CPT code 70450: Head CT, without contrast2026 Medicare rate & RVUs in Puerto Rico
Noncontrast computed tomography of the head and brain, reported when a quick scan is needed to evaluate hemorrhage, stroke, trauma, or acute neurologic change.
In Puerto Rico, Medicare pays $107.36 for 70450 in the office.
Check a contract rate as a % of Medicare · 70450 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 70450 covers
This study images the skull, brain, and intracranial spaces with CT and no contrast material. A radiologic technologist acquires images, typically viewed in brain and bone windows, and a radiologist interprets them. Often performed in emergency departments, it helps evaluate suspected stroke before thrombolysis, head injury after a fall, sudden severe headache, altered mental status, seizures, or known intracranial bleeding.
Select 70450 when only noncontrast head images are obtained. Use 70460 for contrast-enhanced images only, or 70470 when head images are obtained both before and after contrast in the same session. The report should document the indication, technique, and findings, such as hemorrhage, mass effect, midline shift, or fracture. Modifier 26 identifies the radiologist's interpretation; modifier TC identifies the scanner, staff, and other technical work. Billing without either modifier represents the global service. CMS applies the diagnostic imaging multiple procedure reduction to eligible technical and professional components when multiple imaging studies are furnished, such as head and cervical spine CT after trauma.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Puerto Rico compares for 70450
Across 109 of 109 payment localities, the office rate for 70450 runs from $94.74 in Arkansas to $142.62 in San Benito County, CA. Puerto Rico pays $107.36. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$107.36
- Los Angeles, CA · California$121.07+$13.71
- Washington, DC area · District of Columbia$121.95+$14.59
- Miami, FL · Florida$112.76+$5.40
- Chicago, IL · Illinois$109.72+$2.36
- Manhattan, NY · New York$121.94+$14.58
- Alaska · Alaska$124.50+$17.14
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $96.08 | — |
| ArkansasArkansas | $94.74 | — |
| ArizonaArizona | $103.88 | — |
| Bakersfield, CACalifornia | $113.67 | — |
| Chico, CACalifornia | $113.47 | — |
| El Centro, CACalifornia | $113.48 | — |
| Fresno, CACalifornia | $113.47 | — |
| Hanford, CACalifornia | $113.47 | — |
| Madera, CACalifornia | $113.47 | — |
| Merced, CACalifornia | $113.47 | — |
| Modesto, CACalifornia | $113.47 | — |
| Napa, CACalifornia | $131.74 | — |
| Oxnard, CACalifornia | $120.55 | — |
| Redding, CACalifornia | $113.47 | — |
| Rest of CaliforniaCalifornia | $113.47 | — |
| Riverside, CACalifornia | $114.13 | — |
| Sacramento, CACalifornia | $119.14 | — |
| Salinas, CACalifornia | $118.69 | — |
| San Diego, CACalifornia | $121.52 | — |
| Marin County, CACalifornia | $139.60 | — |
| San Francisco, CACalifornia | $139.53 | — |
| San Benito County, CACalifornia | $142.62 | — |
| Santa Clara County, CACalifornia | $142.35 | — |
| San Luis Obispo, CACalifornia | $116.77 | — |
| Santa Cruz, CACalifornia | $122.72 | — |
| Santa Maria, CACalifornia | $119.15 | — |
| Santa Rosa, CACalifornia | $123.97 | — |
| Stockton, CACalifornia | $113.47 | — |
| Vallejo, CACalifornia | $131.64 | — |
| Visalia, CACalifornia | $113.47 | — |
| Yuba City, CACalifornia | $113.47 | — |
| ColoradoColorado | $111.36 | — |
| ConnecticutConnecticut | $113.44 | — |
| DelawareDelaware | $105.56 | — |
| Fort Lauderdale, FLFlorida | $109.17 | — |
| Rest of FloridaFlorida | $104.18 | — |
| Atlanta, GAGeorgia | $108.26 | — |
| Rest of GeorgiaGeorgia | $98.64 | — |
| Hawaii, Guam, HIHawaii | $116.23 | — |
| IowaIowa | $98.81 | — |
| IdahoIdaho | $99.35 | — |
| East St. Louis, ILIllinois | $102.44 | — |
| Rest of IllinoisIllinois | $100.99 | — |
| Suburban Chicago, ILIllinois | $110.36 | — |
| IndianaIndiana | $99.91 | — |
| KansasKansas | $98.18 | — |
| KentuckyKentucky | $97.85 | — |
| New Orleans, LALouisiana | $102.29 | — |
| Rest of LouisianaLouisiana | $97.63 | — |
| Metropolitan Boston, MAMassachusetts | $122.37 | — |
