What is CPT Code 74170?

CPT Code 74170 identifies a CT scan of the abdomen, performed both without and then with contrast material. It is a diagnostic imaging procedure.

How do I find reimbursement rates for CPT 74170?

Reimbursement rates for CPT 74170 can vary widely by insurance payer. Tools like PayerPrice offer insights into national average reimbursement rates and specific provider-level fee schedules for various payers.

What factors affect the fee schedule for CPT 74170?

Factors such as payer type (Medicare, Medicaid, private insurance), geographic location, and the specific type of healthcare provider (e.g., hospital vs. private practice) all influence the fee schedule for CPT 74170.

A Current Procedural Terminology (CPT) code is a five-digit numerical code used by medical professionals to report medical, surgical, and diagnostic services and procedures to entities such as physicians, health insurance companies, and accreditation organizations. These codes standardize the reporting of medical services and are crucial for billing and reimbursement processes.

How do I find the cost of a medical procedure?

To find the cost of a specific medical procedure, you'll typically need to know the CPT code for that procedure and your geographic location. Healthcare costs can vary significantly based on the provider, facility, insurance plan, and region. For specific pricing information based on CPT code and location, you can use tools like the Payerprice fee schedule lookup tool. This will help you understand the potential cost before undergoing a procedure.

What factors influence the cost of healthcare?

Several factors influence healthcare costs, including: * **Geographic Location:** Costs often vary significantly by state, city, and even within different neighborhoods. * **Provider and Facility:** The type of facility (e.g., hospital, outpatient clinic, urgent care) and the specific provider's reputation or specialization can impact price. * **Insurance Coverage:** Your specific health insurance plan, including deductibles, copayments, and coinsurance, plays a major role in your out-of-pocket costs. * **Complexity of Procedure:** More complex or time-consuming procedures generally cost more. * **Technology and Equipment:** The use of advanced technology or specialized equipment can increase costs. * **Negotiated Rates:** Insurers negotiate rates with providers, leading to different prices for the same service depending on your insurance plan. * **Market Dynamics:** Local supply and demand, competition among providers, and regulatory environments also contribute.

Why do healthcare costs vary so much?

Healthcare costs vary significantly due to a complex interplay of factors, including the lack of price transparency, varying negotiated rates between providers and different insurance companies, regional differences in the cost of living and labor, the type of facility (e.g., hospital vs. outpatient clinic), the technology used, and the patient's insurance coverage. Unlike many other consumer goods and services, healthcare prices are often not standardized or readily available to consumers beforehand.

Can I compare prices for medical services?

Yes, you can compare prices for medical services, although it can sometimes be challenging due to varying billing practices and negotiated rates. Knowing the CPT code for a service is often the first step. You can then use price transparency tools and resources. For instance, Payerprice offers a fee schedule lookup tool where you can search for procedure costs based on CPT code and specific location, allowing you to compare potential costs from different providers or facilities in your area.

CPT 74170 Fee Schedule

Q: What is a fee schedule?

A fee schedule is a comprehensive list of prices that healthcare providers charge for specific services and procedures, like CPT 74170. These schedules vary based on the payer, geographic location, and specific provider contracts.

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Ct Scan Of Abdomen, Ct (Computed Tomography) Of The Abdomen. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Additional Pictures Are Taken After Injecting Dye To Make Specific Areas Easier To See.

Key Fact	Detail
Service Type	Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures
Common Place of Service	11 - Office 22 - On Campus Outpatient Hospital
Common Modifiers	None 26 - Professional component TC - Technical component
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 74170
Medicaid Fee Schedule	View Medicaid rates for 74170

National average reimbursement for CPT 74170 by major payers:

$316.59

$373.82

$396.73

$444.36

Compare published rates across providers.

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CPT 74170

5 of 25 sample ratesHigher to lower in this preview

Guillermo Palacios
Au Medical Associates Inc
FLRadiological Physics PhysicianNPI 1831132711Tax ID 58-0705892
$1,029.81Published rate
Davillee Hawkins
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLCertified Registered Nurse AnesthetistNPI 1215509955Tax ID 59-3238640
$312.54Published rate
Karen Rounds Cleary
Slocum Dickson Medical Group PLLC
NYFamily Nurse PractitionerNPI 1922104546Tax ID 20-0362623
$241.39Published rate
Monica Dhaduk
Slocum Dickson Medical Group PLLC
NYMedical Physician AssistantNPI 1598473092Tax ID 20-0362623
$83.98Published rate
David Seal
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLCertified Registered Nurse AnesthetistNPI 1891026159Tax ID 59-3238640
$82.58Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 74170 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The CPT 74170 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 74170 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
74018-CPT	Low	Radiologic Examination Abdome, Radiologic Examination Abdomen 1 View Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th
74150-CPT	Low	Ct Scan Of Abdomen, Ct (Computed Tomography) Of The Abdomen. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Dye May Be Injected To Make The Area Easier To See.
74160-CPT	Moderate	Ct Scan Of Abdomen, Ct (Computed Tomography) Of The Abdomen. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Dye May Be Injected To Make The Area Easier To See.
74170-CPT	Moderate	Ct Scan Of Abdomen, Ct (Computed Tomography) Of The Abdomen. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Additional Pictures Are Taken After Injecting Dye To Make Specific Areas Easier To See.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 74170 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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CPT 74170 Fee Schedule

Compare published rates across providers.

Guillermo Palacios

Davillee Hawkins

Karen Rounds Cleary

Monica Dhaduk

David Seal