CPT code 70486: Maxillofacial CT, without contrast2026 Medicare rate & RVUs in South Dakota

CT imaging of the facial bones and related structures without contrast, commonly reported to evaluate paranasal sinus disease or facial trauma.

CMS RVU26DEffective Oct 1, 2026One payment locality527.3K Medicare services in 2024

In South Dakota, Medicare pays $126.93 for 70486 in the office.

$126.93Office (non-facility)
Not available in this settingHospital or facility
−1.0%vs the national office rate ($128.26)

Check a contract rate as a % of Medicare · 70486 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 70486 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 70486 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 70486 covers

This service uses computed tomography to image the facial bones and related structures without contrast material. Common indications include evaluation of the paranasal sinuses and assessment of facial injury. A radiology technologist typically acquires the images in an imaging department or other equipped setting; a radiologist or other qualified physician interprets them and prepares a report.

Select this code when the documented examination covers the maxillofacial region and is performed without contrast. The order and report should support the clinical indication, anatomic coverage, and contrast protocol. The global service includes both image acquisition and interpretation when billed without a component modifier. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service. When multiple diagnostic imaging procedures are reported, the CMS multiple procedure reduction applies to both the technical and professional components.

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 South Dakota compares for 70486

Across 109 of 109 payment localities, the office rate for 70486 runs from $113.39 in Arkansas to $173.93 in San Benito County, CA. South Dakota pays $126.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

70486 in South Dakota vs other payment areas
  1. South Dakota · this page$126.93
  2. Los Angeles, CA · California$146.75+$19.82
  3. Washington, DC area · District of Columbia$147.52+$20.59
  4. Miami, FL · Florida$135.36+$8.43
  5. Chicago, IL · Illinois$131.54+$4.61
  6. Manhattan, NY · New York$147.17+$20.24
  7. Alaska · Alaska$147.63+$20.70

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

70486 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$115.07—
ArkansasArkansas$113.39—
ArizonaArizona$124.92—
Bakersfield, CACalifornia$137.46—
Chico, CACalifornia$137.26—
El Centro, CACalifornia$137.27—
Fresno, CACalifornia$137.26—
Hanford, CACalifornia$137.26—

70486 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.

$113.39

$155.60

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
70486 office rate range by state
State / territoryOffice rate rangeLocalities
AK$147.631
AL$115.071
AR$113.391
AZ$124.921
CA$137.26–$173.9329
CO$134.461
CT$136.821
DC$147.521
DE$127.011
FL$124.93–$135.363
GA$118.00–$130.322
GU$140.911
HI$140.911
IA$118.681
ID$119.321
IL$120.82–$132.664
IN$120.041
KS$117.811
KY$117.151
LA$116.84–$122.722
MA$133.52–$148.292
MD$129.55–$147.523
ME$119.62–$126.632
MI$119.95–$126.192
MN$129.711
MO$114.61–$123.533
MS$114.041
MT$128.261
NC$120.931
ND$127.071
NE$119.431
NH$132.051
NJ$138.63–$145.912
NM$120.481
NV$128.021
NY$122.74–$150.375
OH$119.701
OK$117.271
OR$127.27–$139.132
PA$120.07–$133.192
PR$129.311
RI$131.821
SC$120.471
SD$126.931
TN$118.371
TX$119.25–$133.808
UT$122.141
VA$126.00–$147.522
VI$129.311
VT$126.281
WA$133.36–$151.652
WI$122.731
WV$116.221
WY$127.741

See 70486 in every payment locality

How the 70486 rate is calculated

Each of 70486’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 · 70486

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.83

0.83 RVUs× 1.000 GPCI

Practice expense2.95

2.95 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

3.8400

Conversion factor

$33.4009

Medicare rate

$128.26

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,805

Code
70486
Physician work
0.83
Practice expense
2.95
Malpractice
0.06

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 70486 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.83× 1.0000.8300
Practice expense2.95× 1.0002.9500
Malpractice0.06× 0.3360.0202
Total RVUs3.8002
Conversion factor× 33.4009

Office rate, South Dakota$126.93

Office: (0.83 × 1 + 2.95 × 1 + 0.06 × 0.336) × $33.4009 = $126.93

Open 70486 in the RVU calculator

Payment rules and modifiers for 70486

The CMS indicators that decide how 70486 is paid alongside other services.

CMS payment indicators · 70486

Maxillofacial CT, without contrast

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

70486 without 26 · national office

$128.26

Maxillofacial CT, without contrast

70486-26 · Professional component

$39.75

Pays only the interpretation and report.

