# CPT 74170: CT abdomen, without then with contrast

Medicare CPT 74170 pays $258.86 in a non-facility setting and $258.86 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $227.78 in Arkansas to $299.06 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/74170-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $258.86 |
| National facility | $258.86 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $299.06 | $299.06 |
| California | $297.63 | $297.63 |
| Alaska | $294.04 | $294.04 |
| Washington | $289.08 | $289.08 |
| New Jersey | $287.94 | $287.94 |
| New York | $286.39 | $286.39 |
| Hawaii | $286.37 | $286.37 |
| Massachusetts | $285.64 | $285.64 |
| Connecticut | $276.58 | $276.58 |
| Colorado | $272.19 | $272.19 |
| Oregon | $269.63 | $269.63 |
| Maryland | $268.62 | $268.62 |
| New Hampshire | $267.09 | $267.09 |
| Rhode Island | $266.33 | $266.33 |
| Minnesota | $262.83 | $262.83 |
| Florida | $262.41 | $262.41 |
| Puerto Rico | $261.12 | $261.12 |
| Virgin Islands | $261.12 | $261.12 |
| Montana | $258.85 | $258.85 |
| Nevada | $258.57 | $258.57 |
| Wyoming | $258.08 | $258.08 |
| North Dakota | $257.07 | $257.07 |
| South Dakota | $256.86 | $256.86 |
| Delaware | $256.26 | $256.26 |
| Texas | $255.64 | $255.64 |
| Vermont | $255.27 | $255.27 |
| Pennsylvania | $255.17 | $255.17 |
| Illinois | $254.67 | $254.67 |
| Virginia | $254.40 | $254.40 |
| Arizona | $251.91 | $251.91 |
| Georgia | $249.85 | $249.85 |
| Maine | $248.39 | $248.39 |
| Wisconsin | $247.95 | $247.95 |
| Michigan | $247.27 | $247.27 |
| Utah | $245.94 | $245.94 |
| North Carolina | $243.70 | $243.70 |
| South Carolina | $242.44 | $242.44 |
| New Mexico | $242.02 | $242.02 |
| Indiana | $241.98 | $241.98 |
| Missouri | $241.51 | $241.51 |
| Nebraska | $240.81 | $240.81 |
| Louisiana | $240.72 | $240.72 |
| Ohio | $240.60 | $240.60 |
| Idaho | $240.47 | $240.47 |
| Iowa | $239.19 | $239.19 |
| Tennessee | $238.35 | $238.35 |
| Kansas | $237.20 | $237.20 |
| Oklahoma | $235.71 | $235.71 |
| Kentucky | $235.28 | $235.28 |
| West Virginia | $232.63 | $232.63 |
| Alabama | $231.29 | $231.29 |
| Mississippi | $228.87 | $228.87 |
| Arkansas | $227.78 | $227.78 |

## Related codes

- 70450: CT head/brain, without contrast — https://www.med-reveal.com/rates/70450-cpt-fee-schedule
- 70460: CT head/brain, with contrast — https://www.med-reveal.com/rates/70460-cpt-fee-schedule
- 70470: CT head/brain, without then with contrast — https://www.med-reveal.com/rates/70470-cpt-fee-schedule
- 70480: CT orbit/sella/posterior fossa, without contrast — https://www.med-reveal.com/rates/70480-cpt-fee-schedule
- 70486: CT maxillofacial, without contrast — https://www.med-reveal.com/rates/70486-cpt-fee-schedule
- 70487: CT maxillofacial, with contrast — https://www.med-reveal.com/rates/70487-cpt-fee-schedule
- 70490: CT soft tissue neck, without contrast — https://www.med-reveal.com/rates/70490-cpt-fee-schedule
- 70491: CT soft tissue neck, with contrast — https://www.med-reveal.com/rates/70491-cpt-fee-schedule

Commercial negotiated rates for 74170 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules