Cta abdomen w/contrast
74175 is the CTA abdomen-only code. Choose 74174 when the CTA examination also covers the pelvis.
CMS RVU26D · Effective 2026-10-01
Office / nonfacility
$405.91
Base rate per service
Facility setting
Not available in this setting
Base rate per service
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.
Diagnostic imaging
CTA of the abdomen and pelvis with contrast evaluates arterial anatomy for suspected vascular disease, aneurysm, dissection, or treatment planning.
This study uses CT acquisition timed to intravenous contrast to show abdominal and pelvic arteries in cross-sectional detail. Image data may be reconstructed into vascular views to assess aneurysm, dissection, narrowing, blockage, or anatomy before or after vascular treatment. Radiologists interpret the examination, commonly ordered by vascular surgeons, emergency clinicians, and other treating physicians when a vascular question involves both regions. Settings include hospital imaging departments and freestanding imaging centers.
Choose 74174 when the CTA examination includes both abdomen and pelvis; 74175 is the abdomen-only counterpart. The order and report should support the vascular indication and anatomic coverage, contrast-enhanced acquisition, and interpretation. Bill the complete service when one entity furnishes acquisition and interpretation; use modifier 26 for the professional interpretation or TC for technical performance when those components are billed separately. CMS diagnostic imaging multiple-procedure reduction applies to both technical and professional components when it applies to multiple procedures.
438K
Medicare services in 2024 · #244 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.
Office rates for Modesto, from the same CMS release.
Cta abdomen w/contrast
74175 is the CTA abdomen-only code. Choose 74174 when the CTA examination also covers the pelvis.
74177 represents conventional contrast CT of the abdomen and pelvis, rather than a CT angiography examination focused on vessels.
74178 is for conventional abdomen and pelvis CT performed without and with contrast; 74174 is the CTA service.
Mra abd w or w/o cntrst
74185 is abdominal MR angiography, not CT angiography. The modality and anatomy documented in the imaging service distinguish the codes.
The same code, a different location
In Bakersfield, the office rate for 74174 is $406.47—$0.56 higher than the $405.91 rate in Modesto. Both use the same code, release and participation basis.
Same release and payment basis · bars start at $0
Modesto · This locality
$405.91
$406.47
$0.56 higher than Modesto
$405.91
The same base rate than Modesto
$405.94
$0.03 higher than Modesto
$405.91
The same base rate than Modesto
$405.91
The same base rate than Modesto
$28.63 higher than Modesto
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 74174 ranges from $333.25 in Arkansas to $516.71 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
California · 74174
Office
$405.91
Facility
Unavailable
The same base rate than Modesto for the office setting.
California · 74174
Office
$405.91
Facility
Unavailable
The same base rate than Modesto for the office setting.
California · 74174
Office
$475.86
Facility
Unavailable
$69.95 higher than Modesto for the office setting.
California · 74174
Office
$433.07
Facility
Unavailable
$27.16 higher than Modesto for the office setting.
California · 74174
Office
$405.91
Facility
Unavailable
The same base rate than Modesto for the office setting.
California · 74174
Office
$405.91
Facility
Unavailable
The same base rate than Modesto for the office setting.
California · 74174
Office
$407.78
Facility
Unavailable
$1.87 higher than Modesto for the office setting.
California · 74174
Office
$427.44
Facility
Unavailable
$21.53 higher than Modesto for the office setting.
California · 74174
Office
$425.87
Facility
Unavailable
$19.96 higher than Modesto for the office setting.
California · 74174
Office
$436.97
Facility
Unavailable
$31.06 higher than Modesto for the office setting.
California · 74174
Office
$505.57
Facility
Unavailable
$99.66 higher than Modesto for the office setting.
California · 74174
Office
$505.38
Facility
Unavailable
$99.47 higher than Modesto for the office setting.
California · 74174
Office
$516.71
Facility
Unavailable
$110.80 higher than Modesto for the office setting.
California · 74174
Office
$515.92
Facility
Unavailable
$110.01 higher than Modesto for the office setting.
California · 74174
Office
$418.85
Facility
Unavailable
$12.94 higher than Modesto for the office setting.
California · 74174
Office
$442.01
Facility
Unavailable
$36.10 higher than Modesto for the office setting.
California · 74174
Office
$427.76
Facility
Unavailable
$21.85 higher than Modesto for the office setting.
California · 74174
Office
$446.57
Facility
Unavailable
$40.66 higher than Modesto for the office setting.
California · 74174
Office
$405.91
Facility
Unavailable
The same base rate than Modesto for the office setting.
California · 74174
Office
$475.58
Facility
Unavailable
$69.67 higher than Modesto for the office setting.
California · 74174
Office
$405.91
Facility
Unavailable
The same base rate than Modesto for the office setting.
California · 74174
Office
$405.91
Facility
Unavailable
The same base rate than Modesto for the office setting.
District of Columbia · 74174
Office
$436.52
Facility
Unavailable
$30.61 higher than Modesto for the office setting.
Florida · 74174
Office
$399.45
Facility
Unavailable
$6.46 lower than Modesto for the office setting.
Illinois · 74174
Office
$387.79
Facility
Unavailable
$18.12 lower than Modesto for the office setting.
New York · 74174
Office
$435.11
Facility
Unavailable
$29.20 higher than Modesto for the office setting.
Alaska · 74174
Office
$431.35
Facility
Unavailable
$25.44 higher than Modesto for the office setting.
Alabama · 74174
Office
$338.35
Facility
Unavailable
$67.56 lower than Modesto for the office setting.
Arkansas · 74174
Office
$333.25
Facility
Unavailable
$72.66 lower than Modesto for the office setting.
Arizona · 74174
Office
$368.29
Facility
Unavailable
$37.62 lower than Modesto for the office setting.
Colorado · 74174
Office
$397.31
Facility
Unavailable
$8.60 lower than Modesto for the office setting.
Connecticut · 74174
Office
$404.23
Facility
Unavailable
$1.68 lower than Modesto for the office setting.
Delaware · 74174
Office
$374.61
Facility
Unavailable
$31.30 lower than Modesto for the office setting.
Florida · 74174
Office
$386.93
Facility
Unavailable
$18.98 lower than Modesto for the office setting.
Florida · 74174
Office
$368.05
Facility
Unavailable
$37.86 lower than Modesto for the office setting.
Georgia · 74174
Office
$384.60
Facility
Unavailable
$21.31 lower than Modesto for the office setting.
Georgia · 74174
Office
$347.02
Facility
Unavailable
$58.89 lower than Modesto for the office setting.
Hawaii · 74174
Office
$417.27
Facility
Unavailable
$11.36 higher than Modesto for the office setting.
Iowa · 74174
Office
$349.43
Facility
Unavailable
$56.48 lower than Modesto for the office setting.
Idaho · 74174
Office
$351.36
Facility
Unavailable
$54.55 lower than Modesto for the office setting.
Illinois · 74174
Office
$360.11
Facility
Unavailable
$45.80 lower than Modesto for the office setting.
Illinois · 74174
Office
$355.45
Facility
Unavailable
$50.46 lower than Modesto for the office setting.
Illinois · 74174
Office
$391.44
Facility
Unavailable
$14.47 lower than Modesto for the office setting.
Indiana · 74174
Office
$353.54
Facility
Unavailable
$52.37 lower than Modesto for the office setting.
Kansas · 74174
Office
$346.73
Facility
Unavailable
$59.18 lower than Modesto for the office setting.
Kentucky · 74174
Office
$344.54
Facility
Unavailable
$61.37 lower than Modesto for the office setting.
Louisiana · 74174
Office
$361.45
Facility
Unavailable
$44.46 lower than Modesto for the office setting.
Louisiana · 74174
Office
$343.59
Facility
Unavailable
$62.32 lower than Modesto for the office setting.
Massachusetts · 74174
Office
$439.13
Facility
Unavailable
$33.22 higher than Modesto for the office setting.
Massachusetts · 74174
Office
$394.38
Facility
Unavailable
$11.53 lower than Modesto for the office setting.
Maryland · 74174
Office
$402.90
Facility
Unavailable
$3.01 lower than Modesto for the office setting.
Maryland · 74174
Office
$382.30
Facility
Unavailable
$23.61 lower than Modesto for the office setting.
Maine · 74174
Office
$352.21
Facility
Unavailable
$53.70 lower than Modesto for the office setting.
Maine · 74174
Office
$373.63
Facility
Unavailable
$32.28 lower than Modesto for the office setting.
Michigan · 74174
Office
$371.79
Facility
Unavailable
$34.12 lower than Modesto for the office setting.
Michigan · 74174
Office
$352.98
Facility
Unavailable
$52.93 lower than Modesto for the office setting.
Minnesota · 74174
Office
$383.16
Facility
Unavailable
$22.75 lower than Modesto for the office setting.
Missouri · 74174
Office
$359.94
Facility
Unavailable
$45.97 lower than Modesto for the office setting.
Missouri · 74174
Office
$364.00
Facility
Unavailable
$41.91 lower than Modesto for the office setting.
Missouri · 74174
Office
$336.75
Facility
Unavailable
$69.16 lower than Modesto for the office setting.