When to use modifier 26

How 70486 has changed in South Dakota

70486 · Office / nonfacility

$126.93

Effective 2026-10-01

The base rate is $1.78 higher than on 2025-10-01, moving from $125.15 to $126.93 (1.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $125.15changed to$126.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.85 changed to 0.83
    • Practice expense RVU 3.00 changed to 2.95
    • Malpractice RVU 0.05 changed to 0.06
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $130.12changed to$125.15

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.04 changed to 3.00

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $128.00changed to$130.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $133.79changed to$128.00

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.08 changed to 3.04
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $135.91changed to$133.79

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.06 changed to 3.08
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $139.48changed to$135.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.13 changed to 3.06

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $140.10changed to$139.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.01 changed to 3.13
    • Malpractice RVU 0.06 changed to 0.05
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $139.95changed to$140.10

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $140.52changed to$139.95

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.03 changed to 3.01

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $139.74changed to$140.52

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.02 changed to 3.03
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $139.78changed to$139.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.03 changed to 3.02
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $139.78changed to$139.78

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.02 changed to 3.03
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $139.09changed to$139.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$139.09

    Held through RVU15B.

  15. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$126.93Not available in this settingRVU26D
2026-07-01$126.93Not available in this settingRVU26C
2026-04-01$126.93Not available in this settingRVU26B
2026-01-01$126.93Not available in this settingRVU26A
2025-10-01$125.15Not available in this settingRVU25D
2025-07-01$125.15Not available in this settingRVU25C
2025-04-01$125.15Not available in this settingRVU25B
2025-01-01$125.15Not available in this settingRVU25A
2024-10-01$130.12Not available in this settingRVU24D
2024-07-01$130.12Not available in this settingRVU24C
2024-04-01$130.12Not available in this settingRVU24B
2024-03-09$130.12Not available in this settingRVU24AR
2024-01-01$128.00Not available in this settingRVU24A
2023-10-01$133.79Not available in this settingRVU23D
2023-07-01$133.79Not available in this settingRVU23C
2023-04-01$133.79Not available in this settingRVU23B
2023-01-01$133.79Not available in this settingRVU23A
2022-10-01$135.91Not available in this settingRVU22D
2022-07-01$135.91Not available in this settingRVU22C
2022-04-01$135.91Not available in this settingRVU22B
2022-01-01$135.91Not available in this settingRVU22A
2021-10-01$139.48Not available in this settingRVU21D
2021-07-01$139.48Not available in this settingRVU21C
2021-04-01$139.48Not available in this settingRVU21B
2021-01-01$139.48Not available in this settingRVU21A
2020-10-01$140.10Not available in this settingRVU20D
2020-07-01$140.10Not available in this settingRVU20C
2020-04-01$140.10Not available in this settingRVU20B
2020-01-01$140.10Not available in this settingRVU20A
2019-10-01$139.95Not available in this settingRVU19D
2019-07-01$139.95Not available in this settingRVU19C
2019-04-01$139.95Not available in this settingRVU19B
2019-01-01$139.95Not available in this settingRVU19A
2018-10-01$140.52Not available in this settingRVU18D
2018-07-01$140.52Not available in this settingRVU18C
2018-04-01$140.52Not available in this settingRVU18B
2018-01-01$140.52Not available in this settingRVU18AR1
2017-10-01$139.74Not available in this settingRVU17D
2017-07-01$139.74Not available in this settingRVU17C
2017-04-01$139.74Not available in this settingRVU17B
2017-01-01$139.74Not available in this settingRVU17A
2016-10-01$139.78Not available in this settingRVU16D
2016-07-01$139.78Not available in this settingRVU16C
2016-04-01$139.78Not available in this settingRVU16B
2016-01-01$139.78Not available in this settingRVU16A
2015-10-01$139.78Not available in this settingRVU15D
2015-07-01$139.78Not available in this settingRVU15C
2015-04-01$139.09Not available in this settingRVU15B
2015-01-01$139.09Not available in this settingRVU15A
2014-10-01Additional calculation requiredNot available in this settingRVU14D
2014-07-01Additional calculation requiredNot available in this settingRVU14C
2014-04-01Additional calculation requiredNot available in this settingRVU14B
2014-01-01Additional calculation requiredNot available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 70486 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

70486 billing questions

How does this differ from 70487?

70486 describes maxillofacial CT without contrast. Use 70487 when the maxillofacial examination is performed with contrast.

When is 70488 appropriate instead?

70488 is for a maxillofacial CT performed both without and with contrast. This code is for an examination without contrast.

What do modifiers 26 and TC identify?

Modifier 26 reports the physician’s professional interpretation, and modifier TC reports the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

Does the multiple imaging reduction affect both components?

Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components.

What documentation supports reporting this code?

The record should support the clinical reason for imaging, the maxillofacial anatomy examined, and that the study was performed without contrast. The imaging report should document the findings and interpretation.

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
RVUs for 70486PPRRVU2026_Oct_nonQPP.csv, line 7,805 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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