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CMS RVU26D · Effective 2026-10-01

74400 in Wyoming**

Office / nonfacility

$131.50

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 radiology

About 74400: Intravenous excretory urography

Reports urinary-tract x-ray imaging after intravenous contrast, with or without kidney, ureter, and bladder views or tomographic images.

This study, commonly called an intravenous urogram or IVP, follows contrast as the kidneys filter it into the collecting systems and ureters. A radiology team obtains images of the urinary tract, sometimes including a kidney-ureter-bladder view or tomographic images. Urologists and other clinicians may request it to evaluate findings such as hematuria, suspected urinary obstruction, or structural abnormalities. A radiologist interprets the images and documents the findings.

Choose this code for the intravenous excretory approach, rather than an infusion protocol or contrast introduced through a urinary catheter or nephrostomy access. The report should support the route of contrast administration and the imaging performed, including any KUB or tomography. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.

CMS billing rules for 74400

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 RVU0.48 · 12%
  • Practice expense (office) RVU3.42 · 87%
  • Malpractice RVU0.05 · 1%

2.1K

Medicare services in 2024 · #2413 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.

74400 compared with similar codes

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

74410

Intravenous urography

Infusion and/or bolus

$144.28

Both describe intravenous urography, but 74410 is for an infusion technique. Select according to the contrast-administration method documented.

74415

IV urography

With nephrotomography

$151.21

74415 describes infusion urography with nephrotomography; 74400 is the intravenous excretory study that may include tomography without that infusion protocol.

74420

Retrograde urography

With or without KUB

$80.90

74420 is for retrograde urography, with contrast introduced through urinary tract access rather than administered intravenously as for 74400.

74425

Antegrade urography

Nephrostomy-route contrast imaging

$133.59

74425 describes antegrade urography, using contrast introduced through antegrade urinary access instead of intravenous excretion.

The same code, a different location

How does Wyoming** compare?

74400 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $131.50

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

    $152.93

    $21.43 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $153.32

    $21.82 higher than Wyoming**

  4. Miami

    $139.17

    $7.67 higher than Wyoming**

  5. Chicago

    $134.78

    $3.28 higher than Wyoming**

  6. Manhattan

    $152.44

    $20.94 higher than Wyoming**

  7. Alaska*

    $146.62

    $15.12 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, 74400 ranges from $115.02 in Arkansas to $183.41 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 · 74400

    Office

    $116.93

    Facility

    Unavailable

    $14.57 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 74400

    Office

    $115.02

    Facility

    Unavailable

    $16.48 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 74400

    Office

    $128.15

    Facility

    Unavailable

    $3.35 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 74400

    Office

    $142.55

    Facility

    Unavailable

    $11.05 higher than Wyoming** for the office setting.

  • Chico

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • El Centro

    California · 74400

    Office

    $142.41

    Facility

    Unavailable

    $10.91 higher than Wyoming** for the office setting.

  • Fresno

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • Madera

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • Merced

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • Modesto

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • Napa

    California · 74400

    Office

    $168.45

    Facility

    Unavailable

    $36.95 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 74400

    Office

    $152.54

    Facility

    Unavailable

    $21.04 higher than Wyoming** for the office setting.

  • Redding

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 74400

    Office

    $142.94

    Facility

    Unavailable

    $11.44 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 74400

    Office

    $150.36

    Facility

    Unavailable

    $18.86 higher than Wyoming** for the office setting.

  • Salinas

    California · 74400

    Office

    $149.82

    Facility

    Unavailable

    $18.32 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 74400

    Office

    $154.04

    Facility

    Unavailable

    $22.54 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 74400

    Office

    $179.39

    Facility

    Unavailable

    $47.89 higher than Wyoming** for the office setting.

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

    California · 74400

    Office

    $179.33

    Facility

    Unavailable

    $47.83 higher than Wyoming** for the office setting.

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

    California · 74400

    Office

    $183.41

    Facility

    Unavailable

    $51.91 higher than Wyoming** for the office setting.

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

    California · 74400

    Office

    $183.18

    Facility

    Unavailable

    $51.68 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 74400

    Office

    $147.31

    Facility

    Unavailable

    $15.81 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 74400

    Office

    $156.06

    Facility

    Unavailable

    $24.56 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 74400

    Office

    $150.57

    Facility

    Unavailable

    $19.07 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 74400

    Office

    $157.68

    Facility

    Unavailable

    $26.18 higher than Wyoming** for the office setting.

  • Stockton

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • Vallejo

    California · 74400

    Office

    $168.37

    Facility

    Unavailable

    $36.87 higher than Wyoming** for the office setting.

