$96.96
Choose 74430 for retrograde bladder imaging outside the voiding phase. Choose 74455 when images are obtained during voiding to examine the bladder and urethra.
On this page
CMS RVU26D · Effective 2026-10-01
74430 Bladder imaging Medicare reimbursement rates in Iowa
Reports radiologic imaging of the bladder after retrograde contrast filling, such as when evaluating bladder integrity after trauma or repair. Compare 74430 office and facility rates across CMS payment localities in Iowa.
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 74430 in Iowa?
Iowa has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$38.56
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
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.
Radiology
About 74430: Retrograde bladder contrast study
Reports radiologic imaging of the bladder after retrograde contrast filling, such as when evaluating bladder integrity after trauma or repair.
This study images the bladder after contrast is introduced retrograde through a urethral catheter. Fluoroscopic images, sometimes with a preliminary or follow-up abdominal image, can help assess bladder integrity, including a suspected leak after pelvic trauma or bladder surgery. A radiologist typically interprets the study in a hospital radiology department or outpatient imaging setting; the contrast instillation may be performed by another clinician.
Report 74430 for the retrograde bladder imaging service, not for a study that images the bladder during voiding. Documentation should identify the bladder contrast examination, the images obtained, and the interpreting clinician’s findings. The service may be billed globally, or divided between the professional interpretation (modifier 26) and the technical service, including equipment and staff (modifier TC). CMS separately prices both components.
CMS billing rules for 74430
- 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 RVU0.31 · 25%
- Practice expense (office) RVU0.91 · 73%
- Malpractice RVU0.03 · 2%
11.7K
Medicare services in 2024 · #1391 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.
74430 compared with similar codes
Office rates for Iowa, from the same CMS release.
Compare 74430 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.
1 of 1 payment localities
Iowa →
Office / nonfacility
$38.56
Facility
Unavailable
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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 74430 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
8,432
- Code
- 74430
- Physician work
- 0.31
- Practice expense
- 0.91
- Malpractice
- 0.03
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.31 | × 1.000 | 0.3100 |
| Practice expense | 0.91 | × 0.915 | 0.8327 |
| Malpractice | 0.03 | × 0.397 | 0.0119 |
| Total RVUs | 1.1546 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$38.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.31 | 1 |
| Practice expense | 0.91 | 0.915 |
| Malpractice | 0.03 | 0.397 |
(0.31 × 1 + 0.91 × 0.915 + 0.03 × 0.397) × $33.4009 = $38.56
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.
74430 billing questions
How does this differ from a voiding cystourethrogram?
Use 74430 for retrograde bladder imaging that is not performed during voiding. A study that images the urethra and bladder during voiding is reported with 74455.
Can the contrast instillation be reported separately?
Code 51600 describes the injection procedure for cystography and may be reported with 74430 when that service is performed and documented.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and report, or modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports 74430?
The record should show a retrograde contrast examination of the bladder, the imaging performed, and the interpretation. A study performed during voiding points to 74455 instead.
Is 74430 reported for each image?
No. It represents the bladder imaging study, rather than an individual image.
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.
8,42974425,,Urography antegrade rs&i,A,,0.50,3.47,,3.47,NA,0.04,4.01,4.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,10.82,10.82,0.06
8,43074425,26,Urography antegrade rs&i,A,,0.50,0.18,,0.18,,0.03,0.71,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,43174425,TC,Urography antegrade rs&i,A,,0.00,3.29,,3.29,NA,0.01,3.30,3.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,10.64,10.64,0.03
8,43274430,,Contrast x-ray bladder,A,,0.31,0.91,,0.91,NA,0.03,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,10.66,10.66,0.15
8,43374430,26,Contrast x-ray bladder,A,,0.31,0.12,,0.12,,0.02,0.45,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,43474430,TC,Contrast x-ray bladder,A,,0.00,0.79,,0.79,NA,0.01,0.80,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,10.54,10.54,0.13
8,43574440,,X-ray male genital tract,A,,0.37,2.63,,2.63,NA,0.02,3.02,3.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,7.43,7.43,0.04
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136