CPT code 70498: Neck CTA, cervical arteries2026 Medicare rate & RVUs in Vermont
CTA of the neck evaluates cervical arteries with contrast-enhanced CT and is reported for vascular concerns such as carotid narrowing or arterial injury.
CMS doesn’t publish a rate for 70498 in Vermont.
Check a contract rate as a % of Medicare · 70498 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 70498 covers
This study uses CT and contrast to visualize arteries in the neck, including the carotid and vertebral vessels. A radiology team commonly performs it when clinicians investigate suspected stenosis, dissection, or other vascular abnormalities. The scan may include noncontrast images when performed, with image processing used to assess the vessels. A radiologist interprets the images and reports the vascular findings.
Report 70498 when the study covers neck arteries rather than only neck soft tissues or only intracranial vessels. The order and report should support the vascular indication, the anatomy imaged, and the interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and an unmodified claim represents the global service. When multiple diagnostic imaging procedures are performed, the CMS multiple procedure reduction applies to both professional and technical 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 Vermont compares for 70498
- Vermont · this pageUnavailable
- Los Angeles, CA · CaliforniaUnavailable
- Washington, DC area · District of ColumbiaUnavailable
- Miami, FL · FloridaUnavailable
- Chicago, IL · IllinoisUnavailable
- Manhattan, NY · New YorkUnavailable
- Alaska · AlaskaUnavailable
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
70498 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 70498 rate is calculated
Each of 70498’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 · 70498
RVUs × geographic indexes × conversion factor
Work1.71
1.71 RVUs× 1.000 GPCI
Practice expense6.37
6.37 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
8.2000
Conversion factor
$33.4009
Medicare rate
$273.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 70498
The CMS indicators that decide how 70498 is paid alongside other services.
CMS payment indicators · 70498
Neck CTA, cervical arteries
| 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
70498 without 26 · national office
$273.89
Neck CTA, cervical arteries
70498-26 · Professional component
$80.16
Pays only the interpretation and report.
How 70498 has changed in Vermont
70498 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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, 2019
RVU19A
$299.42changed toNo rate
Held through RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2018
RVU18AR1
$297.18changed to$299.42
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 6.39 changed to 6.40
- Practice expense GPCI 1.010 changed to 1.015
- Malpractice GPCI 0.639 changed to 0.595
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$294.93changed to$297.18
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 6.38 changed to 6.39
- Practice expense GPCI 1.004 changed to 1.010
- Malpractice GPCI 0.682 changed to 0.639
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$295.28changed to$294.93
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 6.36 changed to 6.38
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$293.81changed to$295.28
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$293.81
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Additional calculation required | Not available in this setting | RVU26D |
| 2026-07-01 | Additional calculation required | Not available in this setting | RVU26C |
| 2026-04-01 | Additional calculation required | Not available in this setting | RVU26B |
| 2026-01-01 | Additional calculation required | Not available in this setting | RVU26A |
| 2025-10-01 | Additional calculation required | Not available in this setting | RVU25D |
| 2025-07-01 | Additional calculation required | Not available in this setting | RVU25C |
| 2025-04-01 | Additional calculation required | Not available in this setting | RVU25B |
| 2025-01-01 | Additional calculation required | Not available in this setting | RVU25A |
| 2024-10-01 | Additional calculation required | Not available in this setting | RVU24D |
| 2024-07-01 | Additional calculation required | Not available in this setting | RVU24C |
| 2024-04-01 | Additional calculation required | Not available in this setting | RVU24B |
| 2024-03-09 | Additional calculation required | Not available in this setting | RVU24AR |
| 2024-01-01 | Additional calculation required | Not available in this setting | RVU24A |