  • Visalia

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • Yuba City

    California · 74400

    Office

    $142.40

    Facility

    Unavailable

    $10.90 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 74400

    Office

    $139.07

    Facility

    Unavailable

    $7.57 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 74400

    Office

    $141.40

    Facility

    Unavailable

    $9.90 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 74400

    Office

    $130.47

    Facility

    Unavailable

    $1.03 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 74400

    Office

    $134.77

    Facility

    Unavailable

    $3.27 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 74400

    Office

    $127.75

    Facility

    Unavailable

    $3.75 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 74400

    Office

    $134.15

    Facility

    Unavailable

    $2.65 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 74400

    Office

    $119.92

    Facility

    Unavailable

    $11.58 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 74400

    Office

    $146.88

    Facility

    Unavailable

    $15.38 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 74400

    Office

    $121.22

    Facility

    Unavailable

    $10.28 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 74400

    Office

    $121.91

    Facility

    Unavailable

    $9.59 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 74400

    Office

    $124.49

    Facility

    Unavailable

    $7.01 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 74400

    Office

    $122.94

    Facility

    Unavailable

    $8.56 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 74400

    Office

    $136.42

    Facility

    Unavailable

    $4.92 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 74400

    Office

    $122.74

    Facility

    Unavailable

    $8.76 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 74400

    Office

    $120.14

    Facility

    Unavailable

    $11.36 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 74400

    Office

    $119.11

    Facility

    Unavailable

    $12.39 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 74400

    Office

    $125.42

    Facility

    Unavailable

    $6.08 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 74400

    Office

    $118.73

    Facility

    Unavailable

    $12.77 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 74400

    Office

    $154.57

    Facility

    Unavailable

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

  • Rest Of Massachusetts

    Massachusetts · 74400

    Office

    $137.91

    Facility

    Unavailable

    $6.41 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 74400

    Office

    $140.92

    Facility

    Unavailable

    $9.42 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 74400

    Office

    $133.33

    Facility

    Unavailable

    $1.83 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 74400

    Office

    $122.16

    Facility

    Unavailable

    $9.34 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 74400

    Office

    $130.29

    Facility

    Unavailable

    $1.21 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 74400

    Office

    $129.08

    Facility

    Unavailable

    $2.42 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 74400

    Office

    $122.21

    Facility

    Unavailable

    $9.29 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 74400

    Office

    $134.07

    Facility

    Unavailable

    $2.57 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 74400

    Office

    $124.93

    Facility

    Unavailable

    $6.57 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 74400

    Office

    $126.45

    Facility

    Unavailable

    $5.05 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 74400

    Office

    $116.13

    Facility

    Unavailable

    $15.37 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 74400

    Office

    $115.62

    Facility

    Unavailable

    $15.88 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 74400

    Office

    $131.93

    Facility

    Unavailable

    $0.43 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 74400

    Office

    $123.68

    Facility

    Unavailable

    $7.82 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 74400

    Office

    $130.94

    Facility

    Unavailable

    $0.56 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 74400

    Office

    $122.10

    Facility

    Unavailable

    $9.40 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 74400

    Office

    $136.41

    Facility

    Unavailable

    $4.91 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 74400

    Office

    $151.33

    Facility

    Unavailable

    $19.83 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 74400

    Office

    $143.25

    Facility

    Unavailable

    $11.75 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 74400

    Office

    $122.79

    Facility

    Unavailable

    $8.71 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 74400

    Office

    $131.77

    Facility

    Unavailable

    $0.27 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 74400

    Office

    $155.98

    Facility

    Unavailable

    $24.48 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 74400

    Office

    $143.86

    Facility

    Unavailable

    $12.36 higher than Wyoming** for the office setting.

  • Queens

    New York · 74400

    Office

    $154.49

    Facility

    Unavailable

    $22.99 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 74400

    Office

    $125.73

    Facility

    Unavailable

    $5.77 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 74400

    Office

    $122.01

    Facility

    Unavailable

    $9.49 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 74400

    Office

    $119.34

    Facility

    Unavailable

    $12.16 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 74400

    Office

    $144.44

    Facility

    Unavailable

    $12.94 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 74400

    Office

    $130.98

    Facility

    Unavailable

    $0.52 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 74400

    Office

    $137.23

    Facility

    Unavailable

    $5.73 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 74400

    Office

    $122.47

    Facility

    Unavailable

    $9.03 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 74400

    Office

    $133.17

    Facility

    Unavailable

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

  • Rhode Island

    Rhode Island · 74400

    Office

    $135.83

    Facility

    Unavailable

    $4.33 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 74400

    Office

    $123.00

    Facility

    Unavailable

    $8.50 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 74400

    Office

    $130.82

    Facility

    Unavailable

    $0.68 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 74400

    Office

    $120.77

    Facility

    Unavailable

    $10.73 lower than Wyoming** for the office setting.

  • Austin

    Texas · 74400

    Office

    $138.40

    Facility

    Unavailable

    $6.90 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 74400

    Office

    $121.53

    Facility

    Unavailable

    $9.97 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 74400

    Office

    $130.67

    Facility

    Unavailable

    $0.83 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 74400

    Office

    $131.38

    Facility

    Unavailable

    $0.12 lower than Wyoming** for the office setting.

  • Fort Worth

    Texas · 74400

    Office

    $130.26

    Facility

    Unavailable

    $1.24 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 74400

    Office

    $130.97

    Facility

    Unavailable

    $0.53 lower than Wyoming** for the office setting.

  • Houston

    Texas · 74400

    Office

    $131.89

    Facility

    Unavailable

    $0.39 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 74400

    Office

    $125.95

    Facility

    Unavailable

    $5.55 lower than Wyoming** for the office setting.

  • Utah

    Utah · 74400

    Office

    $124.91

    Facility

    Unavailable

    $6.59 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 74400

    Office

    $129.50

    Facility

    Unavailable

    $2.00 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 74400

    Office

    $133.17

    Facility

    Unavailable

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

  • Vermont

    Vermont · 74400

    Office

    $129.97

    Facility

    Unavailable

    $1.53 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 74400

    Office

    $137.80

    Facility

    Unavailable

    $6.30 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 74400

    Office

    $158.36

    Facility

    Unavailable

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

  • Wisconsin

    Wisconsin · 74400

    Office

    $125.98

    Facility

    Unavailable

    $5.52 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 74400

    Office

    $117.69

    Facility

    Unavailable

    $13.81 lower than Wyoming** for the office setting.

See how rates vary across the country

74400 · 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.

$115.02

$162.91

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$146.621
AL$116.931
AR$115.021
AZ$128.151
CA$142.40–$183.4129
CO$139.071
CT$141.401
DC$153.321
DE$130.471
FL$127.75–$139.173
GA$119.92–$134.152
GU$146.881
HI$146.881
IA$121.221
ID$121.911
IL$122.94–$136.424
IN$122.741
KS$120.141
KY$119.111
LA$118.73–$125.422
MA$137.91–$154.572
MD$133.33–$153.323
ME$122.16–$130.292
MI$122.21–$129.082
MN$134.071
MO$116.13–$126.453
MS$115.621
MT$131.931
NC$123.681
ND$130.941
NE$122.101
NH$136.411
NJ$143.25–$151.332
NM$122.791
NV$131.771
NY$125.73–$155.985
OH$122.011
OK$119.341
OR$130.98–$144.442
PA$122.47–$137.232
PR$133.171
RI$135.831
SC$123.001
SD$130.821
TN$120.771
TX$121.53–$138.408
UT$124.911
VA$129.50–$153.322
VI$133.171
VT$129.971
WA$137.80–$158.362
WI$125.981
WV$117.691
WY$131.501

Explore 74400 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 74400 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$144.65

$131.50 × 110% = $144.65

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 74400 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

8,417

Code
74400
Physician work
0.48
Practice expense
3.42
Malpractice
0.05

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 74400 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.48× 1.0000.4800
Practice expense3.42× 1.0003.4200
Malpractice0.05× 0.7400.0370
Total RVUs3.9370
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$131.50

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

Open 74400 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.481
Practice expense3.421
Malpractice0.050.74

(0.48 × 1 + 3.42 × 1 + 0.05 × 0.74) × $33.4009 = $131.50

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

74400 · Office / nonfacility

$131.50

Effective 2026-10-01

The base rate is $3.42 higher than on 2025-10-01, moving from $128.08 to $131.50 (2.7%).

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

    $128.08changed to$131.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.49 changed to 0.48
    • Practice expense RVU 3.44 changed to 3.42
    • Malpractice RVU 0.04 changed to 0.05
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $128.08

    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$131.50Not available in this settingRVU26D
2026-07-01$131.50Not available in this settingRVU26C
2026-04-01$131.50Not available in this settingRVU26B
2026-01-01$131.50Not available in this settingRVU26A
2025-10-01$128.08Not available in this settingRVU25D
2025-07-01$128.08Not available in this settingRVU25C
2025-04-01$128.08Not available in this settingRVU25B
2025-01-01$128.08Not available in this settingRVU25A

74400 billing questions

When is 74400 appropriate instead of an infusion urography code?

Use 74400 for intravenous excretory urography without the infusion technique described by the infusion codes. The documented contrast-administration method guides selection.

What does billing 74400 without a modifier represent?

It represents the global diagnostic service, including the professional interpretation and the technical equipment and staff.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and report; use modifier TC for the technical portion involving equipment and staff.

Can the study include KUB views or tomography?

Yes. The code covers intravenous urography with or without KUB and with or without tomography; the imaging report should identify what was performed.

How does 74400 differ from retrograde or antegrade urography?

74400 follows contrast given intravenously. Retrograde and antegrade studies introduce contrast into the urinary tract through different access routes.

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 74400PPRRVU2026_Oct_nonQPP.csv, line 8,417 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet