedure reduction applies to both components.

CMS billing rules for 74183

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 RVU2.15 · 21%
  • Practice expense (office) RVU7.75 · 77%
  • Malpractice RVU0.16 · 2%

550.4K

Medicare services in 2024 · #215 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.

74183 compared with similar codes

Office rate ranges across all CMS payment localities, from the same CMS release.

74181

Abdominal MRI

Without contrast

$172.06–$260.88

Use 74181 when the abdominal MRI is performed without contrast. 74183 requires both noncontrast and postcontrast imaging.

74182

Abdominal MRI

With contrast only

$264.52–$410.62

Use 74182 for an abdominal MRI with contrast only. Choose 74183 when the documented protocol includes imaging before and after contrast.

74170

Ct abd wo cntrst flwd cntrst

No office rate

74170 describes an abdominal CT without and with contrast. Use 74183 when the completed examination is MRI, not CT.

See how rates vary across the country

74183 · 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.

$296.92

$407.73

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$386.351
AL$301.341
AR$296.921
AZ$327.221
CA$359.60–$455.8529
CO$352.271
CT$358.501
DC$386.571
DE$332.731
FL$327.31–$354.803
GA$309.08–$341.442
GU$369.231
HI$369.231
IA$310.791
ID$312.491
IL$316.50–$347.634
IN$314.371
KS$308.511
KY$306.831
LA$306.02–$321.472
MA$349.80–$388.592
MD$339.40–$386.573
ME$313.28–$331.712
MI$314.18–$330.622
MN$339.761
MO$300.15–$323.603
MS$298.641
MT$336.001
NC$316.741
ND$332.841
NE$312.761
NH$345.961
NJ$363.22–$382.322
NM$315.601
NV$335.381
NY$321.48–$394.115
OH$313.541
OK$307.121
OR$333.39–$364.532
PA$314.49–$348.952
PR$338.781
RI$345.341
SC$315.541
SD$332.461
TN$309.981
TX$312.34–$350.568
UT$319.941
VA$330.04–$386.572
VI$338.781
VT$330.781
WA$349.39–$397.392
WI$321.441
WV$304.411
WY$334.621

