CPT code 70548: Neck MRA, with contrast2026 Medicare rate & RVUs in Virginia

Reports contrast-enhanced MR angiography of the neck arteries, commonly used to assess suspected carotid or vertebral artery narrowing, dissection, or aneurysm.

CMS RVU26DEffective Oct 1, 2026One payment locality10.1K Medicare services in 2024

In Virginia, Medicare pays $241.13 for 70548 in the office.

$241.13Office (non-facility)
Not available in this settingHospital or facility
−1.8%vs the national office rate ($245.50)

Check a contract rate as a % of Medicare · 70548 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 70548 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 70548 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 70548 covers

This service is an MRI-based angiographic study of the arteries in the neck performed after contrast administration. It is commonly used to evaluate carotid and vertebral artery disease, including suspected stenosis, dissection, or aneurysm. A radiology technologist performs the acquisition, and a radiologist interprets the images and prepares the report. It may be performed in a hospital imaging department or an outpatient imaging center.

Choose this code when the documented study is MR angiography of the neck performed with contrast, rather than a soft-tissue neck MRI or a neck MRA performed without contrast. The order, imaging record, and interpretation should support the neck arterial anatomy examined and contrast use. Medicare recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and no component modifier represents the global service. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components when applicable.

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 70548

Across 109 of 109 payment localities, the office rate for 70548 runs from $216.49 in Arkansas to $334.49 in San Benito County, CA. Virginia pays $241.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

70548 in Virginia vs other payment areas
  1. Virginia · this page$241.13
  2. Los Angeles, CA · California$281.59+$40.46
  3. Washington, DC area · District of Columbia$282.91+$41.78
  4. Miami, FL · Florida$259.03+$17.90
  5. Chicago, IL · Illinois$251.56+$10.43
  6. Manhattan, NY · New York$282.05+$40.92
  7. Alaska · Alaska$280.78+$39.65

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

Every other payment area

70548 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$219.77—
ArkansasArkansas$216.49—
ArizonaArizona$238.98—
Bakersfield, CACalifornia$263.52—
Chico, CACalifornia$263.15—
El Centro, CACalifornia$263.17—
Fresno, CACalifornia$263.15—
Hanford, CACalifornia$263.15—

70548 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.

$216.49

$298.82

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

View every state and territory as a table
70548 office rate range by state
State / territoryOffice rate rangeLocalities
AK$280.781
AL$219.771
AR$216.491
AZ$238.981
CA$263.15–$334.4929
CO$257.631
CT$262.111
DC$282.911
DE$243.051
FL$238.85–$259.033
GA$225.35–$249.472
GU$270.401
HI$270.401
IA$226.871
ID$228.121
IL$230.77–$253.894
IN$229.511
KS$225.141
KY$223.751
LA$223.14–$234.612
MA$255.76–$284.542
MD$248.00–$282.913
ME$228.66–$242.402
MI$229.17–$241.262
MN$248.511
MO$218.76–$236.243
MS$217.701
MT$245.491
NC$231.241
ND$243.311
NE$228.351
NH$252.951
NJ$265.56–$279.712
NM$230.211
NV$245.081
NY$234.75–$288.255
OH$228.731
OK$224.021
OR$243.63–$266.772
PA$229.46–$255.002
PR$247.571
RI$252.401
SC$230.271
SD$243.061
TN$226.231
TX$227.86–$256.378
UT$233.541
VA$241.13–$282.912
VI$247.571
VT$241.751
WA$255.48–$291.092
WI$234.851
WV$221.791
WY$244.541

See 70548 in every payment locality

How the 70548 rate is calculated

Each of 70548’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 · 70548

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.46

1.46 RVUs× 1.000 GPCI

Practice expense5.78

5.78 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

7.3500

Conversion factor

$33.4009

Medicare rate

$245.50

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

7,850

Code
70548
Physician work
1.46
Practice expense
5.78
Malpractice
0.11

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 70548 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0001.4600
Practice expense5.78× 0.9835.6817
Malpractice0.11× 0.7060.0777
Total RVUs7.2194
Conversion factor× 33.4009

Office rate, Virginia$241.13

Office: (1.46 × 1 + 5.78 × 0.983 + 0.11 × 0.706) × $33.4009 = $241.13

Open 70548 in the RVU calculator

Payment rules and modifiers for 70548

The CMS indicators that decide how 70548 is paid alongside other services.

CMS payment indicators · 70548

Neck MRA, 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

70548 without 26 · national office

$245.50

Neck MRA, with contrast

70548-26 · Professional component

$68.81

Pays only the interpretation and report.

When to use modifier 26

How 70548 has changed in Virginia

70548 · Office / nonfacility

$241.13

Effective 2026-10-01

The base rate is $2.28 higher than on 2025-10-01, moving from $238.85 to $241.13 (1.0%).

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

    $238.85changed to$241.13

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.50 changed to 1.46
    • Practice expense RVU 5.90 changed to 5.78
    • Malpractice RVU 0.10 changed to 0.11
    • 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.

