# CPT 74190: Radiologic examination, peritoneogram

Medicare CPT 74190 pays $21.71 in a non-facility setting and $21.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $20.52 in Arkansas to $29.44 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/74190-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $21.71 |
| National facility | $21.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $29.44 | $29.44 |
| District of Columbia | $23.56 | $23.56 |
| New York | $23.39 | $23.39 |
| New Jersey | $23.24 | $23.24 |
| California | $22.73 | $22.73 |
| Washington | $22.70 | $22.70 |
| Florida | $22.68 | $22.68 |
| Connecticut | $22.62 | $22.62 |
| Massachusetts | $22.62 | $22.62 |
| Illinois | $22.51 | $22.51 |
| Maryland | $22.21 | $22.21 |
| Rhode Island | $22.07 | $22.07 |
| Colorado | $22.00 | $22.00 |
| Hawaii | $21.98 | $21.98 |
| Oregon | $21.83 | $21.83 |
| Pennsylvania | $21.82 | $21.82 |
| Michigan | $21.81 | $21.81 |
| New Hampshire | $21.79 | $21.79 |
| Puerto Rico | $21.75 | $21.75 |
| Virgin Islands | $21.75 | $21.75 |
| Montana | $21.71 | $21.71 |
| Georgia | $21.70 | $21.70 |
| Texas | $21.65 | $21.65 |
| Delaware | $21.63 | $21.63 |
| Nevada | $21.55 | $21.55 |
| New Mexico | $21.50 | $21.50 |
| West Virginia | $21.49 | $21.49 |
| Wyoming | $21.45 | $21.45 |
| Arizona | $21.41 | $21.41 |
| Virginia | $21.33 | $21.33 |
| Louisiana | $21.32 | $21.32 |
| Utah | $21.31 | $21.31 |
| Missouri | $21.28 | $21.28 |
| Ohio | $21.28 | $21.28 |
| South Carolina | $21.18 | $21.18 |
| Vermont | $21.17 | $21.17 |
| Minnesota | $21.15 | $21.15 |
| Maine | $21.12 | $21.12 |
| North Dakota | $21.12 | $21.12 |
| Kentucky | $21.07 | $21.07 |
| South Dakota | $21.05 | $21.05 |
| North Carolina | $21.01 | $21.01 |
| Oklahoma | $20.95 | $20.95 |
| Indiana | $20.83 | $20.83 |
| Wisconsin | $20.81 | $20.81 |
| Tennessee | $20.79 | $20.79 |
| Idaho | $20.78 | $20.78 |
| Mississippi | $20.75 | $20.75 |
| Kansas | $20.73 | $20.73 |
| Nebraska | $20.70 | $20.70 |
| Iowa | $20.68 | $20.68 |
| Alabama | $20.65 | $20.65 |
| Arkansas | $20.52 | $20.52 |

## Related codes

- 74210: Radiologic examination, pharynx and/or cervical esophagus — https://www.med-reveal.com/rates/74210-cpt-fee-schedule
- 74220: Radiologic examination, esophagus, with contrast — https://www.med-reveal.com/rates/74220-cpt-fee-schedule
- 74230: Swallowing function evaluation with cineradiography/videoradiography — https://www.med-reveal.com/rates/74230-cpt-fee-schedule
- 74240: Radiologic examination, upper GI series, without small bowel — https://www.med-reveal.com/rates/74240-cpt-fee-schedule
- 74246: Radiologic examination, upper GI series, with air contrast — https://www.med-reveal.com/rates/74246-cpt-fee-schedule
- 74247: Radiologic examination, upper GI series with small bowel, single contrast — https://www.med-reveal.com/rates/74247-cpt-fee-schedule
- 74250: Radiologic examination, small bowel, single contrast — https://www.med-reveal.com/rates/74250-cpt-fee-schedule
- 74270: Radiologic examination, barium enema, single contrast — https://www.med-reveal.com/rates/74270-cpt-fee-schedule

Commercial negotiated rates for 74190 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