# CPT 74430: Cystography

Medicare CPT 74430 pays $41.75 in a non-facility setting and $41.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $36.98 in Arkansas to $48.45 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/74430-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $41.75 |
| National facility | $41.75 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $48.45 | $48.45 |
| District of Columbia | $47.83 | $47.83 |
| California | $47.23 | $47.23 |
| New Jersey | $46.20 | $46.20 |
| Washington | $46.13 | $46.13 |
| New York | $46.12 | $46.12 |
| Massachusetts | $45.64 | $45.64 |
| Hawaii | $45.49 | $45.49 |
| Connecticut | $44.51 | $44.51 |
| Colorado | $43.60 | $43.60 |
| Maryland | $43.26 | $43.26 |
| Oregon | $43.18 | $43.18 |
| New Hampshire | $42.87 | $42.87 |
| Rhode Island | $42.84 | $42.84 |
| Florida | $42.80 | $42.80 |
| Puerto Rico | $42.07 | $42.07 |
| Virgin Islands | $42.07 | $42.07 |
| Minnesota | $41.93 | $41.93 |
| Montana | $41.75 | $41.75 |
| Illinois | $41.68 | $41.68 |
| Nevada | $41.61 | $41.61 |
| Wyoming | $41.49 | $41.49 |
| Delaware | $41.34 | $41.34 |
| Pennsylvania | $41.29 | $41.29 |
| Texas | $41.27 | $41.27 |
| North Dakota | $41.16 | $41.16 |
| South Dakota | $41.09 | $41.09 |
| Vermont | $40.95 | $40.95 |
| Virginia | $40.94 | $40.94 |
| Arizona | $40.66 | $40.66 |
| Georgia | $40.57 | $40.57 |
| Michigan | $40.31 | $40.31 |
| Maine | $40.03 | $40.03 |
| Utah | $39.83 | $39.83 |
| Wisconsin | $39.78 | $39.78 |
| New Mexico | $39.43 | $39.43 |
| North Carolina | $39.35 | $39.35 |
| South Carolina | $39.29 | $39.29 |
| Missouri | $39.23 | $39.23 |
| Louisiana | $39.15 | $39.15 |
| Ohio | $39.11 | $39.11 |
| Indiana | $39.02 | $39.02 |
| Idaho | $38.79 | $38.79 |
| Nebraska | $38.79 | $38.79 |
| Iowa | $38.56 | $38.56 |
| Tennessee | $38.52 | $38.52 |
| Kansas | $38.34 | $38.34 |
| Kentucky | $38.29 | $38.29 |
| Oklahoma | $38.28 | $38.28 |
| West Virginia | $38.20 | $38.20 |
| Alabama | $37.52 | $37.52 |
| Mississippi | $37.26 | $37.26 |
| Arkansas | $36.98 | $36.98 |

## 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 74430 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