CPT code 70549: Neck MRA, without and with contrast2026 Medicare rate & RVUs in Nevada

MR angiography of the neck performed both without and with contrast to assess cervical arteries, including carotid and vertebral vessels.

CMS RVU26DEffective Oct 1, 2026One payment locality39.7K Medicare services in 2024

In Nevada, Medicare pays $342.92 for 70549 in the office.

$342.92Office (non-facility)
Not available in this settingHospital or facility
−0.1%vs the national office rate ($343.36)

Check a contract rate as a % of Medicare · 70549 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 70549 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 70549 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 70549 covers

This examination uses magnetic resonance angiography to depict arteries in the neck, including carotid and vertebral vessels, with image sets acquired before and after contrast. It is used to assess suspected narrowing, blockage, aneurysmal change, or dissection and to map cervical arterial anatomy. MRI technologists perform the acquisition in hospital imaging departments or freestanding centers; a radiologist interprets the vascular images.

Report 70549 when the documented study includes both noncontrast and contrast-enhanced neck angiographic imaging; use 70547 for neck MRA without contrast and 70548 for neck MRA with contrast alone. The record should identify the neck vessels examined, the imaging performed with and without contrast, and the interpreting report. The service may be billed globally, or the interpretation and technical work may be split with modifier 26 and TC, respectively. When multiple diagnostic imaging procedures are reported, CMS applies the multiple-procedure reduction to both the 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 Nevada compares for 70549

Across 109 of 109 payment localities, the office rate for 70549 runs from $301.74 in Arkansas to $471.68 in San Benito County, CA. Nevada pays $342.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

70549 in Nevada vs other payment areas
  1. Nevada · this page$342.92
  2. Los Angeles, CA · California$395.60+$52.68
  3. Washington, DC area · District of Columbia$396.91+$53.99
  4. Miami, FL · Florida$361.49+$18.57
  5. Chicago, IL · Illinois$350.80+$7.88
  6. Manhattan, NY · New York$395.07+$52.15
  7. Alaska · Alaska$389.02+$46.10

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

Every other payment area

70549 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$306.45—
ArkansasArkansas$301.74—
ArizonaArizona$334.05—
Bakersfield, CACalifornia$369.68—
Chico, CACalifornia$369.25—
El Centro, CACalifornia$369.27—
Fresno, CACalifornia$369.25—
Hanford, CACalifornia$369.25—

70549 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.

$301.74

$420.47

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

View every state and territory as a table
70549 office rate range by state
State / territoryOffice rate rangeLocalities
AK$389.021
AL$306.451
AR$301.741
AZ$334.051
CA$369.25–$471.6829
CO$361.051
CT$367.031
DC$396.911
DE$339.851
FL$333.22–$361.493
GA$313.93–$348.892
GU$379.931
HI$379.931
IA$316.921
ID$318.651
IL$321.43–$354.694
IN$320.671
KS$314.311
KY$311.891
LA$310.95–$327.422
MA$358.27–$399.662
MD$346.96–$396.913
ME$319.30–$339.242
MI$319.54–$336.532
MN$348.431
MO$304.58–$329.923
MS$303.281
MT$343.351
NC$323.021
ND$340.781
NE$319.081
NH$354.311
NJ$371.92–$392.202
NM$320.971
NV$342.921
NY$328.06–$403.815
OH$319.021
OK$312.411
OR$340.95–$374.302
PA$320.14–$356.752
PR$346.381
RI$353.261
SC$321.411
SD$340.481
TN$315.851
TX$317.83–$359.248
UT$326.101
VA$337.32–$396.912
VI$346.381
VT$338.411
WA$357.94–$409.122
WI$328.591
WV$308.521
WY$342.231

See 70549 in every payment locality

How the 70549 rate is calculated

Each of 70549’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 · 70549

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.76

1.76 RVUs× 1.000 GPCI

Practice expense8.39

8.39 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

10.2800

Conversion factor

$33.4009

Medicare rate

$343.36

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,853

Code
70549
Physician work
1.76
Practice expense
8.39
Malpractice
0.13

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 70549 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0001.7600
Practice expense8.39× 1.0018.3984
Malpractice0.13× 0.8330.1083
Total RVUs10.2667
Conversion factor× 33.4009

Office rate, Nevada$342.92

Office: (1.76 × 1 + 8.39 × 1.001 + 0.13 × 0.833) × $33.4009 = $342.92

Open 70549 in the RVU calculator

Payment rules and modifiers for 70549

The CMS indicators that decide how 70549 is paid alongside other services.

CMS payment indicators · 70549

Neck MRA, 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

70549 without 26 · national office

$343.36

Neck MRA, without and with contrast

70549-26 · Professional component

$82.50

Pays only the interpretation and report.

When to use modifier 26

How 70549 has changed in Nevada

70549 · Office / nonfacility

$342.92

Effective 2026-10-01

The base rate is $3.24 higher than on 2025-10-01, moving from $339.68 to $342.92 (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

    $339.68changed to$342.92

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.80 changed to 1.76
    • Practice expense RVU 8.60 changed to 8.39
    • Malpractice RVU 0.12 changed to 0.13
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $354.17changed to$339.68

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.73 changed to 8.60
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $348.39changed to$354.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $366.11changed to$348.39

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.85 changed to 8.73
    • Malpractice RVU 0.14 changed to 0.13
    • Malpractice GPCI 1.098 changed to 0.844
  5. January 1, 2023

    RVU23A

    $376.68changed to$366.11

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.90 changed to 8.85
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $392.71changed to$376.68

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.27 changed to 8.90

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $396.73changed to$392.71

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.05 changed to 9.27
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $439.08changed to$396.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.09 changed to 9.05
    • Malpractice RVU 0.13 changed to 0.12
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $519.87changed to$439.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.31 changed to 10.09

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$519.87

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$342.92Not available in this settingRVU26D
2026-07-01$342.92Not available in this settingRVU26C
2026-04-01$342.92Not available in this settingRVU26B
2026-01-01$342.92Not available in this settingRVU26A
2025-10-01$339.68Not available in this settingRVU25D
2025-07-01$339.68Not available in this settingRVU25C
2025-04-01$339.68Not available in this settingRVU25B
2025-01-01$339.68Not available in this settingRVU25A
2024-10-01$354.17Not available in this settingRVU24D
2024-07-01$354.17Not available in this settingRVU24C
2024-04-01$354.17Not available in this settingRVU24B
2024-03-09$354.17Not available in this settingRVU24AR
2024-01-01$348.39Not available in this settingRVU24A
2023-10-01$366.11Not available in this settingRVU23D
2023-07-01$366.11Not available in this settingRVU23C
2023-04-01$366.11Not available in this settingRVU23B
2023-01-01$366.11Not available in this settingRVU23A
2022-10-01$376.68Not available in this settingRVU22D
2022-07-01$376.68Not available in this settingRVU22C
2022-04-01$376.68Not available in this settingRVU22B
2022-01-01$376.68Not available in this settingRVU22A
2021-10-01$392.71Not available in this settingRVU21D
2021-07-01$392.71Not available in this settingRVU21C
2021-04-01$392.71Not available in this settingRVU21B
2021-01-01$392.71Not available in this settingRVU21A
2020-10-01$396.73Not available in this settingRVU20D
2020-07-01$396.73Not available in this settingRVU20C
2020-04-01$396.73Not available in this settingRVU20B
2020-01-01$396.73Not available in this settingRVU20A
2019-10-01$439.08Not available in this settingRVU19D
2019-07-01$439.08Not available in this settingRVU19C
2019-04-01$439.08Not available in this settingRVU19B
2019-01-01$439.08Not available in this settingRVU19A
2018-10-01$519.87Not available in this settingRVU18D
2018-07-01$519.87Not available in this settingRVU18C
2018-04-01$519.87Not available in this settingRVU18B
2018-01-01$519.87Not 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
2016-10-01Additional calculation requiredNot available in this settingRVU16D
2016-07-01Additional calculation requiredNot available in this settingRVU16C
2016-04-01Additional calculation requiredNot available in this settingRVU16B
2016-01-01Additional calculation requiredNot available in this settingRVU16A
2015-10-01Additional calculation requiredNot available in this settingRVU15D
2015-07-01Additional calculation requiredNot available in this settingRVU15C
2015-04-01Additional calculation requiredNot available in this settingRVU15B
2015-01-01Additional calculation requiredNot available in this settingRVU15A
2014-10-01Additional calculation requiredNot available in this settingRVU14D
2014-07-01Additional calculation requiredNot available in this settingRVU14C
2014-04-01Additional calculation requiredNot available in this settingRVU14B
2014-01-01Additional calculation requiredNot available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 70549 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

70549 billing questions

When should 70549 be selected instead of 70547 or 70548?

Use 70549 when the neck MRA includes imaging both without and with contrast. Use 70547 for imaging without contrast alone and 70548 for imaging with contrast alone.

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.

Can a head MRA be reported in the same encounter?

A separately performed and documented head MRA may be reported with the neck MRA when both regions are examined. CMS applies the diagnostic imaging multiple-procedure reduction to both components.

What documentation supports 70549?

The record should show that neck arteries were imaged both without and with contrast and include the interpreting report. It should identify the vessels or anatomy evaluated.

Does 70549 describe a soft-tissue MRI of the neck?

No. It describes angiographic imaging of neck vessels; a soft-tissue neck MRI evaluates different anatomy and is not a substitute for this vascular study.

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 70549PPRRVU2026_Oct_nonQPP.csv, line 7,853 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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