$86.03–$133.62
77074 describes a limited survey of selected skeletal regions; 77075 is used for a complete skeletal survey.
On this page
CMS RVU26D · Effective 2026-10-01
77074 Skeletal survey Medicare reimbursement rates
A limited series of skeletal radiographs evaluates selected bones, commonly when a clinician is assessing known or suspected metastatic bone disease. Compare 77074 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 77074?
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
$57.23–$87.46
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $30.23 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 77074 pays more and less
109 payment localities
$57.23 to $87.46
Radiology
About 77074: Limited skeletal radiographic survey
A limited series of skeletal radiographs evaluates selected bones, commonly when a clinician is assessing known or suspected metastatic bone disease.
This service uses plain X-rays of selected skeletal regions to assess a focused bone question, such as known or suspected metastatic involvement. A radiologic technologist obtains the images, and a radiologist typically interprets them. It may be performed in a hospital or outpatient imaging department when the clinical request calls for a limited survey rather than a comprehensive review of the skeleton.
Choose this code when the ordered and performed examination is limited in scope; a complete skeletal survey is a different service. The imaging order and report should identify the clinical reason and the regions examined, with the interpretation supporting the findings. The professional component is the radiologist’s interpretation and is reported with modifier 26; the technical component covers equipment and staff and is reported with modifier TC. Without either modifier, the claim represents the global service.
CMS billing rules for 77074
- 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 RVU0.43 · 22%
- Practice expense (office) RVU1.47 · 76%
- Malpractice RVU0.04 · 2%
2.1K
Medicare services in 2024 · #2423 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.
77074 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$92.60–$141.88
77076 is the skeletal survey code for an infant examination. Use 77074 for a limited survey not designated for infants.
$225.68–$362.02
78306 is whole-body bone scintigraphy using a radiotracer. 77074 is a limited survey using skeletal radiographs.
See how rates vary across the country
77074 · 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.
$57.23
$78.30
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 | $74.57 | 1 |
| AL | $58.08 | 1 |
| AR | $57.23 | 1 |
| AZ | $63.08 | 1 |
| CA | $69.14–$87.46 | 29 |
| CO | $67.82 | 1 |
| CT | $69.15 | 1 |
| DC | $74.46 | 1 |
| DE | $64.15 | 1 |
| FL | $63.31–$68.85 | 3 |
| GA | $59.75–$65.89 | 2 |
| GU | $70.96 | 1 |
| HI | $70.96 | 1 |
| IA | $59.82 | 1 |
| ID | $60.17 | 1 |
| IL | $61.28–$67.26 | 4 |
| IN | $60.53 | 1 |
| KS | $59.42 | 1 |
| KY | $59.23 | 1 |
| LA | $59.10–$62.08 | 2 |
| MA | $67.36–$74.76 | 2 |
| MD | $65.42–$74.46 | 3 |
| ME | $60.36–$63.86 | 2 |
| MI | $60.70–$64.00 | 2 |
| MN | $65.28 | 1 |
| MO | $57.99–$62.44 | 3 |
| MS | $57.62 | 1 |
| MT | $64.80 | 1 |
| NC | $61.03 | 1 |
| ND | $64.00 | 1 |
| NE | $60.19 | 1 |
| NH | $66.64 | 1 |
| NJ | $70.02–$73.65 | 2 |
| NM | $60.99 | 1 |
| NV | $64.62 | 1 |
| NY | $61.95–$76.14 | 5 |
| OH | $60.54 | 1 |
| OK | $59.25 | 1 |
| OR | $64.20–$70.14 | 2 |
| PA | $60.70–$67.33 | 2 |
| PR | $65.32 | 1 |
| RI | $66.55 | 1 |
| SC | $60.87 | 1 |
| SD | $63.91 | 1 |
| TN | $59.71 | 1 |
| TX | $60.28–$67.52 | 8 |
| UT | $61.72 | 1 |
| VA | $63.57–$74.46 | 2 |
| VI | $65.32 | 1 |
| VT | $63.65 | 1 |
| WA | $67.27–$76.42 | 2 |
| WI | $61.81 | 1 |
| WV | $58.94 | 1 |
| WY | $64.45 | 1 |
Compare 77074 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 $58.08 | Facility Unavailable |
| Alaska* | Office $74.57 | Facility Unavailable |
