CPT code 70545: Head MR angiography, with contrast2026 Medicare rate & RVUs in Virginia
Reports MR angiography of the head using contrast to evaluate intracranial arteries, such as when assessing suspected aneurysm, stenosis, or vascular malformation.
In Virginia, Medicare pays $222.35 for 70545 in the office.
Check a contract rate as a % of Medicare · 70545 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 70545 covers
This service uses magnetic resonance imaging techniques and contrast to visualize arteries within the head. It may be performed to investigate suspected intracranial aneurysm, narrowing, or vascular malformation, or to assess known vascular disease. Imaging is typically performed in a hospital or outpatient imaging center, with a radiologist interpreting the study. It focuses on intracranial vessels rather than brain tissue or the arteries of the neck.
Choose this code when the documented head angiographic study uses contrast; use the corresponding head MRA code for a study without contrast or for imaging performed both without and with contrast. The order, imaging protocol, contrast documentation, and radiologist’s report should support the anatomy and contrast approach. The service has professional and technical components: report modifier 26 for interpretation, TC for equipment and staff, or neither modifier for the global service. When multiple diagnostic imaging procedures are reported, CMS’s multiple procedure reduction applies to both 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 Virginia compares for 70545
Across 109 of 109 payment localities, the office rate for 70545 runs from $198.89 in Arkansas to $310.55 in San Benito County, CA. Virginia pays $222.35. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$222.35
- Los Angeles, CA · California$260.62+$38.27
- Washington, DC area · District of Columbia$261.70+$39.35
- Miami, FL · Florida$239.11+$16.76
- Chicago, IL · Illinois$231.98+$9.63
- Manhattan, NY · New York$260.73+$38.38
- Alaska · Alaska$256.46+$34.11
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $202.00 | — |
| ArkansasArkansas | $198.89 | — |
| ArizonaArizona | $220.27 | — |
| Bakersfield, CACalifornia | $243.56 | — |
| Chico, CACalifornia | $243.24 | — |
| El Centro, CACalifornia | $243.26 | — |
| Fresno, CACalifornia | $243.24 | — |
| Hanford, CACalifornia | $243.24 | — |
| Madera, CACalifornia | $243.24 | — |
| Merced, CACalifornia | $243.24 | — |
| Modesto, CACalifornia | $243.24 | — |
| Napa, CACalifornia | $285.80 | — |
| Oxnard, CACalifornia | $259.79 | — |
| Redding, CACalifornia | $243.24 | — |
| Rest of CaliforniaCalifornia | $243.24 | — |
| Riverside, CACalifornia | $244.34 | — |
| Sacramento, CACalifornia | $256.31 | — |
| Salinas, CACalifornia | $255.38 | — |
| San Diego, CACalifornia | $262.17 | — |
| Marin County, CACalifornia | $303.82 | — |
| San Francisco, CACalifornia | $303.71 | — |
| San Benito County, CACalifornia | $310.55 | — |
| Santa Clara County, CACalifornia | $310.09 | — |
| San Luis Obispo, CACalifornia | $251.15 | — |
| Santa Cruz, CACalifornia | $265.30 | — |
| Santa Maria, CACalifornia | $256.55 | — |
| Santa Rosa, CACalifornia | $268.04 | — |
| Stockton, CACalifornia | $243.24 | — |
| Vallejo, CACalifornia | $285.64 | — |
| Visalia, CACalifornia | $243.24 | — |
| Yuba City, CACalifornia | $243.24 | — |
| ColoradoColorado | $237.97 | — |
| ConnecticutConnecticut | $242.11 | — |
| DelawareDelaware | $224.11 | — |
| Fort Lauderdale, FLFlorida | $231.55 | — |
| Rest of FloridaFlorida | $220.04 | — |
| Atlanta, GAGeorgia | $230.19 | — |
| Rest of GeorgiaGeorgia | $207.22 | — |
| Hawaii, Guam, HIHawaii | $250.27 | — |
| IowaIowa | $208.80 | — |
| IdahoIdaho | $209.97 | — |
