How much does Medicare pay for CPT 74019?

Medicare allowed an average of $14.72 per service and paid $10.94 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $60.60, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 74019?

X-ray of abdomen, 2 views. It was billed 168,009 times to 150,216 Medicare beneficiaries by 5,341 providers in 2024.

Does 74019 pay differently in an office than a hospital?

Yes. The allowed amount averaged $22.28 in an office setting and $10.54 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 74019 most?

Diagnostic Radiology, with 123,338 services from 4,564 clinicians. Next are Portable X-Ray Supplier, Interventional Radiology, Urology.

CPT 74019

X-ray of abdomen, 2 views

$14.72Medicare-allowed amount per service, averaged across 168,009 services

Providers submitted

$60.60

Asking price, not received

Medicare allowed

$14.72

The fee schedule figure

Medicare paid

$10.94

Balance is patient coinsurance

Providers submitted an average of $60.60 for this code and Medicare allowed $14.72 — 4.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $10.94 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $22.28
Hospital / facility: $10.54

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 59,820 services were billed in an office setting and 108,189 in a facility.

Services: 168,009
Beneficiaries: 150,216
Providers billing it: 5,341
Total allowed: $2,473,092

What Medicare pays for CPT 74019

Across 168,009 services billed by 5,341 providers to 150,216 beneficiaries, Medicare allowed an average of $14.72 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 74019

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	123,338	117,205	$12.45	4,564
Portable X-Ray Supplier	26,457	16,559	$18.75	105
Interventional Radiology	3,777	3,572	$11.70	147
Urology	3,291	2,700	$32.18	68
Family Practice	3,079	2,824	$27.70	141
Independent Diagnostic Testing Facility (IDTF)	2,168	1,991	$29.41	65
Internal Medicine	1,929	1,727	$28.26	69
Nurse Practitioner	1,772	1,569	$24.17	85
Physician Assistant	819	762	$18.80	41
Emergency Medicine	240	223	$28.29	11
Radiation Oncology	216	203	$13.28	7
Gastroenterology	212	202	$29.84	9
Nuclear Medicine	201	195	$12.01	7
Pediatric Medicine	117	115	$17.55	6
Vascular Surgery	96	91	$10.28	2

74019 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New York	13,656	$17.95	$12.34	343
Maryland	11,875	$16.65	$12.49	129
Texas	8,421	$15.34	$11.57	333
Massachusetts	7,769	$14.90	$10.20	236
Iowa	7,504	$16.64	$12.89	162
California	6,967	$16.19	$11.11	270
Ohio	6,802	$14.30	$10.80	138
Florida	6,230	$16.98	$12.90	246
Pennsylvania	5,746	$13.12	$10.08	180
Minnesota	5,452	$13.77	$9.99	210
Illinois	5,208	$12.71	$9.57	176
North Carolina	5,029	$15.33	$11.76	203
Michigan	4,967	$13.19	$9.86	201
Louisiana	4,441	$13.34	$10.29	148
Missouri	4,090	$12.29	$9.49	136
Georgia	4,012	$16.40	$12.70	143
New Jersey	3,759	$14.59	$10.34	108
Arkansas	3,696	$13.19	$10.71	102
Nebraska	3,601	$11.68	$9.05	97
Wisconsin	3,305	$12.94	$9.62	149
Tennessee	3,204	$15.99	$12.78	107
Virginia	3,030	$14.77	$10.91	119
Washington	2,967	$13.42	$9.53	75
Mississippi	2,773	$13.80	$11.15	104
Kansas	2,726	$12.04	$9.42	78
Alabama	2,649	$13.95	$10.96	122
Oklahoma	2,589	$13.22	$10.30	107
South Carolina	2,575	$15.96	$12.26	103
West Virginia	2,367	$10.61	$7.76	77
South Dakota	2,292	$12.09	$8.59	60
New Hampshire	2,015	$10.75	$7.91	77
Arizona	1,999	$14.69	$11.23	77
Colorado	1,937	$14.95	$10.21	62
Connecticut	1,917	$13.42	$9.80	69
Indiana	1,592	$13.65	$10.57	60
Kentucky	1,512	$11.52	$8.83	60
Rhode Island	1,183	$18.80	$13.16	28
North Dakota	1,131	$13.66	$9.54	35
Nevada	701	$17.01	$12.59	26
Oregon	695	$11.53	$8.59	35
Hawaii	680	$12.90	$9.39	9
Idaho	594	$12.66	$9.67	27
Wyoming	486	$10.83	$7.94	14
New Mexico	430	$14.11	$10.19	19
District of Columbia	311	$11.16	$7.95	14
Utah	307	$11.67	$8.51	20
Montana	261	$11.14	$8.21	17
Maine	170	$10.44	$7.76	10
Vermont	138	$12.45	$8.82	7
Delaware	122	$25.17	$17.79	6
Alaska	90	$21.20	$14.03	4
AA	24	$10.37	$8.32	2
Guam	12	$39.91	$15.04	1

Related codes

74018X-ray of abdomen$11.13
74022X-ray series of abdomen$17.62
74021X-ray of abdomen$22.22

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.