  2. January 1, 2025

    RVU25A

    $248.67changed to$238.85

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.98 changed to 5.90
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $244.61changed to$248.67

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $257.49changed to$244.61

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.06 changed to 5.98
    • Malpractice RVU 0.12 changed to 0.11
    • 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
  5. January 1, 2023

    RVU23A

    $265.40changed to$257.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.11 changed to 6.06
    • Malpractice RVU 0.10 changed to 0.12
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $274.27changed to$265.40

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.32 changed to 6.11
    • Malpractice RVU 0.08 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $276.99changed to$274.27

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.14 changed to 6.32
    • Malpractice RVU 0.10 changed to 0.08
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $308.18changed to$276.99

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.05 changed to 6.14
    • Malpractice RVU 0.11 changed to 0.10
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$308.18

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2017

    RVU17A

    $408.84changed toNo rate

    Held through RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.

  11. January 1, 2016

    RVU16A

    $409.67changed to$408.84

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.31 changed to 10.32
    • Malpractice RVU 0.08 changed to 0.09

    Held through RVU16B, RVU16C, RVU16D.

  12. July 1, 2015

    RVU15C

    $407.63changed to$409.67

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  13. January 1, 2015

    RVU15A

    $422.26changed to$407.63

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.74 changed to 10.31
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  14. January 1, 2014

    RVU14A

    $482.92changed to$422.26

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.24 changed to 10.74
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  15. January 1, 2013

    RVU13AR

    Earliest loaded release: $482.92

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$241.13Not available in this settingRVU26D
2026-07-01$241.13Not available in this settingRVU26C
2026-04-01$241.13Not available in this settingRVU26B
2026-01-01$241.13Not available in this settingRVU26A
2025-10-01$238.85Not available in this settingRVU25D
2025-07-01$238.85Not available in this settingRVU25C
2025-04-01$238.85Not available in this settingRVU25B
2025-01-01$238.85Not available in this settingRVU25A
2024-10-01$248.67Not available in this settingRVU24D
2024-07-01$248.67Not available in this settingRVU24C
2024-04-01$248.67Not available in this settingRVU24B
2024-03-09$248.67Not available in this settingRVU24AR
2024-01-01$244.61Not available in this settingRVU24A
2023-10-01$257.49Not available in this settingRVU23D
2023-07-01$257.49Not available in this settingRVU23C
2023-04-01$257.49Not available in this settingRVU23B
2023-01-01$257.49Not available in this settingRVU23A
2022-10-01$265.40Not available in this settingRVU22D
2022-07-01$265.40Not available in this settingRVU22C
2022-04-01$265.40Not available in this settingRVU22B
2022-01-01$265.40Not available in this settingRVU22A
2021-10-01$274.27Not available in this settingRVU21D
2021-07-01$274.27Not available in this settingRVU21C
2021-04-01$274.27Not available in this settingRVU21B
2021-01-01$274.27Not available in this settingRVU21A
2020-10-01$276.99Not available in this settingRVU20D
2020-07-01$276.99Not available in this settingRVU20C
2020-04-01$276.99Not available in this settingRVU20B
2020-01-01$276.99Not available in this settingRVU20A
2019-10-01$308.18Not available in this settingRVU19D
2019-07-01$308.18Not available in this settingRVU19C
2019-04-01$308.18Not available in this settingRVU19B
2019-01-01$308.18Not available in this settingRVU19A
2018-10-01Additional calculation requiredNot available in this settingRVU18D
2018-07-01Additional calculation requiredNot available in this settingRVU18C
2018-04-01Additional calculation requiredNot available in this settingRVU18B
2018-01-01Additional calculation requiredNot available in this settingRVU18AR1
2017-10-01Additional calculation requiredNot available in this settingRVU17D
2017-07-01Additional calculation requiredNot available in this settingRVU17C
2017-04-01Additional calculation requiredNot available in this settingRVU17B
2017-01-01Additional calculation requiredNot available in this settingRVU17A
2016-10-01$408.84Not available in this settingRVU16D
2016-07-01$408.84Not available in this settingRVU16C
2016-04-01$408.84Not available in this settingRVU16B
2016-01-01$408.84Not available in this settingRVU16A
2015-10-01$409.67Not available in this settingRVU15D
2015-07-01$409.67Not available in this settingRVU15C
2015-04-01$407.63Not available in this settingRVU15B
2015-01-01$407.63Not available in this settingRVU15A
2014-10-01$422.26Not available in this settingRVU14D
2014-07-01$422.26Not available in this settingRVU14C
2014-04-01$422.26Not available in this settingRVU14B
2014-01-01$422.26Not available in this settingRVU14A
2013-10-01$482.92Not available in this settingRVU13D
2013-07-01$482.92Not available in this settingRVU13C
2013-04-01$482.92Not available in this settingRVU13B
2013-01-01$482.92Not available in this settingRVU13AR

Price 70548 for an earlier date of service

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

Browse all communities in Virginia

70548 billing questions

How does 70548 differ from 70547?

70548 is for neck MR angiography performed with contrast. Use 70547 when the neck MRA is performed without contrast.

When is 70549 more appropriate?

70549 describes neck MR angiography performed both without and with contrast. Use 70548 when the study is performed with contrast, not with both phases.

Can the professional and technical services 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 imaging reduction affect both components?

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

Is this the correct code for a contrast-enhanced MRI of neck soft tissues?

No. This code is for MR angiography of the neck arteries. A neck soft-tissue MRI is a different study, even if it uses contrast.

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 70548PPRRVU2026_Oct_nonQPP.csv, line 7,850 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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