FeeBase
Log inGet started
Menu

Billing code 74440: VasographyMedicare rate & RVUs

Vasography documents the radiographic evaluation of the vas deferens after contrast introduction, commonly to investigate suspected obstruction during a male infertility workup.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $100.87 for 74440 nationally in the office. Local office rates run $88.16–$140.75.

Medicare rate · 74440

Vasography

Work RVUs
0.37
Total RVUs
3.02
Global days
XXX

National rate · 2026

$100.87

Office setting, before claim adjustments.

See every locality for 74440 →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 74440 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 74440 covers

This code represents the radiologic service for imaging the vas deferens after contrast is introduced into the duct. Vasography may be performed during a urologic evaluation of male infertility when obstruction or vasal patency is a clinical question. A urologist may access and cannulate the vas deferens, while radiology staff acquire the images and a qualified practitioner interprets them. The study is distinct from imaging the urethra, bladder, or penis because its target is the vas deferens.

Report the service when the record supports a vasography examination and includes the clinical indication, images or imaging record, and interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment-and-staff portion, and an unmodified claim represents the global service. The documentation and claim should reflect which portion the billing entity furnished; do not report the global service when billing only one component.

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 74440 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

$88.16 to $140.75

$88.16$114.45$140.75
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

74440 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$89.60Unavailable
Alaska*$112.46Unavailable
Arizona$98.05Unavailable
Arkansas$88.16Unavailable
Atlanta$102.45Unavailable
Austin$105.91Unavailable
Bakersfield$109.28Unavailable
Baltimore/Surr. Cntys$107.64Unavailable
Beaumont$92.92Unavailable
Brazoria$100.03Unavailable

74440 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.

$88.16

$124.98

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

View every state and territory as a table
74440 office rate range by state
State / territoryOffice rate rangeLocalities
AK$112.461
AL$89.601
AR$88.161
AZ$98.051
CA$109.20–$140.7529
CO$106.491
CT$108.021
DC$117.251
DE$99.811
FL$97.34–$105.493
GA$91.51–$102.452
GU$112.621
HI$112.621
IA$93.001
ID$93.491
IL$93.60–$103.844
IN$94.111
KS$92.111
KY$91.061
LA$90.74–$95.782
MA$105.59–$118.352
MD$101.99–$117.253
ME$93.59–$99.832
MI$93.31–$98.252
MN$102.951
MO$88.73–$96.663
MS$88.491
MT$100.871
NC$94.741
ND$100.471
NE$93.691
NH$104.391
NJ$109.51–$115.752
NM$93.711
NV$100.851
NY$96.28–$118.845
OH$93.231
OK$91.321
OR$100.32–$110.652
PA$93.63–$104.822
PR$101.831
RI$103.931
SC$94.091
SD$100.431
TN$92.571
TX$92.92–$105.918
UT$95.531
VA$99.18–$117.252
VI$101.831
VT$99.661
WA$105.53–$121.312
WI$96.721
WV$89.651
WY$100.701

How the 74440 rate is calculated

Each of 74440’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 · 74440

RVUs × geographic indexes × conversion factor

Work0.37

0.37 RVUs× 1.000 GPCI

Practice expense2.63

2.63 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

3.0200

Conversion factor

$33.4009

Medicare rate

$100.87

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 74440

The CMS indicators that decide how 74440 is paid alongside other services.

CMS payment indicators · 74440

Vasography

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
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

74440 without 26 · national office

$100.87

Vasography

74440-26 · Professional component

$18.04

Pays only the interpretation and report.

When to use modifier 26

74440 compared with similar codes

Compare codes · National

5 codes, side by side

  • 74440

    Vasography0.37 wRVU

    $100.87

  • 74450

    Not on the physician fee schedule0 wRVU

    Not priced

  • 74455

    Voiding study0.32 wRVU

    $105.55+$4.68

  • 74445

    Not on the physician fee schedule0 wRVU

    Not priced

  • 74430

    Bladder imaging0.31 wRVU

    $41.75−$59.12

How to choose

74450X-ray urethra/bladder
74440 evaluates the vas deferens; 74450 is used for retrograde imaging of the urethra and bladder.
74455Voiding study
Choose 74455 for voiding imaging of the urethra and bladder, not for a contrast study of the vas deferens.
74445X-ray exam of penis
74445 concerns radiographic examination of the penis, including cavernosography; 74440 concerns the vas deferens.
74430Bladder imaging
74430 is a bladder contrast examination. It does not describe imaging of the vas deferens.

Codes related to 74440

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

Codes related to 74440
CodeHow it relatesNational office range
Used instead
74450X-ray urethra/bladderRetrograde urethral imaging when the diagnostic target is the urethra rather than the vas deferens.No office rate
74455Voiding studyVoiding urethra-and-bladder imaging for a question involving those structures.$91.83–$147.74
74445X-ray exam of penisPenile imaging, including cavernosography, when the diagnostic target is the penis.No office rate
74430Bladder imagingCystography when the examination targets the bladder.$36.98–$55.86

74440 billing questions

When should I choose 74440 instead of a urethrography code?

Use 74440 for radiographic imaging of the vas deferens. Urethrography codes apply when the examination targets the urethra or urethra and bladder.

What do modifiers 26 and TC identify?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. An unmodified claim represents the global service.

Does 74440 describe the vas deferens cannulation procedure?

The code represents the radiologic examination, not the urologic access procedure itself. The record should support the imaging service and its interpretation.

What documentation supports reporting 74440?

Document the indication for vasography, the examination performed, the images or imaging record, and the interpretation. The claim should also reflect whether the professional, technical, or global service was furnished.

Can the professional and technical portions be billed separately?

Yes. CMS identifies modifier 26 for the professional portion and modifier TC for the technical portion; an unmodified claim represents both.

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 74440PPRRVU2026_Oct_nonQPP.csv, line 8,435 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 74440 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 74440 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →