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CMS RVU26D · Effective 2026-10-01

74178 in Wyoming**

Office / nonfacility

$336.71

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

About 74178: CT abdomen and pelvis without and with contrast

Report this CT study when imaging covers both the abdomen and pelvis before contrast administration and again after contrast enhancement.

This service includes CT images of both the abdomen and pelvis acquired without contrast and additional images acquired after contrast is administered. It may be used when the diagnostic question calls for comparison of unenhanced and contrast-enhanced findings, such as characterization of an abdominal or pelvic mass. A technologist performs the scan in a hospital imaging department, outpatient imaging center, or equipped physician office; a radiologist or other qualified physician interprets the images.

Select this code when the documented examination includes both body regions and both imaging phases. The report should support the anatomic coverage, use of contrast, and findings relevant to the clinical indication. Report the combined study rather than separate codes for its unenhanced and enhanced phases. The service may be billed globally, or the professional interpretation with modifier 26 and the technical portion with modifier TC. When multiple diagnostic imaging services are furnished, the CMS multiple procedure reduction applies to both the professional and technical components.

CMS billing rules for 74178

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 RVU1.96 · 19%
  • Practice expense (office) RVU8.01 · 79%
  • Malpractice RVU0.15 · 1%

528.9K

Medicare services in 2024 · #223 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.

74178 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

74176

CT abdomen and pelvis

Without contrast

$182.08

Use 74176 for an abdomen-and-pelvis CT performed without contrast only. This code requires both unenhanced and post-contrast imaging.

74177

CT abdomen and pelvis

With contrast only

$299.15

Use 74177 for an abdomen-and-pelvis CT with contrast when no unenhanced phase is performed. This code includes imaging both before and after contrast.

74170

Ct abd wo cntrst flwd cntrst

No office rate

74170 covers the abdomen only with unenhanced and post-contrast imaging. Choose this code when the examination also includes the pelvis.

74174

CTA abdomen/pelvis

With contrast

$376.96

74174 is for angiographic imaging of the abdomen and pelvis, rather than a routine CT examination with unenhanced and contrast-enhanced phases.

The same code, a different location

How does Wyoming** compare?

74178 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $336.71

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $387.98

    $51.27 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $389.74

    $53.03 higher than Wyoming**

  4. Miami

    $356.65

    $19.94 higher than Wyoming**

  5. Chicago

    $346.30

    $9.59 higher than Wyoming**

  6. Manhattan

    $388.48

    $51.77 higher than Wyoming**

  7. Alaska*

    $385.89

    $49.18 higher than Wyoming**

Other payment areas listed in Wyoming 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, 74178 ranges from $297.86 in Arkansas to $461.15 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.

Compare all 108 other payment areas

  • Alabama

    Alabama · 74178

    Office

    $302.40

    Facility

    Unavailable

    $34.31 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 74178

    Office

    $297.86

    Facility

    Unavailable

    $38.85 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 74178

    Office

    $329.00

    Facility

    Unavailable

    $7.71 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 74178

    Office

    $362.99

    Facility

    Unavailable

    $26.28 higher than Wyoming** for the office setting.

  • Chico

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • El Centro

    California · 74178

    Office

    $362.51

    Facility

    Unavailable

    $25.80 higher than Wyoming** for the office setting.

  • Fresno

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • Madera

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • Merced

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • Modesto

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • Napa

    California · 74178

    Office

    $424.75

    Facility

    Unavailable

    $88.04 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 74178

    Office

    $386.65

    Facility

    Unavailable

    $49.94 higher than Wyoming** for the office setting.

  • Redding

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 74178

    Office

    $364.14

    Facility

    Unavailable

    $27.43 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 74178

    Office

    $381.66

    Facility

    Unavailable

    $44.95 higher than Wyoming** for the office setting.

  • Salinas

    California · 74178

    Office

    $380.26

    Facility

    Unavailable

    $43.55 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 74178

    Office

    $390.12

    Facility

    Unavailable

    $53.41 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 74178

    Office

    $451.22

    Facility

    Unavailable

    $114.51 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 74178

    Office

    $451.05

    Facility

    Unavailable

    $114.34 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 74178

    Office

    $461.15

    Facility

    Unavailable

    $124.44 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 74178

    Office

    $460.45

    Facility

    Unavailable

    $123.74 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 74178

    Office

    $373.99

    Facility

    Unavailable

    $37.28 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 74178

    Office

    $394.59

    Facility

    Unavailable

    $57.88 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 74178

    Office

    $381.94

    Facility

    Unavailable

    $45.23 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 74178

    Office

    $398.66

    Facility

    Unavailable

    $61.95 higher than Wyoming** for the office setting.

  • Stockton

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • Vallejo

    California · 74178

    Office

    $424.51

    Facility

    Unavailable

    $87.80 higher than Wyoming** for the office setting.

  • Visalia

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • Yuba City

    California · 74178

    Office

    $362.49

    Facility

    Unavailable

    $25.78 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 74178

    Office

    $354.83

    Facility

    Unavailable

    $18.12 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 74178

    Office

    $360.98

    Facility

    Unavailable

    $24.27 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 74178

    Office

    $334.63

    Facility

    Unavailable

    $2.08 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 74178

    Office

    $345.54

    Facility

    Unavailable

    $8.83 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 74178

    Office

    $328.77

    Facility

    Unavailable

    $7.94 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 74178

    Office

    $343.50

    Facility

    Unavailable

    $6.79 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 74178

    Office

    $310.08

    Facility

    Unavailable

    $26.63 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 74178

    Office

    $372.56

    Facility

    Unavailable

    $35.85 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 74178

    Office

    $312.25

    Facility

    Unavailable

    $24.46 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 74178

    Office

    $313.97

    Facility

    Unavailable

    $22.74 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 74178

    Office

    $321.69

    Facility

    Unavailable

    $15.02 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 74178

    Office

    $317.56

    Facility

    Unavailable

    $19.15 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 74178

    Office

    $349.57

    Facility

    Unavailable

    $12.86 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 74178

    Office

    $315.91

    Facility

    Unavailable

    $20.80 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 74178

    Office

    $309.85

    Facility

    Unavailable

    $26.86 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 74178

    Office

    $307.89

    Facility

    Unavailable

    $28.82 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 74178

    Office

    $322.91

    Facility

    Unavailable

    $13.80 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 74178

    Office

    $307.04

    Facility

    Unavailable

    $29.67 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 74178

    Office

    $392.05

    Facility

    Unavailable

    $55.34 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 74178

    Office

    $352.23

    Facility

    Unavailable

    $15.52 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 74178

    Office

    $359.78

    Facility

    Unavailable

    $23.07 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 74178

    Office

    $341.47

    Facility

    Unavailable

    $4.76 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 74178

    Office

    $314.72

    Facility

    Unavailable

    $21.99 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 74178

    Office

    $333.76

    Facility

    Unavailable

    $2.95 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 74178

    Office

    $332.09

    Facility

    Unavailable

    $4.62 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 74178

    Office

    $315.39

    Facility

    Unavailable

    $21.32 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 74178

    Office

    $342.25

    Facility

    Unavailable

    $5.54 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 74178

    Office

    $321.58

    Facility

    Unavailable

    $15.13 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 74178

    Office

    $325.19

    Facility

    Unavailable

    $11.52 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 74178

    Office

    $300.97

    Facility

    Unavailable

    $35.74 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 74178

    Office

    $299.52

    Facility

    Unavailable

    $37.19 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 74178

    Office

    $338.01

    Facility

    Unavailable

    $1.30 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 74178

    Office

    $318.28

    Facility

    Unavailable

    $18.43 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 74178

    Office

    $335.04

    Facility

    Unavailable

    $1.67 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 74178

    Office

    $314.30

    Facility

    Unavailable

    $22.41 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 74178

    Office

    $348.36

    Facility

    Unavailable

    $11.65 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 74178

    Office

    $385.29

    Facility

    Unavailable

    $48.58 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 74178

    Office

    $365.74

    Facility

    Unavailable

    $29.03 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 74178

    Office

    $316.82

    Facility

    Unavailable

    $19.89 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 74178

    Office

    $337.45

    Facility

    Unavailable

    $0.74 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 74178

    Office

    $397.07

    Facility

    Unavailable

    $60.36 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 74178

    Office

    $367.43

    Facility

    Unavailable

    $30.72 higher than Wyoming** for the office setting.

  • Queens

    New York · 74178

    Office

    $393.11

    Facility

    Unavailable

    $56.40 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 74178

    Office

    $323.15

    Facility

    Unavailable

    $13.56 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 74178

    Office

    $314.78

    Facility

    Unavailable

    $21.93 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 74178

    Office

    $308.27

    Facility

    Unavailable

    $28.44 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 74178

    Office

    $367.48

    Facility

    Unavailable

    $30.77 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 74178

    Office

    $335.46

    Facility

    Unavailable

    $1.25 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 74178

    Office

    $351.13

    Facility

    Unavailable

    $14.42 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 74178

    Office

    $315.80

    Facility

    Unavailable

    $20.91 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 74178

    Office

    $340.88

    Facility

    Unavailable

    $4.17 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 74178

    Office

    $347.55

    Facility

    Unavailable

    $10.84 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 74178

    Office

    $316.93

    Facility

    Unavailable

    $19.78 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 74178

    Office

    $334.69

    Facility

    Unavailable

    $2.02 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 74178

    Office

    $311.35

    Facility

    Unavailable

    $25.36 lower than Wyoming** for the office setting.

  • Austin

    Texas · 74178

    Office

    $353.09

    Facility

    Unavailable

    $16.38 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 74178

    Office

    $313.58

    Facility

    Unavailable

    $23.13 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 74178

    Office

    $335.03

    Facility

    Unavailable

    $1.68 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 74178

    Office

    $336.82

    Facility

    Unavailable

    $0.11 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 74178

    Office

    $334.21

    Facility

    Unavailable

    $2.50 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 74178

    Office

    $335.81

    Facility

    Unavailable

    $0.90 lower than Wyoming** for the office setting.

  • Houston

    Texas · 74178

    Office

    $338.55

    Facility

    Unavailable

    $1.84 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 74178

    Office

    $323.89

    Facility

    Unavailable

    $12.82 lower than Wyoming** for the office setting.

  • Utah

    Utah · 74178

    Office

    $321.45

    Facility

    Unavailable

    $15.26 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 74178

    Office

    $332.00

    Facility

    Unavailable

    $4.71 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 74178

    Office

    $340.88

    Facility

    Unavailable

    $4.17 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 74178

    Office

    $332.87

    Facility

    Unavailable

    $3.84 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 74178

    Office

    $351.85

    Facility

    Unavailable

    $15.14 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 74178

    Office

    $401.11

    Facility

    Unavailable

    $64.40 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 74178

    Office

    $323.31

    Facility

    Unavailable

    $13.40 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 74178

    Office

    $305.13

    Facility

    Unavailable

    $31.58 lower than Wyoming** for the office setting.

See how rates vary across the country

74178 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$297.86

$411.82

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$385.891
AL$302.401
AR$297.861
AZ$329.001
CA$362.49–$461.1529
CO$354.831
CT$360.981
DC$389.741
DE$334.631
FL$328.77–$356.653
GA$310.08–$343.502
GU$372.561
HI$372.561
IA$312.251
ID$313.971
IL$317.56–$349.574
IN$315.911
KS$309.851
KY$307.891
LA$307.04–$322.912
MA$352.23–$392.052
MD$341.47–$389.743
ME$314.72–$333.762
MI$315.39–$332.092
MN$342.251
MO$300.97–$325.193
MS$299.521
MT$338.011
NC$318.281
ND$335.041
NE$314.301
NH$348.361
NJ$365.74–$385.292
NM$316.821
NV$337.451
NY$323.15–$397.075
OH$314.781
OK$308.271
OR$335.46–$367.482
PA$315.80–$351.132
PR$340.881
RI$347.551
SC$316.931
SD$334.691
TN$311.351
TX$313.58–$353.098
UT$321.451
VA$332.00–$389.742
VI$340.881
VT$332.871
WA$351.85–$401.112
WI$323.311
WV$305.131
WY$336.711

Explore 74178 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.

Browse all communities in Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 74178 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$370.38

$336.71 × 110% = $370.38

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.

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How this local rate is calculated

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 74178 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

8,321

Code
74178
Physician work
1.96
Practice expense
8.01
Malpractice
0.15

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 74178 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.96× 1.0001.9600
Practice expense8.01× 1.0008.0100
Malpractice0.15× 0.7400.1110
Total RVUs10.0810
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$336.71

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 74178 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.961
Practice expense8.011
Malpractice0.150.74

(1.96 × 1 + 8.01 × 1 + 0.15 × 0.74) × $33.4009 = $336.71

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.

How this rate has changed

74178 · Office / nonfacility

$336.71

Effective 2026-10-01

The base rate is $4.96 higher than on 2025-10-01, moving from $331.75 to $336.71 (1.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $331.75changed to$336.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.01 changed to 1.96
    • Practice expense RVU 8.15 changed to 8.01
    • Malpractice RVU 0.13 changed to 0.15
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $331.75

    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.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$336.71Not available in this settingRVU26D
2026-07-01$336.71Not available in this settingRVU26C
2026-04-01$336.71Not available in this settingRVU26B
2026-01-01$336.71Not available in this settingRVU26A
2025-10-01$331.75Not available in this settingRVU25D
2025-07-01$331.75Not available in this settingRVU25C
2025-04-01$331.75Not available in this settingRVU25B
2025-01-01$331.75Not available in this settingRVU25A

74178 billing questions

When should this code be chosen over 74177?

Use this code when the abdomen and pelvis are imaged both before and after contrast. Code 74177 describes the abdomen-and-pelvis CT performed with contrast, without the added unenhanced phase.

Can the unenhanced and enhanced phases be billed separately?

Report the combined study under this code when both phases are part of the same examination; do not separately report the phase codes for that examination.

How are the professional and technical portions reported?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion, including equipment and staff. Without either modifier, the claim represents the global service.

Does the multiple procedure reduction affect both components?

Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components.

What documentation supports selecting this code?

The imaging documentation should establish coverage of both the abdomen and pelvis, an unenhanced acquisition, and additional imaging after contrast administration.

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.

RVUs for 74178PPRRVU2026_Oct_nonQPP.csv, line 8,321 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet