$324.98–$342.47
Use 74182 for abdominal MRI performed with contrast; 74181 is for the noncontrast examination.
On this page
CMS RVU26D · Effective 2026-10-01
74181 Abdominal MRI Medicare reimbursement rates in New Jersey
Reports MRI imaging of the abdomen performed without contrast, such as evaluation of abdominal organs when the diagnostic protocol calls for noncontrast images. Compare 74181 office and facility rates across CMS payment localities in New Jersey.
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 74181 in New Jersey?
New Jersey 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
$209.10–$219.84
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.
Radiology
About 74181: Abdominal MRI without contrast
Reports MRI imaging of the abdomen performed without contrast, such as evaluation of abdominal organs when the diagnostic protocol calls for noncontrast images.
This service covers magnetic resonance imaging of the abdomen using a protocol without contrast material. Radiologists interpret the images; imaging departments, hospitals, and independent diagnostic centers may furnish the technical service. Common clinical questions include assessment of abdominal organs such as the liver, pancreas, kidneys, or adrenal glands when noncontrast imaging is the requested protocol.
Select this code when the documented examination is limited to the abdomen and performed without contrast. The order and radiology report should support the body region and contrast protocol. Report the global service when one entity furnishes both the interpretation and imaging; use modifier 26 for the professional interpretation or TC for the technical service when those portions are billed separately. CMS applies the diagnostic imaging multiple procedure reduction to both professional and technical components when it applies to the reported services.
CMS billing rules for 74181
- 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 RVU1.42 · 24%
- Practice expense (office) RVU4.29 · 74%
- Malpractice RVU0.09 · 2%
106K
Medicare services in 2024 · #538 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.
74181 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$363.22–$382.32
Use 74183 when the abdominal MRI includes images before and after contrast. 74181 represents the noncontrast-only protocol.
$146.81–$154.08
74150 is abdominal CT without contrast. Choose between it and 74181 based on the modality actually performed, not simply the absence of contrast.
$249.17–$262.66
74160 describes abdominal CT with contrast, while 74181 describes abdominal MRI without contrast.
Compare 74181 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
Northern Nj →
Office / nonfacility
$219.84
Facility
Unavailable
Rest Of New Jersey →
Office / nonfacility
$209.10
Facility
Unavailable
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74181 billing questions
How does 74181 differ from 74182?
74181 is for abdominal MRI performed without contrast. Use 74182 when the abdominal MRI is performed with contrast.
When is 74183 reported instead?
74183 describes an abdominal MRI performed first without contrast and then with contrast. It is not the code for a noncontrast-only examination.
Can the professional interpretation and imaging be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; billing without either modifier represents the global service.
What documentation supports 74181?
The order and imaging report should identify the abdomen as the imaged region and support that the examination was performed without contrast.
Can multiple procedure reduction affect this code?
CMS diagnostic imaging multiple procedure reduction applies to the professional and technical components when multiple diagnostic imaging procedures are reported.
Should 74181 be used for an abdominal CT?
No. 74181 describes MRI. For an abdominal CT without contrast, consider 74150 when that modality and protocol match the service performed.
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.
8,32174178,,Ct abd&plv wo cntr flwd cntr,A,,1.96,8.01,,8.01,NA,0.15,10.12,10.12,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,11.33,11.33,0.16
8,32274178,26,Ct abd&plv wo cntr flwd cntr,A,,1.96,0.70,,0.70,,0.12,2.78,2.78,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,32374178,TC,Ct abd&plv wo cntr flwd cntr,A,,0.00,7.31,,7.31,NA,0.03,7.34,7.34,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,02,0,88,10.63,10.63,0.04
8,32474181,,Mri abdomen w/o contrast,A,,1.42,4.29,,4.29,NA,0.09,5.80,5.80,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,7.76,7.76,0.11
8,32574181,26,Mri abdomen w/o contrast,A,,1.42,0.50,,0.50,,0.07,1.99,1.99,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,32674181,TC,Mri abdomen w/o contrast,A,,0.00,3.79,,3.79,NA,0.02,3.81,3.81,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,7.26,7.26,0.04
8,32774182,,Mri abdomen w/contrast,A,,1.69,7.18,,7.18,NA,0.12,8.99,8.99,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.21,11.21,0.14