Mississippi · 74174
Office
$335.12
Facility
Unavailable
$70.79 lower than Modesto for the office setting.
Montana · 74174
Office
$378.42
Facility
Unavailable
$27.49 lower than Modesto for the office setting.
North Carolina · 74174
Office
$356.22
Facility
Unavailable
$49.69 lower than Modesto for the office setting.
North Dakota · 74174
Office
$375.06
Facility
Unavailable
$30.85 lower than Modesto for the office setting.
Nebraska · 74174
Office
$351.73
Facility
Unavailable
$54.18 lower than Modesto for the office setting.
New Hampshire · 74174
Office
$390.06
Facility
Unavailable
$15.85 lower than Modesto for the office setting.
New Jersey · 74174
Office
$431.49
Facility
Unavailable
$25.58 higher than Modesto for the office setting.
New Jersey · 74174
Office
$409.54
Facility
Unavailable
$3.63 higher than Modesto for the office setting.
New Mexico · 74174
Office
$354.60
Facility
Unavailable
$51.31 lower than Modesto for the office setting.
Nevada · 74174
Office
$377.78
Facility
Unavailable
$28.13 lower than Modesto for the office setting.
New York · 74174
Office
$444.77
Facility
Unavailable
$38.86 higher than Modesto for the office setting.
New York · 74174
Office
$411.45
Facility
Unavailable
$5.54 higher than Modesto for the office setting.
New York · 74174
Office
$440.31
Facility
Unavailable
$34.40 higher than Modesto for the office setting.
New York · 74174
Office
$361.70
Facility
Unavailable
$44.21 lower than Modesto for the office setting.
Ohio · 74174
Office
$352.30
Facility
Unavailable
$53.61 lower than Modesto for the office setting.
Oklahoma · 74174
Office
$344.97
Facility
Unavailable
$60.94 lower than Modesto for the office setting.
Oregon · 74174
Office
$411.53
Facility
Unavailable
$5.62 higher than Modesto for the office setting.
Oregon · 74174
Office
$375.54
Facility
Unavailable
$30.37 lower than Modesto for the office setting.
Pennsylvania · 74174
Office
$393.16
Facility
Unavailable
$12.75 lower than Modesto for the office setting.
Pennsylvania · 74174
Office
$353.44
Facility
Unavailable
$52.47 lower than Modesto for the office setting.
Puerto Rico · 74174
Office
$381.66
Facility
Unavailable
$24.25 lower than Modesto for the office setting.
Rhode Island · 74174
Office
$389.11
Facility
Unavailable
$16.80 lower than Modesto for the office setting.
South Carolina · 74174
Office
$354.71
Facility
Unavailable
$51.20 lower than Modesto for the office setting.
South Dakota · 74174
Office
$374.66
Facility
Unavailable
$31.25 lower than Modesto for the office setting.
Tennessee · 74174
Office
$348.42
Facility
Unavailable
$57.49 lower than Modesto for the office setting.
Texas · 74174
Office
$395.38
Facility
Unavailable
$10.53 lower than Modesto for the office setting.
Texas · 74174
Office
$350.94
Facility
Unavailable
$54.97 lower than Modesto for the office setting.
Texas · 74174
Office
$375.05
Facility
Unavailable
$30.86 lower than Modesto for the office setting.
Texas · 74174
Office
$377.07
Facility
Unavailable
$28.84 lower than Modesto for the office setting.
Texas · 74174
Office
$374.13
Facility
Unavailable
$31.78 lower than Modesto for the office setting.
Texas · 74174
Office
$375.92
Facility
Unavailable
$29.99 lower than Modesto for the office setting.
Texas · 74174
Office
$379.04
Facility
Unavailable
$26.87 lower than Modesto for the office setting.
Texas · 74174
Office
$362.53
Facility
Unavailable
$43.38 lower than Modesto for the office setting.
Utah · 74174
Office
$359.80
Facility
Unavailable
$46.11 lower than Modesto for the office setting.
Virginia · 74174
Office
$371.65
Facility
Unavailable
$34.26 lower than Modesto for the office setting.
United States Virgin Islands · 74174
Office
$381.66
Facility
Unavailable
$24.25 lower than Modesto for the office setting.
Vermont · 74174
Office
$372.62
Facility
Unavailable
$33.29 lower than Modesto for the office setting.
Washington · 74174
Office
$393.96
Facility
Unavailable
$11.95 lower than Modesto for the office setting.
Washington · 74174
Office
$449.30
Facility
Unavailable
$43.39 higher than Modesto for the office setting.
Wisconsin · 74174
Office
$361.86
Facility
Unavailable
$44.05 lower than Modesto for the office setting.
