# CPT 74420: Urography, retrograde

Medicare CPT 74420 pays $81.16 in a non-facility setting and $81.16 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $71.78 in Arkansas to $93.43 in District of Columbia, a 30% spread.

Web page: https://www.med-reveal.com/rates/74420-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $81.16 |
| National facility | $81.16 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $93.43 | $93.43 |
| Alaska | $93.33 | $93.33 |
| California | $92.89 | $92.89 |
| Washington | $90.32 | $90.32 |
| New Jersey | $90.08 | $90.08 |
| New York | $89.63 | $89.63 |
| Hawaii | $89.39 | $89.39 |
| Massachusetts | $89.29 | $89.29 |
| Connecticut | $86.58 | $86.58 |
| Colorado | $85.19 | $85.19 |
| Oregon | $84.40 | $84.40 |
| Maryland | $84.15 | $84.15 |
| New Hampshire | $83.63 | $83.63 |
| Rhode Island | $83.46 | $83.46 |
| Florida | $82.32 | $82.32 |
| Minnesota | $82.29 | $82.29 |
| Puerto Rico | $81.84 | $81.84 |
| Virgin Islands | $81.84 | $81.84 |
| Montana | $81.16 | $81.16 |
| Nevada | $81.06 | $81.06 |
| Wyoming | $80.90 | $80.90 |
| North Dakota | $80.57 | $80.57 |
| South Dakota | $80.50 | $80.50 |
| Delaware | $80.39 | $80.39 |
| Texas | $80.21 | $80.21 |
| Pennsylvania | $80.09 | $80.09 |
| Vermont | $80.04 | $80.04 |
| Illinois | $80.01 | $80.01 |
| Virginia | $79.80 | $79.80 |
| Arizona | $79.06 | $79.06 |
| Georgia | $78.49 | $78.49 |
| Maine | $77.99 | $77.99 |
| Wisconsin | $77.82 | $77.82 |
| Michigan | $77.72 | $77.72 |
| Utah | $77.27 | $77.27 |
| North Carolina | $76.57 | $76.57 |
| South Carolina | $76.22 | $76.22 |
| New Mexico | $76.13 | $76.13 |
| Indiana | $76.04 | $76.04 |
| Missouri | $75.95 | $75.95 |
| Louisiana | $75.72 | $75.72 |
| Nebraska | $75.68 | $75.68 |
| Ohio | $75.68 | $75.68 |
| Idaho | $75.59 | $75.59 |
| Iowa | $75.19 | $75.19 |
| Tennessee | $74.96 | $74.96 |
| Kansas | $74.61 | $74.61 |
| Oklahoma | $74.19 | $74.19 |
| Kentucky | $74.07 | $74.07 |
| West Virginia | $73.33 | $73.33 |
| Alabama | $72.84 | $72.84 |
| Mississippi | $72.13 | $72.13 |
| Arkansas | $71.78 | $71.78 |

## 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 74420 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