CPT code 70551: Brain MRI, without contrast2026 Medicare rate & RVUs in Utah
Magnetic resonance imaging of the brain, including the brainstem, performed without contrast for stroke, seizure, cognitive decline, or other neurologic workups.
In Utah, Medicare pays $186.42 for 70551 in the office.
Check a contract rate as a % of Medicare · 70551 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 70551 covers
This study images the cerebral hemispheres, posterior fossa, and brainstem using noncontrast sequences such as T1, T2, FLAIR, diffusion-weighted, and susceptibility imaging. It is ordered for suspected acute stroke, new seizures, cognitive decline, red-flag headache, and follow-up of known structural lesions. Focused noncontrast examinations of the internal auditory canals or pituitary are also reported within the brain MRI series. Technologists acquire the images in hospital radiology departments, emergency settings, and freestanding imaging centers, and a radiologist or neuroradiologist interprets them.
Report 70551 when no contrast is administered for the brain MRI. The report should state the indication, sequences obtained, findings, and impression. Medicare recognizes a professional component (modifier 26) for interpretation and a technical component (modifier TC) for the scanner, staff, and supplies. Billing without a modifier represents the global service when one entity furnishes both components. When eligible diagnostic imaging services are performed for the same patient on the same date, the multiple procedure reduction applies to professional and technical components, with each component ranked separately.
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 Utah compares for 70551
Across 109 of 109 payment localities, the office rate for 70551 runs from $173.48 in Arkansas to $262.77 in San Benito County, CA. Utah pays $186.42. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$186.42
- Los Angeles, CA · California$222.59+$36.17
- Washington, DC area · District of Columbia$223.99+$37.57
- Miami, FL · Florida$206.40+$19.98
- Chicago, IL · Illinois$200.78+$14.36
- Manhattan, NY · New York$223.75+$37.33
- Alaska · Alaska$227.30+$40.88
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $175.95 | — |
| ArkansasArkansas | $173.48 | — |
| ArizonaArizona | $190.45 | — |
| Bakersfield, CACalifornia | $208.82 | — |
| Chico, CACalifornia | $208.48 | — |
| El Centro, CACalifornia | $208.50 | — |
| Fresno, CACalifornia | $208.48 | — |
| Hanford, CACalifornia | $208.48 | — |
| Madera, CACalifornia | $208.48 | — |
| Merced, CACalifornia | $208.48 | — |
| Modesto, CACalifornia | $208.48 | — |
| Napa, CACalifornia | $242.56 | — |
| Oxnard, CACalifornia | $221.68 | — |
| Redding, CACalifornia | $208.48 | — |
| Rest of CaliforniaCalifornia | $208.48 | — |
| Riverside, CACalifornia | $209.59 | — |
| Sacramento, CACalifornia | $219.04 | — |
| Salinas, CACalifornia | $218.23 | — |
| San Diego, CACalifornia | $223.52 | — |
| Marin County, CACalifornia | $257.18 | — |
| San Francisco, CACalifornia | $257.07 | — |
| San Benito County, CACalifornia | $262.77 | — |
| Santa Clara County, CACalifornia | $262.30 | — |
| San Luis Obispo, CACalifornia | $214.67 | — |
| Santa Cruz, CACalifornia | $225.81 | — |
| Santa Maria, CACalifornia | $219.09 | — |
| Santa Rosa, CACalifornia | $228.11 | — |
| Stockton, CACalifornia | $208.48 | — |
| Vallejo, CACalifornia | $242.40 | — |
| Visalia, CACalifornia | $208.48 | — |
| Yuba City, CACalifornia | $208.48 | — |
| ColoradoColorado | $204.45 | — |
| ConnecticutConnecticut | $208.14 | — |
| DelawareDelaware | $193.57 | — |
| Fort Lauderdale, FLFlorida | $199.97 | — |
| Rest of FloridaFlorida | $190.74 | — |
| Atlanta, GAGeorgia | $198.51 | — |
| Rest of GeorgiaGeorgia | $180.49 | — |
| Hawaii, Guam, HIHawaii | $213.71 | — |
| IowaIowa | $181.14 | — |
| IdahoIdaho | $182.12 | — |
| East St. Louis, ILIllinois | $187.27 | — |
| Rest of IllinoisIllinois | $184.75 | — |
| Suburban Chicago, ILIllinois | $202.20 | — |
| IndianaIndiana | $183.17 | — |
| KansasKansas | $179.92 | — |
| KentuckyKentucky | $179.13 | — |
| New Orleans, LALouisiana | $187.36 | — |
| Rest of LouisianaLouisiana | $178.70 | — |
| Metropolitan Boston, MAMassachusetts | $224.93 | — |
| Rest of MassachusettsMassachusetts | $203.12 | — |
| Baltimore area, MDMaryland | $207.47 | — |
| Rest of MarylandMaryland | $197.33 | — |
| Rest of MaineMaine | $182.62 | — |
| Southern Maine, MEMaine | $192.87 | — |
| Detroit, MIMichigan | $192.65 | — |
| Rest of MichiganMichigan | $183.30 | — |
| MinnesotaMinnesota | $197.22 | — |
| Metropolitan Kansas City, MOMissouri | $186.54 | — |
| Metropolitan St. Louis, MOMissouri | $188.49 | — |
| Rest of MissouriMissouri | $175.44 | — |
| MississippiMississippi | $174.51 | — |
| MontanaMontana | $195.39 | — |
| North CarolinaNorth Carolina | $184.54 | — |
| North DakotaNorth Dakota | $193.41 | — |
| NebraskaNebraska | $182.23 | — |
| New HampshireNew Hampshire | $200.88 | — |
| Northern New JerseyNew Jersey | $221.69 | — |
| Rest of New JerseyNew Jersey | $210.89 | — |
| New MexicoNew Mexico | $184.12 | — |
| NevadaNevada | $194.98 | — |
| NYC suburbs and Long Island, NYNew York | $228.54 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $211.94 | — |
| Queens, NYNew York | $226.15 | — |
| Rest of New YorkNew York | $187.21 | — |
| OhioOhio | $182.90 | — |
| OklahomaOklahoma | $179.25 | — |
| Portland, OROregon | $211.29 | — |
| Rest of OregonOregon | $193.83 | — |
| Metropolitan Philadelphia, PAPennsylvania | $202.81 | — |
| Rest of PennsylvaniaPennsylvania | $183.41 | — |
| Puerto RicoPuerto Rico | $196.93 | — |
| Rhode IslandRhode Island | $200.70 | — |
| South CarolinaSouth Carolina | $183.95 | — |
| South DakotaSouth Dakota | $193.18 | — |
| TennesseeTennessee | $180.75 | — |
| Austin, TXTexas | $203.46 | — |
| Beaumont, TXTexas | $182.20 | — |
| Brazoria, TXTexas | $193.75 | — |
| Dallas, TXTexas | $194.78 | — |
| Fort Worth, TXTexas | $193.38 | — |
| Galveston, TXTexas | $194.20 | — |
| Houston, TXTexas | $196.03 | — |
| Rest of TexasTexas | $187.73 | — |
| VirginiaVirginia | $191.97 | — |
| Virgin Islands, VIUnited States Virgin Islands | $196.93 | — |
| VermontVermont | $192.31 | — |
| Rest of WashingtonWashington | $202.85 | — |
| King County, WAWashington | $229.87 | — |
| WisconsinWisconsin | $187.04 | — |
| West VirginiaWest Virginia | $177.98 | — |
| WyomingWyoming | $194.53 | — |
70551 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.
$173.48
$235.63
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 | $227.30 | 1 |
| AL | $175.95 | 1 |
| AR | $173.48 | 1 |
| AZ | $190.45 | 1 |
| CA | $208.48–$262.77 | 29 |
| CO | $204.45 | 1 |
| CT | $208.14 | 1 |
| DC | $223.99 | 1 |
| DE | $193.57 | 1 |
| FL | $190.74–$206.40 | 3 |
| GA | $180.49–$198.51 | 2 |
| GU | $213.71 | 1 |
| HI | $213.71 | 1 |
| IA | $181.14 | 1 |
| ID | $182.12 | 1 |
| IL | $184.75–$202.20 | 4 |
| IN | $183.17 | 1 |
| KS | $179.92 | 1 |
| KY | $179.13 | 1 |
| LA | $178.70–$187.36 | 2 |
| MA | $203.12–$224.93 | 2 |
| MD | $197.33–$223.99 | 3 |
| ME | $182.62–$192.87 | 2 |
| MI | $183.30–$192.65 | 2 |
| MN | $197.22 | 1 |
| MO | $175.44–$188.49 | 3 |
| MS | $174.51 | 1 |
| MT | $195.39 | 1 |
| NC | $184.54 | 1 |
| ND | $193.41 | 1 |
| NE | $182.23 | 1 |
| NH | $200.88 | 1 |
| NJ | $210.89–$221.69 | 2 |
| NM | $184.12 | 1 |
| NV | $194.98 | 1 |
| NY | $187.21–$228.54 | 5 |
| OH | $182.90 | 1 |
| OK | $179.25 | 1 |
| OR | $193.83–$211.29 | 2 |
| PA | $183.41–$202.81 | 2 |
| PR | $196.93 | 1 |
| RI | $200.70 | 1 |
| SC | $183.95 | 1 |
| SD | $193.18 | 1 |
| TN | $180.75 | 1 |
| TX | $182.20–$203.46 | 8 |
| UT | $186.42 | 1 |
| VA | $191.97–$223.99 | 2 |
| VI | $196.93 | 1 |
| VT | $192.31 | 1 |
| WA | $202.85–$229.87 | 2 |
| WI | $187.04 | 1 |
| WV | $177.98 | 1 |
| WY | $194.53 | 1 |
How the 70551 rate is calculated
Each of 70551’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 · 70551
RVUs × geographic indexes × conversion factor
Work1.44
1.44 RVUs× 1.000 GPCI
Practice expense4.31
4.31 RVUs× 1.000 GPCI
Malpractice0.10
0.10 RVUs× 1.000 GPCI
Adjusted RVUs
5.8500
Conversion factor
$33.4009
Medicare rate
$195.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,856
- Code
- 70551
- Physician work
- 1.44
- Practice expense
- 4.31
- Malpractice
- 0.10
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.44 | × 1.000 | 1.4400 |
| Practice expense | 4.31 | × 0.940 | 4.0514 |
| Malpractice | 0.10 | × 0.898 | 0.0898 |
| Total RVUs | 5.5812 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$186.42
Office: (1.44 × 1 + 4.31 × 0.94 + 0.1 × 0.898) × $33.4009 = $186.42
Payment rules and modifiers for 70551
The CMS indicators that decide how 70551 is paid alongside other services.
CMS payment indicators · 70551
Brain MRI, without 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
70551 without 26 · national office
$195.40
Brain MRI, without contrast
70551-26 · Professional component
$67.80
Pays only the interpretation and report.
How 70551 has changed in Utah
70551 · Office / nonfacility
$186.42
Effective 2026-10-01
The base rate is $2.75 higher than on 2025-10-01, moving from $183.67 to $186.42 (1.5%).
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
$183.67changed to$186.42
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.48 changed to 1.44
- Practice expense RVU 4.41 changed to 4.31
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$191.19changed to$183.67
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.47 changed to 4.41
- Malpractice RVU 0.10 changed to 0.09
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$188.07changed to$191.19
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$195.23changed to$188.07
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.53 changed to 4.47
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$198.69changed to$195.23
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.55 changed to 4.53
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$206.51changed to$198.69
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.76 changed to 4.55
- Malpractice RVU 0.08 changed to 0.10
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$213.52changed to$206.51
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.70 changed to 4.76
- Malpractice RVU 0.10 changed to 0.08
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$217.81changed to$213.52
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.81 changed to 4.70
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$223.33changed to$217.81
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.97 changed to 4.81
- Malpractice RVU 0.10 changed to 0.09
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$221.21changed to$223.33
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.95 changed to 4.97
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$218.84changed to$221.21
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 4.91 changed to 4.95
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$218.22changed to$218.84
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 4.88 changed to 4.91
- Malpractice RVU 0.08 changed to 0.09
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$217.13changed to$218.22
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$232.48changed to$217.13
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 5.34 changed to 4.88
- Malpractice RVU 0.09 changed to 0.08
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$232.48
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $186.42 | Not available in this setting | RVU26D |
| 2026-07-01 | $186.42 | Not available in this setting | RVU26C |
| 2026-04-01 | $186.42 | Not available in this setting | RVU26B |
| 2026-01-01 | $186.42 | Not available in this setting | RVU26A |
| 2025-10-01 | $183.67 | Not available in this setting | RVU25D |
| 2025-07-01 | $183.67 | Not available in this setting | RVU25C |
| 2025-04-01 | $183.67 | Not available in this setting | RVU25B |
| 2025-01-01 | $183.67 | Not available in this setting | RVU25A |
| 2024-10-01 | $191.19 | Not available in this setting | RVU24D |
| 2024-07-01 | $191.19 | Not available in this setting | RVU24C |
| 2024-04-01 | $191.19 | Not available in this setting | RVU24B |
| 2024-03-09 | $191.19 | Not available in this setting | RVU24AR |
| 2024-01-01 | $188.07 | Not available in this setting | RVU24A |
| 2023-10-01 | $195.23 | Not available in this setting | RVU23D |
| 2023-07-01 | $195.23 | Not available in this setting | RVU23C |
| 2023-04-01 | $195.23 | Not available in this setting | RVU23B |
| 2023-01-01 | $195.23 | Not available in this setting | RVU23A |
| 2022-10-01 | $198.69 | Not available in this setting | RVU22D |
| 2022-07-01 | $198.69 | Not available in this setting | RVU22C |
| 2022-04-01 | $198.69 | Not available in this setting | RVU22B |
| 2022-01-01 | $198.69 | Not available in this setting | RVU22A |
| 2021-10-01 | $206.51 | Not available in this setting | RVU21D |
| 2021-07-01 | $206.51 | Not available in this setting | RVU21C |
| 2021-04-01 | $206.51 | Not available in this setting | RVU21B |
| 2021-01-01 | $206.51 | Not available in this setting | RVU21A |
| 2020-10-01 | $213.52 | Not available in this setting | RVU20D |
| 2020-07-01 | $213.52 | Not available in this setting | RVU20C |
| 2020-04-01 | $213.52 | Not available in this setting | RVU20B |
| 2020-01-01 | $213.52 | Not available in this setting | RVU20A |
| 2019-10-01 | $217.81 | Not available in this setting | RVU19D |
| 2019-07-01 | $217.81 | Not available in this setting | RVU19C |
| 2019-04-01 | $217.81 | Not available in this setting | RVU19B |
| 2019-01-01 | $217.81 | Not available in this setting | RVU19A |
| 2018-10-01 | $223.33 | Not available in this setting | RVU18D |
| 2018-07-01 | $223.33 | Not available in this setting | RVU18C |
| 2018-04-01 | $223.33 | Not available in this setting | RVU18B |
| 2018-01-01 | $223.33 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $221.21 | Not available in this setting | RVU17D |
| 2017-07-01 | $221.21 | Not available in this setting | RVU17C |
| 2017-04-01 | $221.21 | Not available in this setting | RVU17B |
| 2017-01-01 | $221.21 | Not available in this setting | RVU17A |
| 2016-10-01 | $218.84 | Not available in this setting | RVU16D |
| 2016-07-01 | $218.84 | Not available in this setting | RVU16C |
| 2016-04-01 | $218.84 | Not available in this setting | RVU16B |
| 2016-01-01 | $218.84 | Not available in this setting | RVU16A |
| 2015-10-01 | $218.22 | Not available in this setting | RVU15D |
| 2015-07-01 | $218.22 | Not available in this setting | RVU15C |
| 2015-04-01 | $217.13 | Not available in this setting | RVU15B |
| 2015-01-01 | $217.13 | Not available in this setting | RVU15A |
| 2014-10-01 | $232.48 | Not available in this setting | RVU14D |
| 2014-07-01 | $232.48 | Not available in this setting | RVU14C |
| 2014-04-01 | $232.48 | Not available in this setting | RVU14B |
| 2014-01-01 | $232.48 | Not available in this setting | RVU14A |
| 2013-10-01 | Additional calculation required | Not available in this setting | RVU13D |
| 2013-07-01 | Additional calculation required | Not available in this setting | RVU13C |
| 2013-04-01 | Additional calculation required | Not available in this setting | RVU13B |
| 2013-01-01 | Additional calculation required | Not available in this setting | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
70551 billing questions
If the radiologist adds contrast after reviewing the noncontrast images, can 70551 and 70552 be billed together?
No. When noncontrast brain images are followed by contrast-enhanced brain images in the same session, report 70553 alone.
How is an internal auditory canal or pituitary MRI coded?
These focused studies are reported with the brain MRI codes based on contrast use. A noncontrast internal auditory canal or pituitary study is reported as 70551.
Which modifier does a hospital-based radiologist use?
The reading radiologist appends modifier 26 for the interpretation, and the hospital bills for the technical portion on its facility claim. A freestanding center that furnishes and bills for both components reports the global service without a component modifier.
Can MRA of the head be billed on the same day as 70551?
Yes, when a separate head MRA is performed and documented. Eligible same-day diagnostic imaging services are subject to multiple procedure reductions, with professional and technical components ranked separately.
Is diffusion-weighted imaging billed separately?
No. Diffusion and other standard sequences acquired during the exam are part of the brain MRI and are not separately reportable.
When are 70557-70559 used instead of 70551?
Those codes describe brain MRI performed during an open intracranial procedure. A routine diagnostic brain MRI is selected from 70551-70553 based on contrast use.
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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