| 2023-10-01 | Additional calculation required | Not available in this setting | RVU23D |
| 2023-07-01 | Additional calculation required | Not available in this setting | RVU23C |
| 2023-04-01 | Additional calculation required | Not available in this setting | RVU23B |
| 2023-01-01 | Additional calculation required | Not available in this setting | RVU23A |
| 2022-10-01 | Additional calculation required | Not available in this setting | RVU22D |
| 2022-07-01 | Additional calculation required | Not available in this setting | RVU22C |
| 2022-04-01 | Additional calculation required | Not available in this setting | RVU22B |
| 2022-01-01 | Additional calculation required | Not available in this setting | RVU22A |
| 2021-10-01 | Additional calculation required | Not available in this setting | RVU21D |
| 2021-07-01 | Additional calculation required | Not available in this setting | RVU21C |
| 2021-04-01 | Additional calculation required | Not available in this setting | RVU21B |
| 2021-01-01 | Additional calculation required | Not available in this setting | RVU21A |
| 2020-10-01 | Additional calculation required | Not available in this setting | RVU20D |
| 2020-07-01 | Additional calculation required | Not available in this setting | RVU20C |
| 2020-04-01 | Additional calculation required | Not available in this setting | RVU20B |
| 2020-01-01 | Additional calculation required | Not available in this setting | RVU20A |
| 2019-10-01 | Additional calculation required | Not available in this setting | RVU19D |
| 2019-07-01 | Additional calculation required | Not available in this setting | RVU19C |
| 2019-04-01 | Additional calculation required | Not available in this setting | RVU19B |
| 2019-01-01 | Additional calculation required | Not available in this setting | RVU19A |
| 2018-10-01 | $299.42 | Not available in this setting | RVU18D |
| 2018-07-01 | $299.42 | Not available in this setting | RVU18C |
| 2018-04-01 | $299.42 | Not available in this setting | RVU18B |
| 2018-01-01 | $299.42 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $297.18 | Not available in this setting | RVU17D |
| 2017-07-01 | $297.18 | Not available in this setting | RVU17C |
| 2017-04-01 | $297.18 | Not available in this setting | RVU17B |
| 2017-01-01 | $297.18 | Not available in this setting | RVU17A |
| 2016-10-01 | $294.93 | Not available in this setting | RVU16D |
| 2016-07-01 | $294.93 | Not available in this setting | RVU16C |
| 2016-04-01 | $294.93 | Not available in this setting | RVU16B |
| 2016-01-01 | $294.93 | Not available in this setting | RVU16A |
| 2015-10-01 | $295.28 | Not available in this setting | RVU15D |
| 2015-07-01 | $295.28 | Not available in this setting | RVU15C |
| 2015-04-01 | $293.81 | Not available in this setting | RVU15B |
| 2015-01-01 | $293.81 | Not available in this setting | RVU15A |
| 2014-10-01 | Additional calculation required | Not available in this setting | RVU14D |
| 2014-07-01 | Additional calculation required | Not available in this setting | RVU14C |
| 2014-04-01 | Additional calculation required | Not available in this setting | RVU14B |
| 2014-01-01 | Additional calculation required | Not available in this setting | RVU14A |
| 2013-10-01 | Additional calculation required | Not available in this setting | RVU13D |
| 2013-07-01 | Additional calculation required | Not available in this setting | RVU13C |
| 2013-04-01 | Additional calculation required | Not available in this setting | RVU13B |
| 2013-01-01 | Additional calculation required | Not available in this setting | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
70498 billing questions
How is 70498 different from a routine CT of the neck?
70498 evaluates neck arteries with CT angiography. A routine neck CT, such as 70491, evaluates soft tissues rather than providing a vascular angiographic study.
When should the head-and-neck CTA code be considered instead?
Use 70471 when the examination covers both intracranial vessels and neck vessels as a combined CTA. 70498 is for the neck-vessel study.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.
Are noncontrast images reported as a separate neck CT?
Noncontrast images, when performed as part of the neck CTA, are included in 70498. They do not by themselves support reporting a separate noncontrast neck CT.
How does the multiple procedure reduction affect this code?
When multiple diagnostic imaging procedures are reported, CMS applies the multiple procedure reduction to both the professional and technical components of 70498.
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
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