Compare 74183 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

74183 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama

Office

$301.34

Facility

Unavailable
Alaska*

Office

$386.35

Facility

Unavailable
Arizona

Office

$327.22

Facility

Unavailable
Arkansas

Office

$296.92

Facility

Unavailable
Atlanta

Office

$341.44

Facility

Unavailable
Austin

Office

$350.56

Facility

Unavailable
Bakersfield

Office

$360.14

Facility

Unavailable
Baltimore/Surr. Cntys

Office

$357.33

Facility

Unavailable
Beaumont

Office

$312.34

Facility

Unavailable
Brazoria

Office

$333.08

Facility

Unavailable
Chicago

Office

$344.73

Facility

Unavailable
Chico

Office

$359.60

Facility

Unavailable
Colorado

Office

$352.27

Facility

Unavailable
Connecticut

Office

$358.50

Facility

Unavailable
Dallas

Office

$334.87

Facility

Unavailable
Dc + Md/Va Suburbs

Office

$386.57

Facility

Unavailable
Delaware

Office

$332.73

Facility

Unavailable
Detroit

Office

$330.62

Facility

Unavailable
East St. Louis

Office

$320.72

Facility

Unavailable
El Centro

Office

$359.63

Facility

Unavailable
Fort Lauderdale

Office

$343.70

Facility

Unavailable
Fort Worth

Office

$332.35

Facility

Unavailable
Fresno

Office

$359.60

Facility

Unavailable
Galveston

Office

$333.86

Facility

Unavailable
Hanford-Corcoran

Office

$359.60

Facility

Unavailable
Hawaii, Guam

Office

$369.23

Facility

Unavailable
Houston

Office

$336.78

Facility

Unavailable
Idaho

Office

$312.49

Facility

Unavailable
Indiana

Office

$314.37

Facility

Unavailable
Iowa

Office

$310.79

Facility

Unavailable
Kansas

Office

$308.51

Facility

Unavailable
Kentucky

Office

$306.83

Facility

Unavailable
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

Office

$384.53

Facility

Unavailable
Madera

Office

$359.60

Facility

Unavailable
Manhattan

Office

$385.68

Facility

Unavailable
Merced

Office

$359.60

Facility

Unavailable
Metropolitan Boston

Office

$388.59

Facility

Unavailable
Metropolitan Kansas City

Office

$320.10

Facility

Unavailable
Metropolitan Philadelphia

Office

$348.95

Facility

Unavailable
Metropolitan St. Louis

Office

$323.60

Facility

Unavailable
Miami

Office

$354.80

Facility

Unavailable
Minnesota

Office

$339.76

Facility

Unavailable
Mississippi

Office

$298.64

Facility

Unavailable
Modesto

Office

$359.60

Facility

Unavailable
Montana**

Office

$336.00

Facility

Unavailable
Napa

Office

$420.22

Facility

Unavailable
Nebraska

Office

$312.76

Facility

Unavailable
Nevada**

Office

$335.38

Facility

Unavailable
New Hampshire

Office

$345.96

Facility

Unavailable
New Mexico

Office

$315.60

Facility

Unavailable
New Orleans

Office

$321.47

Facility

Unavailable
North Carolina

Office

$316.74

Facility

Unavailable
North Dakota**

Office

$332.84

Facility

Unavailable
Northern Nj

Office

$382.32

Facility

Unavailable
Nyc Suburbs/Long Island

Office

$394.11

Facility

Unavailable
Ohio

Office

$313.54

Facility

Unavailable
Oklahoma

Office

$307.12

Facility

Unavailable
Oxnard-Thousand Oaks-Ventura

Office

$383.12

Facility

Unavailable
Portland

Office

$364.53

Facility

Unavailable
Poughkpsie/N Nyc Suburbs

Office

$364.96

Facility

Unavailable
Puerto Rico

Office

$338.78

Facility

Unavailable
Queens

Office

$390.08

Facility

Unavailable
Redding

Office

$359.60

Facility

Unavailable
Rest Of California

Office

$359.60

Facility

Unavailable
Rest Of Florida

Office

$327.31

Facility

Unavailable
Rest Of Georgia

Office

$309.08

Facility

Unavailable
Rest Of Illinois

Office

$316.50

Facility

Unavailable
Rest Of Louisiana

Office

$306.02

Facility

Unavailable
Rest Of Maine

Office

$313.28

Facility

Unavailable
Rest Of Maryland

Office

$339.40

Facility

Unavailable
Rest Of Massachusetts

Office

$349.80

Facility

Unavailable
Rest Of Michigan

Office

$314.18

Facility

Unavailable
Rest Of Missouri

Office

$300.15

Facility

Unavailable
Rest Of New Jersey

Office

$363.22

Facility

Unavailable
Rest Of New York

Office

$321.48

Facility

Unavailable
Rest Of Oregon

Office

$333.39

Facility

Unavailable
Rest Of Pennsylvania

Office

$314.49

Facility

Unavailable
Rest Of Texas

Office

$322.29

Facility

Unavailable
Rest Of Washington

Office

$349.39

Facility

Unavailable
Rhode Island

Office

$345.34

Facility

Unavailable
Riverside-San Bernardino-Ontario

Office

$361.37

Facility

Unavailable
Sacramento-Roseville-Folsom

Office

$378.31

Facility

Unavailable
Salinas

Office

$376.92

Facility

Unavailable
San Diego-Chula Vista-Carlsbad

Office

$386.46

Facility

Unavailable
San Francisco-Oakland-Berkeley (Marin Cnty)

Office

$446.08

Facility

Unavailable
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

Office

$445.89

Facility

Unavailable
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

Office

$455.85

Facility

Unavailable
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

Office

$455.10

Facility

Unavailable
San Luis Obispo-Paso Robles

Office

$370.74

Facility

Unavailable
Santa Cruz-Watsonville

Office

$390.70

Facility

Unavailable
Santa Maria-Santa Barbara

Office

$378.51

Facility

Unavailable
Santa Rosa-Petaluma

Office

$394.71

Facility

Unavailable
Seattle (King Cnty)

Office

$397.39

Facility

Unavailable
South Carolina

Office

$315.54

Facility

Unavailable
South Dakota**

Office

$332.46

Facility

Unavailable
Southern Maine

Office

$331.71

Facility

Unavailable
Stockton

Office

$359.60

Facility

Unavailable
Suburban Chicago

Office

$347.63

Facility

Unavailable
Tennessee

Office

$309.98

Facility

Unavailable
Utah

Office

$319.94

Facility

Unavailable
Vallejo

Office

$419.96

Facility

Unavailable
Vermont

Office

$330.78

Facility

Unavailable
Virgin Islands

Office

$338.78

Facility

Unavailable
Virginia

Office

$330.04

Facility

Unavailable
Visalia

Office

$359.60

Facility

Unavailable
West Virginia

Office

$304.41

Facility

Unavailable
Wisconsin

Office

$321.44

Facility

Unavailable
Wyoming**

Office

$334.62

Facility

Unavailable
Yuba City

Office

$359.60

Facility

Unavailable

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74183 billing questions

How does this differ from 74181 and 74182?

74183 represents an abdominal MRI with imaging both before and after contrast. Use 74181 for a study without contrast and 74182 for a study with contrast only.

Is the contrast reported as a separate MRI service?

No. The contrast phases are part of the MRI service represented by 74183; they do not make the examination two separate MRI studies.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical service. Without either modifier, the claim represents the global service.

Does the imaging multiple-procedure reduction affect this code?

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

Can this code be used for an abdominal and pelvic MRI?

No. Code 74183 is for the abdomen. The reported anatomy and examination must support an abdominal MRI rather than an abdomen-and-pelvis study.

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.

RVUs for 74183PPRRVU2026_Oct_nonQPP.csv, line 8,330 (RVU26D)