$180.62–$201.79
74181 describes abdominal MRI without contrast. Choose 74182 when contrast is used without a precontrast imaging series.
On this page
CMS RVU26D · Effective 2026-10-01
74182 Abdominal MRI Medicare reimbursement rates in Texas
Report this service for an abdominal MRI performed with contrast only, such as imaging to evaluate a liver, pancreatic, or renal finding. Compare 74182 office and facility rates across CMS payment localities in Texas.
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 74182 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$278.41–$313.84
8 of 8 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.
Where 74182 pays more and less in Texas
8 payment localities
$278.41 to $313.84
Diagnostic imaging
About 74182: Contrast-enhanced abdominal MRI
Report this service for an abdominal MRI performed with contrast only, such as imaging to evaluate a liver, pancreatic, or renal finding.
This service covers MRI imaging of the abdomen after contrast administration, commonly with an IV gadolinium-based agent when clinically appropriate. It may be used to assess findings involving abdominal organs such as the liver, pancreas, kidneys, spleen, or adrenal glands. A radiologist interprets the images; imaging-center or hospital staff provide the technical service using the MRI equipment.
Select this code when the examination uses contrast without both precontrast and postcontrast imaging; an exam performed both before and after contrast is reported with the corresponding with-and-without-contrast code. The order and report should identify the abdominal examination, the clinical indication, and the contrast protocol performed. Bill without a modifier for the global service, or use modifier 26 for interpretation or TC for equipment and staff when billing a separately priced component. When multiple diagnostic imaging procedures are performed, CMS applies the multiple procedure reduction to both the professional and technical components.
CMS billing rules for 74182
- 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 RVU1.69 · 19%
- Practice expense (office) RVU7.18 · 80%
- Malpractice RVU0.12 · 1%
3.9K
Medicare services in 2024 · #2016 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.
74182 compared with similar codes
Office rates for Texas, from the same CMS release.
$312.34–$350.56
74183 applies when the abdominal MRI includes images both before and after contrast; 74182 is for contrast-only imaging.
$213.20–$240.64
74160 is contrast-enhanced abdominal CT. Use the MRI code when the performed examination is MRI rather than CT.
74185
No office rateMra abd w or w/o cntrst
74185 describes abdominal MR angiography focused on blood vessels, not routine contrast-enhanced MRI of abdominal organs.
Compare 74182 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $313.84 | Facility Unavailable |
| Beaumont | Office $278.41 | Facility Unavailable |
| Brazoria | Office $297.69 | Facility Unavailable |
| Dallas | Office $299.25 | Facility Unavailable |
| Fort Worth | Office $296.91 | Facility Unavailable |
| Galveston | Office $298.36 | Facility Unavailable |
| Houston | Office $300.55 | Facility Unavailable |
| Rest Of Texas | Office $287.65 | Facility Unavailable |
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74182 billing questions
When is 74182 used instead of 74183?
Use 74182 when the abdominal MRI is performed with contrast only. Use 74183 when the exam includes imaging both before and after contrast.
Can the interpretation and technical service be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the code represents the global service.
Does the multiple procedure reduction affect both components?
Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.
What documentation supports this code?
The record should support an abdominal MRI, the clinical reason for imaging, and the contrast protocol actually performed. The radiology report should document the examination and its findings.
How does this differ from an abdominal MRI without contrast?
Code 74182 represents an abdominal MRI with contrast only. Code 74181 is for an abdominal MRI performed without contrast.
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.
8,32474181,,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
8,32874182,26,Mri abdomen w/contrast,A,,1.69,0.59,,0.59,,0.09,2.37,2.37,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,32974182,TC,Mri abdomen w/contrast,A,,0.00,6.59,,6.59,NA,0.03,6.62,6.62,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.62,10.62,0.05
8,33074183,,Mri abd w/o cntr flwd cntr,A,,2.15,7.75,,7.75,NA,0.16,10.06,10.06,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.39,11.39,0.18