CPT 74485 Fee Schedule
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.
| 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 |
National average reimbursement for CPT 74485 by major payers:
$142.26
$133.55
$139.69
$173.59
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 74485 | ||||||
United | 74485 | $46.79 | 1306828702 - RICHARD BEAMON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | KS | Emergency Medicine Physician (207P00000X) |
United | 74485 | $233.67 | 1396806444 - RADIOLOGY ASSOCIATES OF NORTH TEXAS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Nuclear Radiology Physician (2085N0904X) |
United | 74485 | $196.80 | 1417340548 - KIRSTIN NELSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Registered Dietitian (133V00000X) |
United | 74485 | $41.13 | 1619207008 - SHARITA NAGARAJ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Surgery Physician (208600000X) |
United | 74485 | $196.80 | 1285668624 - ARPANA GUPTA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | HI | Internal Medicine Physician (207R00000X) |
United | 74485 | $196.80 | 1225052566 - CARRIE HEISINGER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 74485 | $196.80 | 1295977718 - CHRISTOPHER MUELLER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Cardiovascular Disease Physician (207RC0000X) |
United | 74485 | $196.80 | 1356755433 - PETER LASATER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MN | Orthopaedic Surgery Physician (207X00000X) |
United | 74485 | $150.00 | 1932165636 - STEVEN MCCANN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Obstetrics & Gynecology Physician (207V00000X) |
United | 74485 | $196.80 | 1003337981 - SARAH SALCE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Acute Care Nurse Practitioner (363LA2100X) |
United | 74485 | $196.80 | 1881909315 - BRENT MORROW | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 74485 | $73.98 | 1386746949 - ELINA PALES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CO | Neurology Physician (2084N0400X) |
United | 74485 | $150.00 | 1740881747 - ALEXANDER IGOE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | VA | Certified Registered Nurse Anesthetist (367500000X) |
United | 74485 | $196.80 | 1982603494 - JEFFREY ROCKOW | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Pediatric Cardiology Physician (2080P0202X) |
United | 74485 | $41.13 | 1669457206 - ANANYA DAS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Gastroenterology Physician (207RG0100X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 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 |
|---|---|---|
| 74363-CPT | Moderate | Percutaneous Transhepatic Dilation Of Biliary Duct Stricture With Or Without Placement Of Stent, Radiological Supervision And Interpretation |
| 74420-CPT | Low | Imaging Of Urinary Tract Following Injection Of A Contrast Agent |
| 74425-CPT | Low | Urography Antegrade Radiological Supervision Andinterpretation (Desc Rvsd 1/1/21) |
| 74485-CPT | Low | Dilation Of Ureter(S) Or Urethra Radio- Logical Supervision And Interpretation (Desc Rvsd 1/1/19) |
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.
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.