# CPT 74176: CT abdomen and pelvis, without contrast

Medicare CPT 74176 pays $183.04 in a non-facility setting and $183.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $163.97 in Arkansas to $217.75 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/74176-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Emergency Medicine, Gastroenterology, Hematology & Oncology, Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $183.04 |
| National facility | $183.04 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $217.75 | $217.75 |
| District of Columbia | $208.34 | $208.34 |
| California | $205.86 | $205.86 |
| New Jersey | $201.71 | $201.71 |
| New York | $201.22 | $201.22 |
| Washington | $201.21 | $201.21 |
| Massachusetts | $199.22 | $199.22 |
| Hawaii | $198.28 | $198.28 |
| Connecticut | $194.38 | $194.38 |
| Colorado | $190.76 | $190.76 |
| Maryland | $189.27 | $189.27 |
| Oregon | $189.04 | $189.04 |
| Rhode Island | $187.76 | $187.76 |
| New Hampshire | $187.60 | $187.60 |
| Florida | $186.92 | $186.92 |
| Puerto Rico | $184.33 | $184.33 |
| Virgin Islands | $184.33 | $184.33 |
| Minnesota | $184.01 | $184.01 |
| Montana | $183.03 | $183.03 |
| Nevada | $182.55 | $182.55 |
| Illinois | $182.45 | $182.45 |
| Wyoming | $182.08 | $182.08 |
| Delaware | $181.48 | $181.48 |
| Pennsylvania | $181.29 | $181.29 |
| Texas | $181.19 | $181.19 |
| North Dakota | $180.85 | $180.85 |
| South Dakota | $180.60 | $180.60 |
| Vermont | $180.00 | $180.00 |
| Virginia | $179.87 | $179.87 |
| Arizona | $178.71 | $178.71 |
| Georgia | $178.21 | $178.21 |
| Michigan | $177.06 | $177.06 |
| Maine | $176.21 | $176.21 |
| Wisconsin | $175.35 | $175.35 |
| Utah | $175.31 | $175.31 |
| New Mexico | $173.60 | $173.60 |
| North Carolina | $173.50 | $173.50 |
| South Carolina | $173.17 | $173.17 |
| Missouri | $172.89 | $172.89 |
| Louisiana | $172.55 | $172.55 |
| Ohio | $172.40 | $172.40 |
| Indiana | $172.20 | $172.20 |
| Nebraska | $171.31 | $171.31 |
| Idaho | $171.29 | $171.29 |
| Iowa | $170.40 | $170.40 |
| Tennessee | $170.18 | $170.18 |
| Kansas | $169.45 | $169.45 |
| Kentucky | $169.12 | $169.12 |
| Oklahoma | $169.10 | $169.10 |
| West Virginia | $168.56 | $168.56 |
| Alabama | $166.12 | $166.12 |
| Mississippi | $165.04 | $165.04 |
| Arkansas | $163.97 | $163.97 |

## 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 74176 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