$151.36–$169.82
Both describe intravenous urography, but 74410 is for an infusion technique. Select according to the contrast-administration method documented.
On this page
CMS RVU26D · Effective 2026-10-01
74400 Urography Medicare reimbursement rates in Massachusetts
Reports urinary-tract x-ray imaging after intravenous contrast, with or without kidney, ureter, and bladder views or tomographic images. Compare 74400 office and facility rates across CMS payment localities in Massachusetts.
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 74400 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$137.91–$154.57
2 of 2 localities have a supported rate.
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.
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 Massachusetts, from the same CMS release.
$158.66–$178.10
74415 describes infusion urography with nephrotomography; 74400 is the intravenous excretory study that may include tomography without that infusion protocol.
$84.58–$94.00
74420 is for retrograde urography, with contrast introduced through urinary tract access rather than administered intravenously as for 74400.
$140.08–$156.96
74425 describes antegrade urography, using contrast introduced through antegrade urinary access instead of intravenous excretion.
Compare 74400 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$154.57
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$137.91
Facility
Unavailable
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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.
8,41474363,,X-ray bile duct dilation,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,41574363,26,X-ray bile duct dilation,A,,0.86,0.22,,0.22,,0.07,1.15,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,41674363,TC,X-ray bile duct dilation,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
8,41774400,,Urography iv +-kub tomog,A,,0.48,3.42,,3.42,NA,0.05,3.95,3.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.50,5.50,0.06
8,41874400,26,Urography iv +-kub tomog,A,,0.48,0.17,,0.17,,0.03,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,41974400,TC,Urography iv +-kub tomog,A,,0.00,3.25,,3.25,NA,0.02,3.27,3.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,5.33,5.33,0.03
8,42074410,,Urography nfs drip&/bolus,A,,0.48,3.81,,3.81,NA,0.04,4.33,4.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.53,5.53,0.05