$76.30–$116.62
Use 74290 for oral-contrast gallbladder x-ray imaging; 76705 is a limited abdominal ultrasound examination.
On this page
CMS RVU26D · Effective 2026-10-01
74290 Gallbladder x-ray Medicare reimbursement rates
Reports x-ray imaging of the gallbladder after oral contrast is given to evaluate its appearance and findings such as gallstones. Compare 74290 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 74290?
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
$70.84–$112.69
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $41.85 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 74290 pays more and less
109 payment localities
$70.84 to $112.69
Radiology
About 74290: Oral-contrast gallbladder radiography
Reports x-ray imaging of the gallbladder after oral contrast is given to evaluate its appearance and findings such as gallstones.
This study uses oral contrast to make the gallbladder visible on x-ray images. A radiology technologist acquires the images, and a radiologist interprets the gallbladder’s filling and appearance, including findings such as calculi. It is a targeted gallbladder examination, generally performed in a hospital or imaging department when the ordered service is oral-contrast radiography rather than ultrasound or nuclear medicine imaging.
Report 74290 for the completed oral-contrast gallbladder radiographic service. It is not a general upper-GI or small-bowel contrast study, and it does not describe operative imaging of the bile ducts. Documentation should support the gallbladder indication, oral contrast and image acquisition, and a diagnostic interpretation. CMS recognizes separately billable professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies equipment and staff. Report the service without either modifier when billing the global service.
CMS billing rules for 74290
- 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 RVU0.31 · 13%
- Practice expense (office) RVU2.09 · 86%
- Malpractice RVU0.03 · 1%
47
Medicare services in 2024 · #5395 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.
74290 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$247.09–$400.13
Code 78226 describes hepatobiliary nuclear imaging, not oral-contrast x-ray imaging of the gallbladder.
74300
No office rateX-ray bile ducts/pancreas
Code 74300 concerns intraoperative cholangiography and/or pancreatography. Code 74290 is an oral-contrast radiographic study of the gallbladder.
See how rates vary across the country
74290 · 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.
$70.84
$100.13
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 | $90.43 | 1 |
| AL | $72.00 | 1 |
| AR | $70.84 | 1 |
| AZ | $78.86 | 1 |
| CA | $87.58–$112.69 | 29 |
| CO | $85.54 | 1 |
| CT | $86.96 | 1 |
| DC | $94.26 | 1 |
| DE | $80.28 | 1 |
| FL | $78.60–$85.56 | 3 |
| GA | $73.82–$82.51 | 2 |
| GU | $90.31 | 1 |
| HI | $90.31 | 1 |
| IA | $74.63 | 1 |
| ID | $75.05 | 1 |
| IL | $75.66–$83.90 | 4 |
| IN | $75.55 | 1 |
| KS | $73.97 | 1 |
| KY | $73.33 | 1 |
| LA | $73.09–$77.18 | 2 |
| MA | $84.83–$95.02 | 2 |
| MD | $82.02–$94.26 | 3 |
| ME | $75.20–$80.17 | 2 |
| MI | $75.22–$79.41 | 2 |
| MN | $82.48 | 1 |
| MO | $71.50–$77.82 | 3 |
| MS | $71.20 | 1 |
| MT | $81.16 | 1 |
| NC | $76.13 | 1 |
| ND | $80.57 | 1 |
| NE | $75.17 | 1 |
| NH | $83.90 | 1 |
| NJ | $88.10–$93.05 | 2 |
| NM | $75.57 | 1 |
| NV | $81.07 | 1 |
| NY | $77.38–$95.88 | 5 |
| OH | $75.10 | 1 |
| OK | $73.47 | 1 |
| OR | $80.59–$88.82 | 2 |
| PA | $75.38–$84.41 | 2 |
| PR | $81.92 | 1 |
| RI | $83.56 | 1 |
| SC | $75.71 | 1 |
| SD | $80.50 | 1 |
| TN | $74.35 | 1 |
| TX | $74.81–$85.12 | 8 |
| UT | $76.87 | 1 |
| VA | $79.68–$94.26 | 2 |
| VI | $81.92 | 1 |
| VT | $79.97 | 1 |
| WA | $84.76–$97.34 | 2 |
| WI | $77.54 | 1 |
| WV | $72.45 | 1 |
| WY | $80.90 | 1 |
Compare 74290 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 $72.00 | Facility Unavailable |
| Alaska* | Office $90.43 | Facility Unavailable |
| Arizona | Office $78.86 | Facility Unavailable |
| Arkansas | Office $70.84 | Facility Unavailable |
| Atlanta | Office $82.51 | Facility Unavailable |
| Austin | Office $85.12 | Facility Unavailable |
| Bakersfield | Office $87.67 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $86.66 | Facility Unavailable |
| Beaumont | Office $74.81 | Facility Unavailable |
| Brazoria | Office $80.40 | Facility Unavailable |
| Chicago | Office $82.88 | Facility Unavailable |
| Chico | Office $87.58 | Facility Unavailable |
| Colorado | Office $85.54 | Facility Unavailable |
| Connecticut | Office $86.96 | Facility Unavailable |
| Dallas | Office $80.84 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $94.26 | Facility Unavailable |
| Delaware | Office $80.28 | Facility Unavailable |
| Detroit | Office $79.41 | Facility Unavailable |
| East St. Louis | Office $76.60 | Facility Unavailable |
| El Centro | Office $87.58 | Facility Unavailable |
| Fort Lauderdale | Office $82.88 | Facility Unavailable |
| Fort Worth | Office $80.15 | Facility Unavailable |
| Fresno | Office $87.58 | Facility Unavailable |
| Galveston | Office $80.59 | Facility Unavailable |
| Hanford-Corcoran | Office $87.58 | Facility Unavailable |
| Hawaii, Guam | Office $90.31 | Facility Unavailable |
| Houston | Office $81.14 | Facility Unavailable |
| Idaho | Office $75.05 | Facility Unavailable |
| Indiana | Office $75.55 | Facility Unavailable |
| Iowa | Office $74.63 | Facility Unavailable |
| Kansas | Office $73.97 | Facility Unavailable |
| Kentucky | Office $73.33 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $94.03 | Facility Unavailable |
| Madera | Office $87.58 | Facility Unavailable |
| Manhattan | Office $93.72 | Facility Unavailable |
| Merced | Office $87.58 | Facility Unavailable |
| Metropolitan Boston | Office $95.02 | Facility Unavailable |
| Metropolitan Kansas City | Office $76.88 | Facility Unavailable |
| Metropolitan Philadelphia | Office $84.41 | Facility Unavailable |
| Metropolitan St. Louis | Office $77.82 | Facility Unavailable |
| Miami | Office $85.56 | Facility Unavailable |
| Minnesota | Office $82.48 | Facility Unavailable |
| Mississippi | Office $71.20 | Facility Unavailable |
| Modesto | Office $87.58 | Facility Unavailable |
| Montana** | Office $81.16 | Facility Unavailable |
| Napa | Office $103.52 | Facility Unavailable |
| Nebraska | Office $75.17 | Facility Unavailable |
| Nevada** | Office $81.07 | Facility Unavailable |
| New Hampshire | Office $83.90 | Facility Unavailable |
| New Mexico | Office $75.57 | Facility Unavailable |
| New Orleans | Office $77.18 | Facility Unavailable |
| North Carolina | Office $76.13 | Facility Unavailable |
| North Dakota** | Office $80.57 | Facility Unavailable |
| Northern Nj | Office $93.05 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $95.88 | Facility Unavailable |
| Ohio | Office $75.10 | Facility Unavailable |
| Oklahoma | Office $73.47 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $93.78 | Facility Unavailable |
| Portland | Office $88.82 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $88.47 | Facility Unavailable |
| Puerto Rico | Office $81.92 | Facility Unavailable |
| Queens | Office $94.97 | Facility Unavailable |
| Redding | Office $87.58 | Facility Unavailable |
| Rest Of California | Office $87.58 | Facility Unavailable |
| Rest Of Florida | Office $78.60 | Facility Unavailable |
| Rest Of Georgia | Office $73.82 | Facility Unavailable |
| Rest Of Illinois | Office $75.66 | Facility Unavailable |
| Rest Of Louisiana | Office $73.09 | Facility Unavailable |
| Rest Of Maine | Office $75.20 | Facility Unavailable |
| Rest Of Maryland | Office $82.02 | Facility Unavailable |
| Rest Of Massachusetts | Office $84.83 | Facility Unavailable |
| Rest Of Michigan | Office $75.22 | Facility Unavailable |
| Rest Of Missouri | Office $71.50 | Facility Unavailable |
| Rest Of New Jersey | Office $88.10 | Facility Unavailable |
| Rest Of New York | Office $77.38 | Facility Unavailable |
| Rest Of Oregon | Office $80.59 | Facility Unavailable |
| Rest Of Pennsylvania | Office $75.38 | Facility Unavailable |
| Rest Of Texas | Office $77.51 | Facility Unavailable |
| Rest Of Washington | Office $84.76 | Facility Unavailable |
| Rhode Island | Office $83.56 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $87.90 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $92.45 | Facility Unavailable |
| Salinas | Office $92.12 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $94.70 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $110.23 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $110.19 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $112.69 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $112.55 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $90.58 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $95.93 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $92.58 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $96.93 | Facility Unavailable |
| Seattle (King Cnty) | Office $97.34 | Facility Unavailable |
| South Carolina | Office $75.71 | Facility Unavailable |
| South Dakota** | Office $80.50 | Facility Unavailable |
| Southern Maine | Office $80.17 | Facility Unavailable |
| Stockton | Office $87.58 | Facility Unavailable |
| Suburban Chicago | Office $83.90 | Facility Unavailable |
| Tennessee | Office $74.35 | Facility Unavailable |
| Utah | Office $76.87 | Facility Unavailable |
| Vallejo | Office $103.47 | Facility Unavailable |
| Vermont | Office $79.97 | Facility Unavailable |
| Virgin Islands | Office $81.92 | Facility Unavailable |
| Virginia | Office $79.68 | Facility Unavailable |
| Visalia | Office $87.58 | Facility Unavailable |
| West Virginia | Office $72.45 | Facility Unavailable |
| Wisconsin | Office $77.54 | Facility Unavailable |
| Wyoming** | Office $80.90 | Facility Unavailable |
| Yuba City | Office $87.58 | Facility Unavailable |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
74290 billing questions
How is 74290 different from a limited abdominal ultrasound?
74290 is an x-ray examination using oral contrast to show the gallbladder. Code 76705 describes a limited abdominal ultrasound, which can be used to examine the gallbladder by a different imaging method.
When should modifier 26 or TC be reported?
Use modifier 26 for the professional interpretation and TC for the technical service, including equipment and staff. Without either modifier, 74290 represents the global service.
Does 74290 describe imaging of the bile ducts during surgery?
No. It describes oral-contrast x-ray imaging of the gallbladder. Code 74300 is used for intraoperative cholangiography and/or pancreatography supervision and interpretation.
How does 74290 differ from hepatobiliary nuclear imaging?
74290 is a radiographic study using oral contrast. Codes 78226 and 78227 describe hepatobiliary nuclear imaging; 78227 includes ejection-fraction measurement.
What documentation supports reporting 74290?
The record should identify the gallbladder indication, show that oral contrast and radiographic imaging were performed, and include the diagnostic interpretation.
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.
8,38474283,,Ther nma rdctj intus/obstrcj,A,,1.97,6.29,,6.29,NA,0.13,8.39,8.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,6.34,6.34,0.13
8,38574283,26,Ther nma rdctj intus/obstrcj,A,,1.97,0.99,,0.99,,0.12,3.08,3.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,38674283,TC,Ther nma rdctj intus/obstrcj,A,,0.00,5.30,,5.30,NA,0.01,5.31,5.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,5.35,5.35,0.01
8,38774290,,Contrast x-ray gallbladder,A,,0.31,2.09,,2.09,NA,0.03,2.43,2.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.45,5.45,0.05
8,38874290,26,Contrast x-ray gallbladder,A,,0.31,0.11,,0.11,,0.02,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,38974290,TC,Contrast x-ray gallbladder,A,,0.00,1.98,,1.98,NA,0.01,1.99,1.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,5.34,5.34,0.03
8,39074300,,X-ray bile ducts/pancreas,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00