# CPT 74450: Urethrocystography, retrograde

Medicare CPT 74450 pays $15.36 in a non-facility setting and $15.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.48 in Arkansas to $20.67 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/74450-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $15.36 |
| National facility | $15.36 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $20.67 | $20.67 |
| District of Columbia | $16.73 | $16.73 |
| New York | $16.58 | $16.58 |
| New Jersey | $16.48 | $16.48 |
| California | $16.17 | $16.17 |
| Washington | $16.13 | $16.13 |
| Massachusetts | $16.06 | $16.06 |
| Connecticut | $16.03 | $16.03 |
| Florida | $16.01 | $16.01 |
| Illinois | $15.87 | $15.87 |
| Maryland | $15.73 | $15.73 |
| Hawaii | $15.63 | $15.63 |
| Rhode Island | $15.63 | $15.63 |
| Colorado | $15.60 | $15.60 |
| Oregon | $15.48 | $15.48 |
| New Hampshire | $15.45 | $15.45 |
| Pennsylvania | $15.43 | $15.43 |
| Puerto Rico | $15.40 | $15.40 |
| Virgin Islands | $15.40 | $15.40 |
| Michigan | $15.39 | $15.39 |
| Montana | $15.36 | $15.36 |
| Georgia | $15.33 | $15.33 |
| Texas | $15.31 | $15.31 |
| Delaware | $15.30 | $15.30 |
| Nevada | $15.26 | $15.26 |
| Wyoming | $15.19 | $15.19 |
| New Mexico | $15.17 | $15.17 |
| Arizona | $15.14 | $15.14 |
| West Virginia | $15.13 | $15.13 |
| Virginia | $15.10 | $15.10 |
| Utah | $15.06 | $15.06 |
| Louisiana | $15.05 | $15.05 |
| Missouri | $15.02 | $15.02 |
| Ohio | $15.02 | $15.02 |
| Minnesota | $15.01 | $15.01 |
| Vermont | $14.99 | $14.99 |
| North Dakota | $14.97 | $14.97 |
| South Carolina | $14.96 | $14.96 |
| Maine | $14.93 | $14.93 |
| South Dakota | $14.92 | $14.92 |
| Kentucky | $14.86 | $14.86 |
| North Carolina | $14.85 | $14.85 |
| Oklahoma | $14.79 | $14.79 |
| Indiana | $14.73 | $14.73 |
| Wisconsin | $14.73 | $14.73 |
| Idaho | $14.69 | $14.69 |
| Tennessee | $14.69 | $14.69 |
| Kansas | $14.65 | $14.65 |
| Nebraska | $14.64 | $14.64 |
| Mississippi | $14.63 | $14.63 |
| Iowa | $14.62 | $14.62 |
| Alabama | $14.57 | $14.57 |
| Arkansas | $14.48 | $14.48 |

## 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 74450 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