West Virginia · 74174
Office
$341.46
Facility
Unavailable
$64.45 lower than Modesto for the office setting.
Wyoming · 74174
Office
$376.96
Facility
Unavailable
$28.95 lower than Modesto for the office setting.
74174 · 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.
$333.25
$461.31
Color shows the midpoint of each state’s locality range.
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $431.35 | 1 |
| AL | $338.35 | 1 |
| AR | $333.25 | 1 |
| AZ | $368.29 | 1 |
| CA | $405.91–$516.71 | 29 |
| CO | $397.31 | 1 |
| CT | $404.23 | 1 |
| DC | $436.52 | 1 |
| DE | $374.61 | 1 |
| FL | $368.05–$399.45 | 3 |
| GA | $347.02–$384.60 | 2 |
| GU | $417.27 | 1 |
| HI | $417.27 | 1 |
| IA | $349.43 | 1 |
| ID | $351.36 | 1 |
| IL | $355.45–$391.44 | 4 |
| IN | $353.54 | 1 |
| KS | $346.73 | 1 |
| KY | $344.54 | 1 |
| LA | $343.59–$361.45 | 2 |
| MA | $394.38–$439.13 | 2 |
| MD | $382.30–$436.52 | 3 |
| ME | $352.21–$373.63 | 2 |
| MI | $352.98–$371.79 | 2 |
| MN | $383.16 | 1 |
| MO | $336.75–$364.00 | 3 |
| MS | $335.12 | 1 |
| MT | $378.42 | 1 |
| NC | $356.22 | 1 |
| ND | $375.06 | 1 |
| NE | $351.73 | 1 |
| NH | $390.06 | 1 |
| NJ | $409.54–$431.49 | 2 |
| NM | $354.60 | 1 |
| NV | $377.78 | 1 |
| NY | $361.70–$444.77 | 5 |
| OH | $352.30 | 1 |
| OK | $344.97 | 1 |
| OR | $375.54–$411.53 | 2 |
| PA | $353.44–$393.16 | 2 |
| PR | $381.66 | 1 |
| RI | $389.11 | 1 |
| SC | $354.71 | 1 |
| SD | $374.66 | 1 |
| TN | $348.42 | 1 |
| TX | $350.94–$395.38 | 8 |
| UT | $359.80 | 1 |
| VA | $371.65–$436.52 | 2 |
| VI | $381.66 | 1 |
| VT | $372.62 | 1 |
| WA | $393.96–$449.30 | 2 |
| WI | $361.86 | 1 |
| WV | $341.46 | 1 |
| WY | $376.96 | 1 |
Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
Turn a percentage into dollars for 74174 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$446.50
$405.91 × 110% = $446.50
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 74174 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
8,309
GPCI2026.csv
16
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.15 | × 1.017 | 2.1865 |
| Practice expense | 9.01 | × 1.096 | 9.8750 |
| Malpractice | 0.17 | × 0.536 | 0.0911 |
| Total RVUs | 12.1526 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Modesto$405.91
Open 74174 in the RVU calculator →
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.15 | 1.017 |
| Practice expense | 9.01 | 1.096 |
| Malpractice | 0.17 | 0.536 |
(2.15 × 1.017 + 9.01 × 1.096 + 0.17 × 0.536) × $33.4009 = $405.91
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
74174 · Office / nonfacility
$405.91
Effective 2026-10-01
The base rate is $5.41 higher than on 2025-10-01, moving from $400.50 to $405.91 (1.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
January 1, 2026
RVU26A
$400.50changed to$405.91
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $400.50
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $405.91 | Not available in this setting | RVU26D |
| 2026-07-01 | $405.91 | Not available in this setting | RVU26C |
| 2026-04-01 | $405.91 | Not available in this setting | RVU26B |
| 2026-01-01 | $405.91 | Not available in this setting | RVU26A |
| 2025-10-01 | $400.50 | Not available in this setting | RVU25D |
| 2025-07-01 | $400.50 | Not available in this setting | RVU25C |
| 2025-04-01 | $400.50 | Not available in this setting | RVU25B |
| 2025-01-01 | $400.50 | Not available in this setting | RVU25A |
Use 74174 when the CTA covers both the abdomen and pelvis. Use 74175 when the vascular imaging is limited to the abdomen.
The global service includes both. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical component when billed separately.
Do not report 74175 separately to represent the abdominal portion of the same CTA that covers both abdomen and pelvis.
When the diagnostic imaging multiple-procedure reduction applies, CMS applies it to both the technical and professional components.
The record should establish the vascular indication, that the CTA covered both abdominal and pelvic regions, use of contrast, and the interpreting physician's findings.
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.