| Arizona | Office $63.08 | Facility Unavailable |
| Arkansas | Office $57.23 | Facility Unavailable |
| Atlanta | Office $65.89 | Facility Unavailable |
| Austin | Office $67.52 | Facility Unavailable |
| Bakersfield | Office $69.26 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $68.93 | Facility Unavailable |
| Beaumont | Office $60.28 | Facility Unavailable |
| Brazoria | Office $64.18 | Facility Unavailable |
| Chicago | Office $66.87 | Facility Unavailable |
| Chico | Office $69.14 | Facility Unavailable |
| Colorado | Office $67.82 | Facility Unavailable |
| Connecticut | Office $69.15 | Facility Unavailable |
| Dallas | Office $64.54 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $74.46 | Facility Unavailable |
| Delaware | Office $64.15 | Facility Unavailable |
| Detroit | Office $64.00 | Facility Unavailable |
| East St. Louis | Office $62.22 | Facility Unavailable |
| El Centro | Office $69.14 | Facility Unavailable |
| Fort Lauderdale | Office $66.52 | Facility Unavailable |
| Fort Worth | Office $64.07 | Facility Unavailable |
| Fresno | Office $69.14 | Facility Unavailable |
| Galveston | Office $64.34 | Facility Unavailable |
| Hanford-Corcoran | Office $69.14 | Facility Unavailable |
| Hawaii, Guam | Office $70.96 | Facility Unavailable |
| Houston | Office $65.07 | Facility Unavailable |
| Idaho | Office $60.17 | Facility Unavailable |
| Indiana | Office $60.53 | Facility Unavailable |
| Iowa | Office $59.82 | Facility Unavailable |
| Kansas | Office $59.42 | Facility Unavailable |
| Kentucky | Office $59.23 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $73.92 | Facility Unavailable |
| Madera | Office $69.14 | Facility Unavailable |
| Manhattan | Office $74.45 | Facility Unavailable |
| Merced | Office $69.14 | Facility Unavailable |
| Metropolitan Boston | Office $74.76 | Facility Unavailable |
| Metropolitan Kansas City | Office $61.77 | Facility Unavailable |
| Metropolitan Philadelphia | Office $67.33 | Facility Unavailable |
| Metropolitan St. Louis | Office $62.44 | Facility Unavailable |
| Miami | Office $68.85 | Facility Unavailable |
| Minnesota | Office $65.28 | Facility Unavailable |
| Mississippi | Office $57.62 | Facility Unavailable |
| Modesto | Office $69.14 | Facility Unavailable |
| Montana** | Office $64.80 | Facility Unavailable |
| Napa | Office $80.66 | Facility Unavailable |
| Nebraska | Office $60.19 | Facility Unavailable |
| Nevada** | Office $64.62 | Facility Unavailable |
| New Hampshire | Office $66.64 | Facility Unavailable |
| New Mexico | Office $60.99 | Facility Unavailable |
| New Orleans | Office $62.08 | Facility Unavailable |
| North Carolina | Office $61.03 | Facility Unavailable |
| North Dakota** | Office $64.00 | Facility Unavailable |
| Northern Nj | Office $73.65 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $76.14 | Facility Unavailable |
| Ohio | Office $60.54 | Facility Unavailable |
| Oklahoma | Office $59.25 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $73.63 | Facility Unavailable |
| Portland | Office $70.14 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $70.39 | Facility Unavailable |
| Puerto Rico | Office $65.32 | Facility Unavailable |
| Queens | Office $75.24 | Facility Unavailable |
| Redding | Office $69.14 | Facility Unavailable |
| Rest Of California | Office $69.14 | Facility Unavailable |
| Rest Of Florida | Office $63.31 | Facility Unavailable |
| Rest Of Georgia | Office $59.75 | Facility Unavailable |
| Rest Of Illinois | Office $61.28 | Facility Unavailable |
| Rest Of Louisiana | Office $59.10 | Facility Unavailable |
| Rest Of Maine | Office $60.36 | Facility Unavailable |
| Rest Of Maryland | Office $65.42 | Facility Unavailable |
| Rest Of Massachusetts | Office $67.36 | Facility Unavailable |
| Rest Of Michigan | Office $60.70 | Facility Unavailable |
| Rest Of Missouri | Office $57.99 | Facility Unavailable |
| Rest Of New Jersey | Office $70.02 | Facility Unavailable |
| Rest Of New York | Office $61.95 | Facility Unavailable |
| Rest Of Oregon | Office $64.20 | Facility Unavailable |
| Rest Of Pennsylvania | Office $60.70 | Facility Unavailable |
| Rest Of Texas | Office $62.16 | Facility Unavailable |
| Rest Of Washington | Office $67.27 | Facility Unavailable |
| Rhode Island | Office $66.55 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $69.57 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $72.70 | Facility Unavailable |
| Salinas | Office $72.43 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $74.24 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $85.57 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $85.52 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $87.46 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $87.27 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $71.25 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $75.04 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $72.73 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $75.80 | Facility Unavailable |
| Seattle (King Cnty) | Office $76.42 | Facility Unavailable |
| South Carolina | Office $60.87 | Facility Unavailable |
| South Dakota** | Office $63.91 | Facility Unavailable |
| Southern Maine | Office $63.86 | Facility Unavailable |
| Stockton | Office $69.14 | Facility Unavailable |
| Suburban Chicago | Office $67.26 | Facility Unavailable |
| Tennessee | Office $59.71 | Facility Unavailable |
| Utah | Office $61.72 | Facility Unavailable |
| Vallejo | Office $80.59 | Facility Unavailable |
| Vermont | Office $63.65 | Facility Unavailable |
| Virgin Islands | Office $65.32 | Facility Unavailable |
| Virginia | Office $63.57 | Facility Unavailable |
| Visalia | Office $69.14 | Facility Unavailable |
| West Virginia | Office $58.94 | Facility Unavailable |
| Wisconsin | Office $61.81 | Facility Unavailable |
| Wyoming** | Office $64.45 | Facility Unavailable |
| Yuba City | Office $69.14 | Facility Unavailable |
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77074 billing questions
When should 77074 be used instead of 77075?
Use 77074 for a limited skeletal survey of selected regions. Use 77075 when the examination is a complete skeletal survey.
How should the professional and technical services be billed?
Report modifier 26 for the interpretation and modifier TC for the equipment and staff portion. Without a modifier, the code represents the global service.
Should each radiographic view be reported as a separate unit?
The code represents the limited survey, not individual images. The documentation should show the regions examined and support the scope of the survey.
What documentation supports reporting the limited survey?
Keep the order and imaging report showing the clinical reason, the skeletal regions examined, and the radiologist’s interpretation.
Is 77074 the appropriate code for an infant skeletal survey?
No. The infant skeletal survey is represented by 77076; 77074 is for a limited survey.
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.
8,98977073,,Bone length studies,A,,0.25,1.11,,1.11,NA,0.03,1.39,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.29,3.29,0.05
8,99077073,26,Bone length studies,A,,0.25,0.12,,0.12,,0.02,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,99177073,TC,Bone length studies,A,,0.00,0.99,,0.99,NA,0.01,1.00,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
8,99277074,,Radex osseous survey lmtd,A,,0.43,1.47,,1.47,NA,0.04,1.94,1.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.33,3.33,0.05
8,99377074,26,Radex osseous survey lmtd,A,,0.43,0.16,,0.16,,0.03,0.62,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,99477074,TC,Radex osseous survey lmtd,A,,0.00,1.31,,1.31,NA,0.01,1.32,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.02
8,99577075,,Radex osseous survey compl,A,,0.54,2.34,,2.34,NA,0.05,2.93,2.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.37,3.37,0.06