Use 74181 when the abdominal MRI is performed without contrast. 74183 requires both noncontrast and postcontrast imaging.
On this page
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.
Where 74183 pays more and less
109 payment localities
$296.92 to $455.85
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.
Use 74182 for an abdominal MRI with contrast only. Choose 74183 when the documented protocol includes imaging before and after contrast.
Ct abd wo cntrst flwd cntrst
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 / territory | Rate range | Localities |
|---|---|---|
| AK | $386.35 | 1 |
| AL | $301.34 | 1 |
| AR | $296.92 | 1 |
| AZ | $327.22 | 1 |
| CA | $359.60–$455.85 | 29 |
| CO | $352.27 | 1 |
| CT | $358.50 | 1 |
| DC | $386.57 | 1 |
| DE | $332.73 | 1 |
| FL | $327.31–$354.80 | 3 |
| GA | $309.08–$341.44 | 2 |
| GU | $369.23 | 1 |
| HI | $369.23 | 1 |
| IA | $310.79 | 1 |
| ID | $312.49 | 1 |
| IL | $316.50–$347.63 | 4 |
| IN | $314.37 | 1 |
| KS | $308.51 | 1 |
| KY | $306.83 | 1 |
| LA | $306.02–$321.47 | 2 |
| MA | $349.80–$388.59 | 2 |
| MD | $339.40–$386.57 | 3 |
| ME | $313.28–$331.71 | 2 |
| MI | $314.18–$330.62 | 2 |
| MN | $339.76 | 1 |
| MO | $300.15–$323.60 | 3 |
| MS | $298.64 | 1 |
| MT | $336.00 | 1 |
| NC | $316.74 | 1 |
| ND | $332.84 | 1 |
| NE | $312.76 | 1 |
| NH | $345.96 | 1 |
| NJ | $363.22–$382.32 | 2 |
| NM | $315.60 | 1 |
| NV | $335.38 | 1 |
| NY | $321.48–$394.11 | 5 |
| OH | $313.54 | 1 |
| OK | $307.12 | 1 |
| OR | $333.39–$364.53 | 2 |
| PA | $314.49–$348.95 | 2 |
| PR | $338.78 | 1 |
| RI | $345.34 | 1 |
| SC | $315.54 | 1 |
| SD | $332.46 | 1 |
| TN | $309.98 | 1 |
| TX | $312.34–$350.56 | 8 |
| UT | $319.94 | 1 |
| VA | $330.04–$386.57 | 2 |
| VI | $338.78 | 1 |
| VT | $330.78 | 1 |
| WA | $349.39–$397.39 | 2 |
| WI | $321.44 | 1 |
| WV | $304.41 | 1 |
| WY | $334.62 | 1 |
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
| Payment locality | Office | Facility |
|---|---|---|
| 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.