| Rest of MassachusettsMassachusetts | $110.66 | — |
| Baltimore area, MDMaryland | $113.08 | — |
| Rest of MarylandMaryland | $107.58 | — |
| Rest of MaineMaine | $99.65 | — |
| Southern Maine, MEMaine | $105.12 | — |
| Detroit, MIMichigan | $105.23 | — |
| Rest of MichiganMichigan | $100.12 | — |
| MinnesotaMinnesota | $107.37 | — |
| Metropolitan Kansas City, MOMissouri | $101.82 | — |
| Metropolitan St. Louis, MOMissouri | $102.87 | — |
| Rest of MissouriMissouri | $95.90 | — |
| MississippiMississippi | $95.35 | — |
| MontanaMontana | $106.54 | — |
| North CarolinaNorth Carolina | $100.68 | — |
| North DakotaNorth Dakota | $105.36 | — |
| NebraskaNebraska | $99.39 | — |
| New HampshireNew Hampshire | $109.45 | — |
| Northern New JerseyNew Jersey | $120.72 | — |
| Rest of New JerseyNew Jersey | $114.92 | — |
| New MexicoNew Mexico | $100.58 | — |
| NevadaNevada | $106.29 | — |
| NYC suburbs and Long Island, NYNew York | $124.56 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $115.52 | — |
| Queens, NYNew York | $123.19 | — |
| Rest of New YorkNew York | $102.11 | — |
| OhioOhio | $99.88 | — |
| OklahomaOklahoma | $97.88 | — |
| Portland, OROregon | $115.01 | — |
| Rest of OregonOregon | $105.65 | — |
| Metropolitan Philadelphia, PAPennsylvania | $110.58 | — |
| Rest of PennsylvaniaPennsylvania | $100.14 | — |
| Rhode IslandRhode Island | $109.39 | — |
| South CarolinaSouth Carolina | $100.41 | — |
| South DakotaSouth Dakota | $105.22 | — |
| TennesseeTennessee | $98.63 | — |
| Austin, TXTexas | $110.83 | — |
| Beaumont, TXTexas | $99.49 | — |
| Brazoria, TXTexas | $105.64 | — |
| Dallas, TXTexas | $106.21 | — |
| Fort Worth, TXTexas | $105.46 | — |
| Galveston, TXTexas | $105.89 | — |
| Houston, TXTexas | $106.99 | — |
| Rest of TexasTexas | $102.44 | — |
| UtahUtah | $101.74 | — |
| VirginiaVirginia | $104.65 | — |
| Virgin Islands, VIUnited States Virgin Islands | $107.36 | — |
| VermontVermont | $104.79 | — |
| Rest of WashingtonWashington | $110.50 | — |
| King County, WAWashington | $125.01 | — |
| WisconsinWisconsin | $101.94 | — |
| West VirginiaWest Virginia | $97.35 | — |
| WyomingWyoming | $106.03 | — |
70450 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$94.74
$128.05
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $124.50 | 1 |
| AL | $96.08 | 1 |
| AR | $94.74 | 1 |
| AZ | $103.88 | 1 |
| CA | $113.47–$142.62 | 29 |
| CO | $111.36 | 1 |
| CT | $113.44 | 1 |
| DC | $121.95 | 1 |
| DE | $105.56 | 1 |
| FL | $104.18–$112.76 | 3 |
| GA | $98.64–$108.26 | 2 |
| GU | $116.23 | 1 |
| HI | $116.23 | 1 |
| IA | $98.81 | 1 |
| ID | $99.35 | 1 |
| IL | $100.99–$110.36 | 4 |
| IN | $99.91 | 1 |
| KS | $98.18 | 1 |
| KY | $97.85 | 1 |
| LA | $97.63–$102.29 | 2 |
| MA | $110.66–$122.37 | 2 |
| MD | $107.58–$121.95 | 3 |
| ME | $99.65–$105.12 | 2 |
| MI | $100.12–$105.23 | 2 |
| MN | $107.37 | 1 |
| MO | $95.90–$102.87 | 3 |
| MS | $95.35 | 1 |
| MT | $106.54 | 1 |
| NC | $100.68 | 1 |
| ND | $105.36 | 1 |
| NE | $99.39 | 1 |
| NH | $109.45 | 1 |
| NJ | $114.92–$120.72 | 2 |
| NM | $100.58 | 1 |
| NV | $106.29 | 1 |
| NY | $102.11–$124.56 | 5 |
| OH | $99.88 | 1 |
| OK | $97.88 | 1 |
| OR | $105.65–$115.01 | 2 |
| PA | $100.14–$110.58 | 2 |
| PR | $107.36 | 1 |
| RI | $109.39 | 1 |
| SC | $100.41 | 1 |
| SD | $105.22 | 1 |
| TN | $98.63 | 1 |
| TX | $99.49–$110.83 | 8 |
| UT | $101.74 | 1 |
| VA | $104.65–$121.95 | 2 |
| VI | $107.36 | 1 |
| VT | $104.79 | 1 |
| WA | $110.50–$125.01 | 2 |
| WI | $101.94 | 1 |
| WV | $97.35 | 1 |
| WY | $106.03 | 1 |
How the 70450 rate is calculated
Each of 70450’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 70450
RVUs × geographic indexes × conversion factor
Work0.83
0.83 RVUs× 1.000 GPCI
Practice expense2.30
2.30 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
3.1900
Conversion factor
$33.4009
Medicare rate
$106.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,778
- Code
- 70450
- Physician work
- 0.83
- Practice expense
- 2.30
- Malpractice
- 0.06
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.83 | × 1.000 | 0.8300 |
| Practice expense | 2.30 | × 1.011 | 2.3253 |
| Malpractice | 0.06 | × 0.985 | 0.0591 |
| Total RVUs | 3.2144 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$107.36