| East St. Louis, ILIllinois | $215.12 | — |
| Rest of IllinoisIllinois | $212.33 | — |
| Suburban Chicago, ILIllinois | $234.28 | — |
| IndianaIndiana | $211.31 | — |
| KansasKansas | $207.13 | — |
| KentuckyKentucky | $205.75 | — |
| New Orleans, LALouisiana | $216.05 | — |
| Rest of LouisianaLouisiana | $205.15 | — |
| Metropolitan Boston, MAMassachusetts | $263.40 | — |
| Rest of MassachusettsMassachusetts | $236.16 | — |
| Baltimore area, MDMaryland | $241.31 | — |
| Rest of MarylandMaryland | $228.78 | — |
| Rest of MaineMaine | $210.47 | — |
| Southern Maine, MEMaine | $223.57 | — |
| Detroit, MIMichigan | $222.31 | — |
| Rest of MichiganMichigan | $210.88 | — |
| MinnesotaMinnesota | $229.44 | — |
| Metropolitan Kansas City, MOMissouri | $215.15 | — |
| Metropolitan St. Louis, MOMissouri | $217.63 | — |
| Rest of MissouriMissouri | $200.97 | — |
| MississippiMississippi | $200.00 | — |
| MontanaMontana | $226.45 | — |
| North CarolinaNorth Carolina | $212.92 | — |
| North DakotaNorth Dakota | $224.47 | — |
| NebraskaNebraska | $210.21 | — |
| New HampshireNew Hampshire | $233.59 | — |
| Northern New JerseyNew Jersey | $258.59 | — |
| Rest of New JerseyNew Jersey | $245.28 | — |
| New MexicoNew Mexico | $211.85 | — |
| NevadaNevada | $226.08 | — |
| NYC suburbs and Long Island, NYNew York | $266.60 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $246.40 | — |
| Queens, NYNew York | $263.93 | — |
| Rest of New YorkNew York | $216.26 | — |
| OhioOhio | $210.47 | — |
| OklahomaOklahoma | $206.02 | — |
| Portland, OROregon | $246.66 | — |
| Rest of OregonOregon | $224.73 | — |
| Metropolitan Philadelphia, PAPennsylvania | $235.35 | — |
| Rest of PennsylvaniaPennsylvania | $211.18 | — |
| Puerto RicoPuerto Rico | $228.43 | — |
| Rhode IslandRhode Island | $232.91 | — |
| South CarolinaSouth Carolina | $211.97 | — |
| South DakotaSouth Dakota | $224.24 | — |
| TennesseeTennessee | $208.16 | — |
| Austin, TXTexas | $236.83 | — |
| Beaumont, TXTexas | $209.66 | — |
| Brazoria, TXTexas | $224.38 | — |
| Dallas, TXTexas | $225.60 | — |
| Fort Worth, TXTexas | $223.80 | — |
| Galveston, TXTexas | $224.91 | — |
| Houston, TXTexas | $226.74 | — |
| Rest of TexasTexas | $216.75 | — |
| UtahUtah | $215.08 | — |
| Virgin Islands, VIUnited States Virgin Islands | $228.43 | — |
| VermontVermont | $222.97 | — |
| Rest of WashingtonWashington | $235.92 | — |
| King County, WAWashington | $269.58 | — |
| WisconsinWisconsin | $216.42 | — |
| West VirginiaWest Virginia | $203.79 | — |
| WyomingWyoming | $225.59 | — |
70545 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.
$198.89
$276.90
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 | $256.46 | 1 |
| AL | $202.00 | 1 |
| AR | $198.89 | 1 |
| AZ | $220.27 | 1 |
| CA | $243.24–$310.55 | 29 |
| CO | $237.97 | 1 |
| CT | $242.11 | 1 |
| DC | $261.70 | 1 |
| DE | $224.11 | 1 |
| FL | $220.04–$239.11 | 3 |
| GA | $207.22–$230.19 | 2 |
| GU | $250.27 | 1 |
| HI | $250.27 | 1 |
| IA | $208.80 | 1 |
| ID | $209.97 | 1 |
| IL | $212.33–$234.28 | 4 |
| IN | $211.31 | 1 |
| KS | $207.13 | 1 |
| KY | $205.75 | 1 |
| LA | $205.15–$216.05 | 2 |
| MA | $236.16–$263.40 | 2 |
| MD | $228.78–$261.70 | 3 |
| ME | $210.47–$223.57 | 2 |
| MI | $210.88–$222.31 | 2 |
| MN | $229.44 | 1 |
| MO | $200.97–$217.63 | 3 |
| MS | $200.00 | 1 |
| MT | $226.45 | 1 |
| NC | $212.92 | 1 |
| ND | $224.47 | 1 |
| NE | $210.21 | 1 |
| NH | $233.59 | 1 |
| NJ | $245.28–$258.59 | 2 |
| NM | $211.85 | 1 |
| NV | $226.08 | 1 |
| NY | $216.26–$266.60 | 5 |
| OH | $210.47 | 1 |
| OK | $206.02 | 1 |
| OR | $224.73–$246.66 | 2 |
| PA | $211.18–$235.35 | 2 |
| PR | $228.43 | 1 |
| RI | $232.91 | 1 |
| SC | $211.97 | 1 |
| SD | $224.24 | 1 |
| TN | $208.16 | 1 |
| TX | $209.66–$236.83 | 8 |
| UT | $215.08 | 1 |
| VA | $222.35–$261.70 | 2 |
| VI | $228.43 | 1 |
| VT | $222.97 | 1 |
| WA | $235.92–$269.58 | 2 |
| WI | $216.42 | 1 |
| WV | $203.79 | 1 |
| WY | $225.59 | 1 |
How the 70545 rate is calculated
Each of 70545’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 · 70545
RVUs × geographic indexes × conversion factor
Work1.17
1.17 RVUs× 1.000 GPCI
Practice expense5.51
5.51 RVUs× 1.000 GPCI
Malpractice0.10
0.10 RVUs× 1.000 GPCI
Adjusted RVUs
6.7800
Conversion factor
$33.4009
Medicare rate
$226.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,841
- Code
- 70545
- Physician work
- 1.17
- Practice expense
- 5.51
- Malpractice
- 0.10
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.17 | × 1.000 | 1.1700 |
| Practice expense | 5.51 | × 0.983 | 5.4163 |
| Malpractice | 0.10 | × 0.706 | 0.0706 |
| Total RVUs | 6.6569 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$222.35
Office: (1.17 × 1 + 5.51 × 0.983 + 0.1 × 0.706) × $33.4009 = $222.35
Payment rules and modifiers for 70545
The CMS indicators that decide how 70545 is paid alongside other services.
CMS payment indicators · 70545
Head MR angiography, with 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
70545 without 26 · national office
$226.46
Head MR angiography, with contrast
70545-26 · Professional component
$55.11
Pays only the interpretation and report.
How 70545 has changed in Virginia
70545 · Office / nonfacility
$222.35
Effective 2026-10-01
The base rate is $1.67 higher than on 2025-10-01, moving from $220.68 to $222.35 (0.8%).
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
$220.68changed to$222.35
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.20 changed to 1.17
- Practice expense RVU 5.65 changed to 5.51
- Malpractice RVU 0.08 changed to 0.10
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$229.64changed to$220.68
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.72 changed to 5.65
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$225.90changed to$229.64
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$238.04changed to$225.90
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.80 changed to 5.72
- Malpractice RVU 0.10 changed to 0.09
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$245.07changed to$238.04
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.83 changed to 5.80
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$255.15changed to$245.07
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.08 changed to 5.83
- Malpractice RVU 0.07 changed to 0.09
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$258.00changed to$255.15
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.93 changed to 6.08
- Malpractice RVU 0.08 changed to 0.07
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$276.81changed to$258.00
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 6.49 changed to 5.93
- Malpractice RVU 0.09 changed to 0.08
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$276.81
Held through RVU19B, RVU19C, RVU19D.
January 1, 2017
RVU17A
$383.15changed toNo rate
Held through RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
January 1, 2016
RVU16A
$382.52changed to$383.15
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 9.55 changed to 9.59
- Malpractice RVU 0.07 changed to 0.09
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$380.62changed to$382.52
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$395.58changed to$380.62
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 9.98 changed to 9.55
- Malpractice RVU 0.08 changed to 0.07
- Practice expense GPCI 0.980 changed to 0.983
- Malpractice GPCI 0.778 changed to 0.824
Held through RVU15B.
