# CPT 74177: CT abdomen and pelvis, with contrast

Medicare CPT 74177 pays $300.27 in a non-facility setting and $300.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $264.78 in Arkansas to $346.11 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/74177-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Gastroenterology, Hematology & Oncology, Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $300.27 |
| National facility | $300.27 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $346.11 | $346.11 |
| California | $343.81 | $343.81 |
| Alaska | $343.28 | $343.28 |
| Washington | $334.38 | $334.38 |
| New Jersey | $333.52 | $333.52 |
| New York | $332.01 | $332.01 |
| Hawaii | $330.89 | $330.89 |
| Massachusetts | $330.53 | $330.53 |
| Connecticut | $320.60 | $320.60 |
| Colorado | $315.19 | $315.19 |
| Oregon | $312.22 | $312.22 |
| Maryland | $311.45 | $311.45 |
| New Hampshire | $309.44 | $309.44 |
| Rhode Island | $308.74 | $308.74 |
| Florida | $305.17 | $305.17 |
| Minnesota | $304.08 | $304.08 |
| Puerto Rico | $302.81 | $302.81 |
| Virgin Islands | $302.81 | $302.81 |
| Montana | $300.27 | $300.27 |
| Nevada | $299.79 | $299.79 |
| Wyoming | $299.15 | $299.15 |
| North Dakota | $297.69 | $297.69 |
| South Dakota | $297.39 | $297.39 |
| Delaware | $297.29 | $297.29 |
| Texas | $296.62 | $296.62 |
| Illinois | $296.45 | $296.45 |
| Pennsylvania | $296.26 | $296.26 |
| Vermont | $295.76 | $295.76 |
| Virginia | $294.97 | $294.97 |
| Arizona | $292.31 | $292.31 |
| Georgia | $290.32 | $290.32 |
| Maine | $288.12 | $288.12 |
| Michigan | $287.60 | $287.60 |
| Wisconsin | $287.32 | $287.32 |
| Utah | $285.62 | $285.62 |
| North Carolina | $282.84 | $282.84 |
| South Carolina | $281.63 | $281.63 |
| New Mexico | $281.49 | $281.49 |
| Indiana | $280.75 | $280.75 |
| Missouri | $280.71 | $280.71 |
| Louisiana | $279.88 | $279.88 |
| Ohio | $279.71 | $279.71 |
| Nebraska | $279.34 | $279.34 |
| Idaho | $279.04 | $279.04 |
| Iowa | $277.53 | $277.53 |
| Tennessee | $276.71 | $276.71 |
| Kansas | $275.39 | $275.39 |
| Oklahoma | $273.97 | $273.97 |
| Kentucky | $273.62 | $273.62 |
| West Virginia | $271.12 | $271.12 |
| Alabama | $268.79 | $268.79 |
| Mississippi | $266.22 | $266.22 |
| Arkansas | $264.78 | $264.78 |

## 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 74177 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