Office: (0.83 × 1 + 2.3 × 1.011 + 0.06 × 0.985) × $33.4009 = $107.36
Payment rules and modifiers for 70450
The CMS indicators that decide how 70450 is paid alongside other services.
CMS payment indicators · 70450
Head CT, without contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
70450 without 26 · national office
$106.55
Head CT, without contrast
70450-26 · Professional component
$39.41
Pays only the interpretation and report.
How 70450 has changed in Puerto Rico
70450 · Office / nonfacility
$107.36
Effective 2026-10-01
The base rate is $1.73 higher than on 2025-10-01, moving from $105.63 to $107.36 (1.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$105.63changed to$107.36
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.85 changed to 0.83
- Practice expense RVU 2.35 changed to 2.30
- Malpractice RVU 0.05 changed to 0.06
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$109.04changed to$105.63
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.36 changed to 2.35
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$107.26changed to$109.04
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$112.11changed to$107.26
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.39 changed to 2.36
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$111.49changed to$112.11
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$113.79changed to$111.49
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.37 changed to 2.39
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$116.85changed to$113.79
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.43 changed to 2.37
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$117.94changed to$116.85
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.34 changed to 2.43
- Malpractice RVU 0.06 changed to 0.05
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$118.06changed to$117.94
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.35 changed to 2.34
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$118.65changed to$118.06
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.37 changed to 2.35
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$104.70changed to$118.65
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$90.63changed to$104.70
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.36 changed to 2.37
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$90.60changed to$90.63
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.35 changed to 2.36
- Malpractice RVU 0.05 changed to 0.06
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$90.15changed to$90.60
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$95.14changed to$90.15
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.59 changed to 2.35
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$122.07changed to$95.14
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 4.02 changed to 2.59
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $122.07
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $107.36 | Not available in this setting | RVU26D |
| 2026-07-01 | $107.36 | Not available in this setting | RVU26C |
| 2026-04-01 | $107.36 | Not available in this setting | RVU26B |
| 2026-01-01 | $107.36 | Not available in this setting | RVU26A |
| 2025-10-01 | $105.63 | Not available in this setting | RVU25D |
| 2025-07-01 | $105.63 | Not available in this setting | RVU25C |
| 2025-04-01 | $105.63 | Not available in this setting | RVU25B |
| 2025-01-01 | $105.63 | Not available in this setting | RVU25A |
| 2024-10-01 | $109.04 | Not available in this setting | RVU24D |
| 2024-07-01 | $109.04 | Not available in this setting | RVU24C |
| 2024-04-01 | $109.04 | Not available in this setting | RVU24B |
| 2024-03-09 | $109.04 | Not available in this setting | RVU24AR |
| 2024-01-01 | $107.26 | Not available in this setting | RVU24A |
| 2023-10-01 | $112.11 | Not available in this setting | RVU23D |
| 2023-07-01 | $111.49 | Not available in this setting | RVU23C |
| 2023-04-01 | $111.49 | Not available in this setting | RVU23B |
| 2023-01-01 | $111.49 | Not available in this setting | RVU23A |
| 2022-10-01 | $113.79 | Not available in this setting | RVU22D |
| 2022-07-01 | $113.79 | Not available in this setting | RVU22C |
| 2022-04-01 | $113.79 | Not available in this setting | RVU22B |
| 2022-01-01 | $113.79 | Not available in this setting | RVU22A |
| 2021-10-01 | $116.85 | Not available in this setting | RVU21D |
| 2021-07-01 | $116.85 | Not available in this setting | RVU21C |
| 2021-04-01 | $116.85 | Not available in this setting | RVU21B |
| 2021-01-01 | $116.85 | Not available in this setting | RVU21A |
| 2020-10-01 | $117.94 | Not available in this setting | RVU20D |
| 2020-07-01 | $117.94 | Not available in this setting | RVU20C |
| 2020-04-01 | $117.94 | Not available in this setting | RVU20B |
| 2020-01-01 | $117.94 | Not available in this setting | RVU20A |
| 2019-10-01 | $118.06 | Not available in this setting | RVU19D |
| 2019-07-01 | $118.06 | Not available in this setting | RVU19C |
| 2019-04-01 | $118.06 | Not available in this setting | RVU19B |
| 2019-01-01 | $118.06 | Not available in this setting | RVU19A |
| 2018-10-01 | $118.65 | Not available in this setting | RVU18D |
| 2018-07-01 | $118.65 | Not available in this setting | RVU18C |
| 2018-04-01 | $118.65 | Not available in this setting | RVU18B |
| 2018-01-01 | $118.65 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $104.70 | Not available in this setting | RVU17D |
| 2017-07-01 | $104.70 | Not available in this setting | RVU17C |
| 2017-04-01 | $104.70 | Not available in this setting | RVU17B |
| 2017-01-01 | $104.70 | Not available in this setting | RVU17A |
| 2016-10-01 | $90.63 | Not available in this setting | RVU16D |
| 2016-07-01 | $90.63 | Not available in this setting | RVU16C |
| 2016-04-01 | $90.63 | Not available in this setting | RVU16B |
| 2016-01-01 | $90.63 | Not available in this setting | RVU16A |
| 2015-10-01 | $90.60 | Not available in this setting | RVU15D |
| 2015-07-01 | $90.60 | Not available in this setting | RVU15C |
| 2015-04-01 | $90.15 | Not available in this setting | RVU15B |
| 2015-01-01 | $90.15 | Not available in this setting | RVU15A |
| 2014-10-01 | $95.14 | Not available in this setting | RVU14D |
| 2014-07-01 | $95.14 | Not available in this setting | RVU14C |
| 2014-04-01 | $95.14 | Not available in this setting | RVU14B |
| 2014-01-01 | $95.14 | Not available in this setting | RVU14A |
| 2013-10-01 | $122.07 | Not available in this setting | RVU13D |
| 2013-07-01 | $122.07 | Not available in this setting | RVU13C |
| 2013-04-01 | $122.07 | Not available in this setting | RVU13B |
| 2013-01-01 | $122.07 | Not available in this setting | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
70450 billing questions
Can 70450 and 70460 be billed together for the same session?
No. When noncontrast images are followed by contrast-enhanced head images in the same session, report 70470 instead of the two separate codes.
Which modifier does a hospital radiologist use?
A radiologist interpreting a scan performed on hospital equipment reports modifier 26 for the interpretation; the hospital bills for the technical service. An imaging center furnishing both the scan and interpretation may bill the global service without a component modifier.
In a stroke alert, can a noncontrast head CT be billed with CTA of the head and neck?
A separately performed, complete, medically necessary diagnostic head CT with its own interpretation may be reported with 70496 and 70498. Do not report 70450 for preliminary noncontrast images included in the CTA head acquisition.
Does the multiple procedure reduction affect trauma scans like head and cervical spine CT?
It can when both scans are eligible under the diagnostic imaging multiple procedure reduction. CMS ranks the technical and professional components separately and reduces the lower-ranked eligible components.
Should 70450 be used for a scan focused on the sinuses, orbits, or temporal bones?
No. For noncontrast studies, 70480 describes dedicated CT of the orbits, sella, posterior fossa, or ears; 70486 describes maxillofacial CT, including the sinuses. Use 70450 for a general head and brain study.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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