January 1, 2014
RVU14A
$448.68changed to$395.58
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 12.21 changed to 9.98
- Practice expense GPCI 0.977 changed to 0.980
- Malpractice GPCI 0.731 changed to 0.778
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $448.68
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $222.35 | Not available in this setting | RVU26D |
| 2026-07-01 | $222.35 | Not available in this setting | RVU26C |
| 2026-04-01 | $222.35 | Not available in this setting | RVU26B |
| 2026-01-01 | $222.35 | Not available in this setting | RVU26A |
| 2025-10-01 | $220.68 | Not available in this setting | RVU25D |
| 2025-07-01 | $220.68 | Not available in this setting | RVU25C |
| 2025-04-01 | $220.68 | Not available in this setting | RVU25B |
| 2025-01-01 | $220.68 | Not available in this setting | RVU25A |
| 2024-10-01 | $229.64 | Not available in this setting | RVU24D |
| 2024-07-01 | $229.64 | Not available in this setting | RVU24C |
| 2024-04-01 | $229.64 | Not available in this setting | RVU24B |
| 2024-03-09 | $229.64 | Not available in this setting | RVU24AR |
| 2024-01-01 | $225.90 | Not available in this setting | RVU24A |
| 2023-10-01 | $238.04 | Not available in this setting | RVU23D |
| 2023-07-01 | $238.04 | Not available in this setting | RVU23C |
| 2023-04-01 | $238.04 | Not available in this setting | RVU23B |
| 2023-01-01 | $238.04 | Not available in this setting | RVU23A |
| 2022-10-01 | $245.07 | Not available in this setting | RVU22D |
| 2022-07-01 | $245.07 | Not available in this setting | RVU22C |
| 2022-04-01 | $245.07 | Not available in this setting | RVU22B |
| 2022-01-01 | $245.07 | Not available in this setting | RVU22A |
| 2021-10-01 | $255.15 | Not available in this setting | RVU21D |
| 2021-07-01 | $255.15 | Not available in this setting | RVU21C |
| 2021-04-01 | $255.15 | Not available in this setting | RVU21B |
| 2021-01-01 | $255.15 | Not available in this setting | RVU21A |
| 2020-10-01 | $258.00 | Not available in this setting | RVU20D |
| 2020-07-01 | $258.00 | Not available in this setting | RVU20C |
| 2020-04-01 | $258.00 | Not available in this setting | RVU20B |
| 2020-01-01 | $258.00 | Not available in this setting | RVU20A |
| 2019-10-01 | $276.81 | Not available in this setting | RVU19D |
| 2019-07-01 | $276.81 | Not available in this setting | RVU19C |
| 2019-04-01 | $276.81 | Not available in this setting | RVU19B |
| 2019-01-01 | $276.81 | Not available in this setting | RVU19A |
| 2018-10-01 | Additional calculation required | Not available in this setting | RVU18D |
| 2018-07-01 | Additional calculation required | Not available in this setting | RVU18C |
| 2018-04-01 | Additional calculation required | Not available in this setting | RVU18B |
| 2018-01-01 | Additional calculation required | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Additional calculation required | Not available in this setting | RVU17D |
| 2017-07-01 | Additional calculation required | Not available in this setting | RVU17C |
| 2017-04-01 | Additional calculation required | Not available in this setting | RVU17B |
| 2017-01-01 | Additional calculation required | Not available in this setting | RVU17A |
| 2016-10-01 | $383.15 | Not available in this setting | RVU16D |
| 2016-07-01 | $383.15 | Not available in this setting | RVU16C |
| 2016-04-01 | $383.15 | Not available in this setting | RVU16B |
| 2016-01-01 | $383.15 | Not available in this setting | RVU16A |
| 2015-10-01 | $382.52 | Not available in this setting | RVU15D |
| 2015-07-01 | $382.52 | Not available in this setting | RVU15C |
| 2015-04-01 | $380.62 | Not available in this setting | RVU15B |
| 2015-01-01 | $380.62 | Not available in this setting | RVU15A |
| 2014-10-01 | $395.58 | Not available in this setting | RVU14D |
| 2014-07-01 | $395.58 | Not available in this setting | RVU14C |
| 2014-04-01 | $395.58 | Not available in this setting | RVU14B |
| 2014-01-01 | $395.58 | Not available in this setting | RVU14A |
| 2013-10-01 | $448.68 | Not available in this setting | RVU13D |
| 2013-07-01 | $448.68 | Not available in this setting | RVU13C |
| 2013-04-01 | $448.68 | Not available in this setting | RVU13B |
| 2013-01-01 | $448.68 | Not available in this setting | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
70545 billing questions
How does this differ from 70544?
70545 is for head MR angiography performed with contrast. 70544 is the head angiography option without contrast.
When is 70546 used instead?
Use 70546 when the head MRA includes image acquisition both without and with contrast. Use 70545 when the documented study is performed with contrast.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the interpretation, and TC identifies the equipment and staff. Without either modifier, the claim represents the global service.
Does a multiple-imaging reduction affect only the technical service?
No. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components.
Can this be reported with a brain MRI?
A separately performed brain MRI may be reported when it evaluates brain tissue and the MRA evaluates intracranial vessels. The documentation should support both distinct studies.
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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