Cost analysis for CPT 74174 — Ct scan of blood vessels of abdomen and pelvis with contrast
Average Medicare Payment
$94.85
2023 data
Total Payments (2023)
$31.0M
Services (2023)
327.6K
Price Change (2014–2023)
-19.7%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $118.15 | $13.4M | 109.7K | — |
| 2015 | $104.43 | $13.4M | 125.9K | -11.6% |
| 2016 | $101.75 | $15.1M | 146.1K | -2.6% |
| 2017 | $99.18 | $17.3M | 172.3K | -2.5% |
| 2018 | $97.98 | $19.5M | 198.8K | -1.2% |
| 2019 | $100.94 | $23.5M | 233.5K | +3.0% |
| 2020 | $101.59 | $22.0M | 216.7K | +0.6% |
| 2021 | $99.23 | $26.2M | 263.9K | -2.3% |
| 2022 | $97.13 | $27.1M | 280.1K | -2.1% |
| 2023 | $94.85 | $31.0M | 327.6K | -2.3% |
The most expensive state pays 2.0x more than the cheapest for this procedure. AK averages $145.60 vs ND at $74.51.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $145.60 | $94.9K | 652 | 27 |
| MD | $123.38 | $1.3M | 10.5K | 258 |
| NY | $112.73 | $2.2M | 19.2K | 555 |
| MN | $111.16 | $1.7M | 15.2K | 460 |
| AZ | $109.65 | $726.9K | 6.6K | 185 |
| FL | $108.84 | $2.3M | 21.5K | 658 |
| LA | $101.30 | $290.1K | 2.9K | 115 |
| CA | $100.90 | $2.6M | 26.2K | 868 |
| DC | $97.48 | $191.6K | 2.0K | 40 |
| NJ | $96.24 | $786.7K | 8.2K | 257 |
| IL | $95.54 | $1.4M | 14.9K | 495 |
| NC | $95.29 | $1.1M | 11.5K | 326 |
| TX | $95.03 | $1.9M | 20.3K | 656 |
| CT | $94.80 | $335.2K | 3.5K | 126 |
| WI | $94.69 | $437.1K | 4.6K | 184 |
| VA | $93.98 | $1.0M | 11.1K | 303 |
| MA | $92.47 | $1.1M | 12.1K | 288 |
| IA | $92.07 | $212.9K | 2.3K | 84 |
| DE | $91.40 | $113.8K | 1.2K | 36 |
| MS | $90.58 | $227.5K | 2.5K | 79 |
| NV | $89.89 | $192.0K | 2.1K | 72 |
| CO | $88.66 | $531.4K | 6.0K | 216 |
| OR | $87.25 | $353.7K | 4.1K | 101 |
| WA | $85.27 | $700.9K | 8.2K | 236 |
| PA | $85.02 | $1.4M | 15.9K | 499 |
| GA | $84.32 | $663.6K | 7.9K | 272 |
| UT | $83.90 | $133.2K | 1.6K | 64 |
| SC | $83.28 | $537.2K | 6.5K | 174 |
| WY | $83.17 | $31.3K | 376 | 16 |
| TN | $83.16 | $672.4K | 8.1K | 250 |
| AL | $82.98 | $305.2K | 3.7K | 144 |
| RI | $82.85 | $156.0K | 1.9K | 57 |
| NE | $81.97 | $150.1K | 1.8K | 75 |
| AR | $81.85 | $253.1K | 3.1K | 91 |
| NH | $81.79 | $194.8K | 2.4K | 72 |
| OH | $81.60 | $952.7K | 11.7K | 343 |
| KS | $81.55 | $250.3K | 3.1K | 103 |
| MI | $81.47 | $882.4K | 10.8K | 378 |
| NM | $80.87 | $94.9K | 1.2K | 46 |
| PR | $80.41 | $12.0K | 149 | 5 |
| MO | $80.37 | $655.4K | 8.2K | 262 |
| HI | $80.04 | $73.2K | 915 | 35 |
| ID | $79.99 | $112.2K | 1.4K | 58 |
| MT | $79.56 | $75.3K | 947 | 32 |
| KY | $79.38 | $259.7K | 3.3K | 101 |
| IN | $78.98 | $515.1K | 6.5K | 205 |
| ME | $78.52 | $97.1K | 1.2K | 50 |
| OK | $76.67 | $244.7K | 3.2K | 112 |
| WV | $76.49 | $123.2K | 1.6K | 61 |
| VT | $76.35 | $62.8K | 822 | 18 |
| SD | $76.20 | $64.8K | 851 | 28 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Chad Engel | Diagnostic Radiology | FL | $71.7K | 647 | $110.85 |
| Jerry Chang | Diagnostic Radiology | CA | $59.4K | 278 | $213.79 |
| Robert Iaffaldano | Interventional Cardiology | IL | $55.7K | 171 | $325.72 |
| Vinit Baliyan | Diagnostic Radiology | MA | $50.1K | 376 | $133.26 |
| Augustin Delago | Cardiology | NY | $49.7K | 163 | $304.67 |
| Constantin Marcu | Cardiology | NC | $49.4K | 225 | $219.45 |
| Harold Litt | Diagnostic Radiology | PA | $47.0K | 408 | $115.28 |
| Timothy Welch | Diagnostic Radiology | MN | $46.2K | 181 | $255.46 |
| Girish Kumar | Diagnostic Radiology | TX | $44.7K | 536 | $83.37 |
| Dominick Stella | Interventional Cardiology | IL | $44.5K | 136 | $327.05 |
| Klaus Hagspiel | Interventional Radiology | VA | $44.2K | 449 | $98.43 |
| Ashwin Balasubramaniam | Diagnostic Radiology | VA | $44.2K | 169 | $261.37 |
| Edmund Hong | Diagnostic Radiology | VA | $43.5K | 169 | $257.48 |
| Philip Araoz | Diagnostic Radiology | MN | $43.2K | 161 | $268.08 |
| Patrick Norton | Interventional Radiology | VA | $40.5K | 414 | $97.72 |
| Ayaz Aghayev | Diagnostic Radiology | MA | $40.3K | 477 | $84.42 |
| Arvinder Uppal | Diagnostic Radiology | MD | $39.7K | 143 | $277.88 |
| Peter Kakavas | Cardiology | IL | $38.9K | 122 | $319.16 |
| Benoit Desjardins | Diagnostic Radiology | PA | $38.8K | 387 | $100.17 |
| Brian Ghoshhajra | Diagnostic Radiology | MA | $37.5K | 316 | $118.52 |
Based on the data, CPT 74174 shows a 2.0x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 19.7% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.