# CPT 74328: Endoscopic catheterization of biliary ductal system, radiological

Medicare CPT 74328 pays $24.05 in a non-facility setting and $24.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $22.59 in Arkansas to $31.95 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/74328-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $24.05 |
| National facility | $24.05 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $31.95 | $31.95 |
| District of Columbia | $26.38 | $26.38 |
| New York | $25.94 | $25.94 |
| New Jersey | $25.91 | $25.91 |
| California | $25.76 | $25.76 |
| Washington | $25.51 | $25.51 |
| Massachusetts | $25.37 | $25.37 |
| Connecticut | $25.11 | $25.11 |
| Hawaii | $24.87 | $24.87 |
| Florida | $24.71 | $24.71 |
| Maryland | $24.64 | $24.64 |
| Colorado | $24.60 | $24.60 |
| Rhode Island | $24.53 | $24.53 |
| Illinois | $24.44 | $24.44 |
| Oregon | $24.42 | $24.42 |
| New Hampshire | $24.29 | $24.29 |
| Puerto Rico | $24.13 | $24.13 |
| Virgin Islands | $24.13 | $24.13 |
| Pennsylvania | $24.07 | $24.07 |
| Montana | $24.05 | $24.05 |
| Delaware | $23.96 | $23.96 |
| Texas | $23.96 | $23.96 |
| Nevada | $23.95 | $23.95 |
| Wyoming | $23.87 | $23.87 |
| Georgia | $23.84 | $23.84 |
| Michigan | $23.84 | $23.84 |
| Minnesota | $23.81 | $23.81 |
| Virginia | $23.72 | $23.72 |
| Arizona | $23.70 | $23.70 |
| North Dakota | $23.65 | $23.65 |
| Vermont | $23.64 | $23.64 |
| South Dakota | $23.61 | $23.61 |
| New Mexico | $23.52 | $23.52 |
| Utah | $23.50 | $23.50 |
| Maine | $23.44 | $23.44 |
| Louisiana | $23.39 | $23.39 |
| Missouri | $23.38 | $23.38 |
| Ohio | $23.36 | $23.36 |
| South Carolina | $23.34 | $23.34 |
| West Virginia | $23.29 | $23.29 |
| North Carolina | $23.27 | $23.27 |
| Wisconsin | $23.25 | $23.25 |
| Indiana | $23.12 | $23.12 |
| Kentucky | $23.10 | $23.10 |
| Idaho | $23.06 | $23.06 |
| Oklahoma | $23.04 | $23.04 |
| Nebraska | $23.02 | $23.02 |
| Tennessee | $23.01 | $23.01 |
| Iowa | $22.96 | $22.96 |
| Kansas | $22.95 | $22.95 |
| Alabama | $22.76 | $22.76 |
| Mississippi | $22.76 | $22.76 |
| Arkansas | $22.59 | $22.59 |

## Related codes

- 74190: Radiologic examination, peritoneogram — https://www.med-reveal.com/rates/74190-cpt-fee-schedule
- 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

Commercial negotiated rates for 74328 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