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CPT code 70543: Regional MRI, without and with contrast2026 Medicare rate & RVUs in Wisconsin

MRI of the orbits, face, or neck with imaging before and after contrast, reported when the examination covers these structures and includes both phases.

CMS RVU26DEffective Oct 1, 2026One payment locality77.6K Medicare services in 2024

In Wisconsin, Medicare pays $322.55 for 70543 in the office.

$322.55Office (non-facility)
Not available in this settingHospital or facility
−4.3%vs the national office rate ($337.02)

Check a contract rate as a % of Medicare · 70543 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 70543 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wisconsin
  2. What 70543 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 70543 covers

This examination images the orbits, facial structures, or neck using MRI sequences obtained before and after contrast administration. Radiologists interpret these studies for questions such as an orbital or facial mass, suspected inflammation, or a neck soft-tissue abnormality. The imaging may be performed in a hospital or outpatient imaging center, or in an office with MRI equipment.

Report 70543 when the documented examination includes the relevant orbit, face, or neck anatomy and both pre-contrast and post-contrast imaging. The report should support the body region examined, use of contrast, and the interpreting findings. Billing without a component modifier represents the global service; modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. CMS multiple-procedure reduction applies to both the technical and professional components when multiple diagnostic imaging procedures are reported.

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 Wisconsin compares for 70543

Across 109 of 109 payment localities, the office rate for 70543 runs from $297.66 in Arkansas to $458.15 in San Benito County, CA. Wisconsin pays $322.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

70543 in Wisconsin vs other payment areas
  1. Wisconsin · this page$322.55
  2. Los Angeles, CA · California$386.13+$63.58
  3. Washington, DC area · District of Columbia$387.98+$65.43
  4. Miami, FL · Florida$355.41+$32.86
  5. Chicago, IL · Illinois$345.30+$22.75
  6. Manhattan, NY · New York$386.86+$64.31
  7. Alaska · Alaska$386.86+$64.31

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

Every other payment area

70543 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$302.11—
ArkansasArkansas$297.66—
ArizonaArizona$328.18—
Bakersfield, CACalifornia$361.53—
Chico, CACalifornia$361.02—
El Centro, CACalifornia$361.05—
Fresno, CACalifornia$361.02—
Hanford, CACalifornia$361.02—

70543 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$297.66

$409.59

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

View every state and territory as a table
70543 office rate range by state
State / territoryOffice rate rangeLocalities
AK$386.861
AL$302.111
AR$297.661
AZ$328.181
CA$361.02–$458.1529
CO$353.521
CT$359.631
DC$387.981
DE$333.721
FL$328.01–$355.413
GA$309.70–$342.422
GU$370.781
HI$370.781
IA$311.741
ID$313.431
IL$317.05–$348.444
IN$315.321
KS$309.391
KY$307.521
LA$306.69–$322.252
MA$351.00–$390.142
MD$340.45–$387.983
ME$314.17–$332.812
MI$314.88–$331.292
MN$341.081
MO$300.75–$324.463
MS$299.311
MT$337.011
NC$317.661
ND$334.041
NE$313.741
NH$347.131
NJ$364.40–$383.672
NM$316.291
NV$336.441
NY$322.43–$395.295
OH$314.271
OK$307.881
OR$334.48–$365.922
PA$315.27–$349.982
PR$339.821
RI$346.451
SC$316.361
SD$333.691
TN$310.871
TX$313.09–$351.778
UT$320.791
VA$331.09–$387.982
VI$339.821
VT$331.921
WA$350.61–$399.052
WI$322.551
WV$304.871
WY$335.711

See 70543 in every payment locality

How the 70543 rate is calculated

Each of 70543’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 · 70543

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.10

2.10 RVUs× 1.000 GPCI

Practice expense7.84

7.84 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

10.0900

Conversion factor

$33.4009

Medicare rate

$337.02

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

The exact Wisconsin inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,835

Code
70543
Physician work
2.10
Practice expense
7.84
Malpractice
0.15

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office calculation for 70543 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work2.10× 1.0002.1000
Practice expense7.84× 0.9587.5107
Malpractice0.15× 0.3080.0462
Total RVUs9.6569
Conversion factor× 33.4009

Office rate, Wisconsin$322.55

Office: (2.1 × 1 + 7.84 × 0.958 + 0.15 × 0.308) × $33.4009 = $322.55

Open 70543 in the RVU calculator

Payment rules and modifiers for 70543

The CMS indicators that decide how 70543 is paid alongside other services.

CMS payment indicators · 70543

Regional MRI, without and with 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

70543 without 26 · national office

$337.02

Regional MRI, without and with contrast

70543-26 · Professional component

$98.87

Pays only the interpretation and report.

When to use modifier 26

Codes related to 70543

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

Codes related to 70543
CodeHow it relatesOffice range, Wisconsin
Same family
70540MRI, orbit, face, or neck without contrastSame regional MRI family; reports imaging without contrast.$214.92
70542MRI with contrast, orbit, face, or neckSame regional MRI family; reports imaging with contrast only.$255.17
Often billed with
70553Brain MRI, without and with contrastMay be reported with this study when a workup includes both brain and orbit, face, or neck imaging.$303.32

How 70543 has changed in Wisconsin

70543 · Office / nonfacility

$322.55

Effective 2026-10-01

The base rate is $3.44 higher than on 2025-10-01, moving from $319.11 to $322.55 (1.1%).

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

    $319.11changed to$322.55

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.15 changed to 2.10
    • Practice expense RVU 8.01 changed to 7.84
    • Practice expense GPCI 0.957 changed to 0.958
    • Malpractice GPCI 0.331 changed to 0.308

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $333.06changed to$319.11

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.16 changed to 8.01
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $327.62changed to$333.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $342.30changed to$327.62

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.32 changed to 8.16
    • Malpractice RVU 0.15 changed to 0.14
    • Practice expense GPCI 0.950 changed to 0.957
    • Malpractice GPCI 0.314 changed to 0.331

  5. January 1, 2023

    RVU23A

    $350.00changed to$342.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.41 changed to 8.32
    • Malpractice RVU 0.14 changed to 0.15
    • Practice expense GPCI 0.942 changed to 0.950
    • Malpractice GPCI 0.296 changed to 0.314

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $368.14changed to$350.00

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.88 changed to 8.41
    • Malpractice RVU 0.12 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $376.84changed to$368.14

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.70 changed to 8.88
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 0.949 changed to 0.942
    • Malpractice GPCI 0.322 changed to 0.296

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $385.50changed to$376.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.88 changed to 8.70
    • Malpractice RVU 0.14 changed to 0.11
    • Practice expense GPCI 0.957 changed to 0.949
    • Malpractice GPCI 0.347 changed to 0.322

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $394.38changed to$385.50

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.15 changed to 8.88

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $404.37changed to$394.38

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.47 changed to 9.15
    • Practice expense GPCI 0.956 changed to 0.957
    • Malpractice GPCI 0.457 changed to 0.347

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $474.40changed to$404.37

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 11.54 changed to 9.47
    • Practice expense GPCI 0.955 changed to 0.956
    • Malpractice GPCI 0.566 changed to 0.457

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $474.88changed to$474.40

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.51 changed to 11.54
    • Malpractice RVU 0.13 changed to 0.14

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $472.52changed to$474.88

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $490.55changed to$472.52

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.98 changed to 11.51
    • Malpractice RVU 0.12 changed to 0.13
    • Practice expense GPCI 0.958 changed to 0.955
    • Malpractice GPCI 0.557 changed to 0.566

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $550.80changed to$490.55

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.55 changed to 11.98
    • Malpractice RVU 0.13 changed to 0.12
    • Practice expense GPCI 0.960 changed to 0.958
    • Malpractice GPCI 0.547 changed to 0.557

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$550.80

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$322.55Not available in this settingRVU26D
2026-07-01$322.55Not available in this settingRVU26C
2026-04-01$322.55Not available in this settingRVU26B
2026-01-01$322.55Not available in this settingRVU26A
2025-10-01$319.11Not available in this settingRVU25D
2025-07-01$319.11Not available in this settingRVU25C
2025-04-01$319.11Not available in this settingRVU25B
2025-01-01$319.11Not available in this settingRVU25A
2024-10-01$333.06Not available in this settingRVU24D
2024-07-01$333.06Not available in this settingRVU24C
2024-04-01$333.06Not available in this settingRVU24B
2024-03-09$333.06Not available in this settingRVU24AR
2024-01-01$327.62Not available in this settingRVU24A
2023-10-01$342.30Not available in this settingRVU23D
2023-07-01$342.30Not available in this settingRVU23C
2023-04-01$342.30Not available in this settingRVU23B
2023-01-01$342.30Not available in this settingRVU23A
2022-10-01$350.00Not available in this settingRVU22D
2022-07-01$350.00Not available in this settingRVU22C
2022-04-01$350.00Not available in this settingRVU22B
2022-01-01$350.00Not available in this settingRVU22A
2021-10-01$368.14Not available in this settingRVU21D
2021-07-01$368.14Not available in this settingRVU21C
2021-04-01$368.14Not available in this settingRVU21B
2021-01-01$368.14Not available in this settingRVU21A
2020-10-01$376.84Not available in this settingRVU20D
2020-07-01$376.84Not available in this settingRVU20C
2020-04-01$376.84Not available in this settingRVU20B
2020-01-01$376.84Not available in this settingRVU20A
2019-10-01$385.50Not available in this settingRVU19D
2019-07-01$385.50Not available in this settingRVU19C
2019-04-01$385.50Not available in this settingRVU19B
2019-01-01$385.50Not available in this settingRVU19A
2018-10-01$394.38Not available in this settingRVU18D
2018-07-01$394.38Not available in this settingRVU18C
2018-04-01$394.38Not available in this settingRVU18B
2018-01-01$394.38Not available in this settingRVU18AR1
2017-10-01$404.37Not available in this settingRVU17D
2017-07-01$404.37Not available in this settingRVU17C
2017-04-01$404.37Not available in this settingRVU17B
2017-01-01$404.37Not available in this settingRVU17A
2016-10-01$474.40Not available in this settingRVU16D
2016-07-01$474.40Not available in this settingRVU16C
2016-04-01$474.40Not available in this settingRVU16B
2016-01-01$474.40Not available in this settingRVU16A
2015-10-01$474.88Not available in this settingRVU15D
2015-07-01$474.88Not available in this settingRVU15C
2015-04-01$472.52Not available in this settingRVU15B
2015-01-01$472.52Not available in this settingRVU15A
2014-10-01$490.55Not available in this settingRVU14D
2014-07-01$490.55Not available in this settingRVU14C
2014-04-01$490.55Not available in this settingRVU14B
2014-01-01$490.55Not available in this settingRVU14A
2013-10-01$550.80Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 70543 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

70543 billing questions

When should 70543 be chosen instead of 70540 or 70542?

Use 70543 when the examination includes imaging both before and after contrast. Use 70540 for imaging without contrast and 70542 for imaging with contrast only.

Can the professional interpretation and technical service 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.

Does the multiple-procedure reduction affect this MRI?

CMS applies diagnostic imaging multiple-procedure reduction to both the technical and professional components when multiple diagnostic imaging procedures are reported.

What documentation supports reporting 70543?

Document the orbit, face, or neck anatomy examined, that imaging was performed before and after contrast, and the interpretation findings.

Is 70543 the same as an MRA of the neck?

No. 70543 is an MRI examination of orbit, face, or neck structures; an MRA of the neck evaluates blood vessels.

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 70543PPRRVU2026_Oct_nonQPP.csv, line 7,835 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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