Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 74485 Fee Schedule
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.
Urine Tract Enlargement, Enlargement Of A Portion Of The Urine Tract. The Procedure Using X-Rays To Assist With Viewing The Surgical Area.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74485 |
| Medicaid Fee Schedule | View Medicaid rates for 74485 |
National average reimbursement for CPT 74485 by major payers:
$142.26
$133.55
$139.69
$169.35
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 74485.
CPT 74485
5 of 25 sample ratesHigher to lower in this preview
Michael Hill
Radiology Associates Of North Texas, PA
$233.67Published rateRobert Mcleroy
Northern Arizona Healthcare Corporation
$196.80Published ratePeter Gibson
Northern Arizona Healthcare Corporation
$150.00Published rateHarsh Singh
Northern Arizona Healthcare Corporation
$46.79Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$27.37Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 74485 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74485 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 74485 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 |
|---|---|---|
| 74420-CPT | Low | Exam For Urine Backflow, An Imaging Study To Evaluate Flow Of Urine Back To The Kidneys From The Bladder. |
| 74455-CPT | Low | X-Ray Of Bladder Function, An X-Ray Of The Bladder And Urinary Tract. The Images Evaluate The Flow Of Urine Or Check For Backflow Of Urine Into The Bladder. |
| 74470-CPT | Moderate | X-Ray Of Kidney Cyst, Exam Of A Pocket Of Fluid (Cyst) On A Kidney Using A Fluoroscope. Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
| 74485-CPT | Low | Urine Tract Enlargement, Enlargement Of A Portion Of The Urine Tract. The Procedure Using X-Rays To Assist With Viewing The Surgical Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74485. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74485 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 74485) and we'll show you how you compare in 15 minutes or less.