How much does Medicare pay for CPT 74174?

Medicare allowed an average of $117.69 per service and paid $90.51 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $699.03, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 74174?

Ct scan of blood vessels of abdomen and pelvis with contrast. It was billed 372,362 times to 365,741 Medicare beneficiaries by 11,078 providers in 2024.

Does 74174 pay differently in an office than a hospital?

Yes. The allowed amount averaged $283.80 in an office setting and $101.74 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 74174 most?

Diagnostic Radiology, with 327,960 services from 9,978 clinicians. Next are Interventional Radiology, Cardiology, Independent Diagnostic Testing Facility (IDTF).

CPT 74174

Ct scan of blood vessels of abdomen and pelvis with contrast

$117.69Medicare-allowed amount per service, averaged across 372,362 services

Providers submitted

$699.03

Asking price, not received

Medicare allowed

$117.69

The fee schedule figure

Medicare paid

$90.51

Balance is patient coinsurance

Providers submitted an average of $699.03 for this code and Medicare allowed $117.69 — 5.9× 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 $90.51 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $283.80
Hospital / facility: $101.74

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. 32,609 services were billed in an office setting and 339,753 in a facility.

Services: 372,362
Beneficiaries: 365,741
Providers billing it: 11,078
Total allowed: $43,823,284

What Medicare pays for CPT 74174

Across 372,362 services billed by 11,078 providers to 365,741 beneficiaries, Medicare allowed an average of $117.69 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 74174

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	327,960	322,690	$113.67	9,978
Interventional Radiology	31,182	30,316	$122.13	747
Cardiology	5,877	5,802	$171.45	142
Independent Diagnostic Testing Facility (IDTF)	2,911	2,600	$322.16	85
Interventional Cardiology	1,208	1,169	$264.76	35
Internal Medicine	853	843	$139.41	17
Vascular Surgery	724	699	$127.15	13
Nuclear Medicine	592	585	$112.64	22
Advanced Heart Failure and Transplant Cardiology	206	205	$339.59	2
Radiation Oncology	205	200	$98.07	7
Physician Assistant	97	95	$213.50	2
General Surgery	73	73	$188.10	4
Peripheral Vascular Disease	57	50	$96.07	3
Emergency Medicine	49	49	$147.15	3
Psychiatry	48	47	$98.58	1

74174 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
California	32,038	$126.64	$87.56	992
Texas	24,363	$116.14	$87.73	763
Florida	23,991	$131.86	$99.46	694
New York	20,988	$138.93	$95.36	571
Pennsylvania	17,561	$106.42	$78.37	514
Illinois	16,832	$120.03	$87.59	550
Minnesota	16,807	$138.98	$103.15	495
Massachusetts	14,320	$115.83	$81.44	301
North Carolina	13,533	$118.00	$91.27	385
Virginia	13,432	$116.93	$87.30	337
Ohio	13,210	$105.00	$78.72	367
Maryland	11,826	$141.31	$102.27	257
Michigan	11,400	$103.63	$77.23	378
Missouri	9,660	$101.02	$77.20	282
New Jersey	9,643	$120.56	$84.48	292
Georgia	9,318	$107.75	$80.62	292
Tennessee	8,891	$104.75	$81.48	268
Washington	8,555	$108.18	$76.68	252
South Carolina	7,441	$106.94	$82.92	200
Arizona	7,268	$130.80	$98.99	190
Colorado	7,159	$110.31	$80.57	251
Indiana	7,154	$101.39	$77.75	210
Wisconsin	5,346	$115.56	$88.65	203
Oregon	4,012	$112.56	$82.73	109
Oklahoma	3,943	$99.71	$76.51	129
Connecticut	3,705	$113.03	$80.27	124
Alabama	3,653	$107.23	$83.97	140
Arkansas	3,574	$101.00	$80.16	107
Kansas	3,493	$100.69	$78.81	110
Kentucky	3,448	$103.08	$79.44	112
Louisiana	2,840	$127.84	$101.74	115
Mississippi	2,810	$111.48	$88.89	80
Iowa	2,785	$118.59	$92.65	95
Nevada	2,724	$112.94	$87.39	92
Nebraska	2,489	$99.71	$77.68	91
New Hampshire	2,472	$101.42	$73.21	70
Rhode Island	1,854	$105.85	$74.44	61
District of Columbia	1,752	$115.55	$81.55	39
West Virginia	1,543	$99.73	$73.74	55
Utah	1,523	$112.23	$85.90	61
Idaho	1,502	$104.82	$79.05	66
New Mexico	1,455	$109.88	$79.64	49
Delaware	1,408	$109.85	$83.05	39
Maine	1,335	$101.09	$73.79	51
North Dakota	1,319	$98.28	$72.58	39
Montana	1,309	$105.94	$78.57	46
Hawaii	1,100	$101.97	$74.23	39
South Dakota	985	$99.05	$72.38	30
Vermont	889	$105.02	$77.92	24
Alaska	810	$165.63	$98.91	31
Wyoming	553	$128.35	$97.79	19
Puerto Rico	164	$118.25	$89.44	3
AA	76	$96.28	$73.06	2
AP	42	$104.78	$75.12	2
Guam	33	$289.18	$160.62	2
XX	15	$104.42	$78.04	1

Related codes

74177Ct scan of abdomen and pelvis$105.68
74176Ct scan of abdomen and pelvis without contrast$90.05
74183Mri scan of abdomen before and after contrast$175.35
74178Ct scan of abdomen and pelvis before and after contrast$176.76
74181Mri scan of abdomen without contrast$93.69
74170Ct scan of abdomen before and after contrast$127.64
74160Ct scan of abdomen$107.50
74150Ct scan of abdomen without contrast$93.55
74175Ct scan of blood vessels of abdomen$104.72
74185Mri scan of blood vessels of abdomen$211.76

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.