CPT code 70540: MRI, orbit, face, or neck without contrast2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $258.74 for 70540 in the office.

Check a contract rate as a % of Medicare · 70540 nationwide

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

What 70540 covers

This service is an MRI examination focused on the orbit, face, or neck, performed without contrast material. It may be ordered to evaluate soft-tissue concerns such as an orbital abnormality or a mass in the face or neck. A radiologic technologist performs the scan, and a physician, typically a radiologist, interprets the images. The exam may take place in a hospital, imaging center, or other setting with MRI equipment.

Report 70540 when the documented study covers the orbit, face, or neck and is performed without contrast. The order and imaging report should support the body region examined and the contrast protocol. The code represents the global service when billed without a component modifier; modifier 26 identifies the physician interpretation, while modifier TC identifies the technical service, including equipment and staff. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components when the rule is triggered.

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 Washington, DC area compares for 70540

Across 109 of 109 payment localities, the office rate for 70540 runs from $197.99 in Arkansas to $306.30 in San Benito County, CA. Washington, DC area pays $258.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

70540 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 70540 in every payment locality

How the 70540 rate is calculated

Each of 70540’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.

Payment rules and modifiers for 70540

The CMS indicators that decide how 70540 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 70540

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 70540 has changed in Washington, DC area

Price 70540 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates