CPT code 70552: MRI brain, with contrast2026 Medicare rate & RVUs

Report this code for a conventional MRI of the brain, including the brain stem, performed with contrast when no precontrast imaging sequence is acquired.

CMS RVU26DEffective Oct 1, 2026109 payment localities16.8K Medicare services in 2024

Medicare pays $268.88 for 70552 nationally in the office. Local office rates run $237.78–$364.79.

Medicare rate · 70552

MRI brain, with contrast

Office or facility?

Work RVUs
1.74
Total RVUs
8.05
Global days
XXX

National rate · 2026

$268.88

Office setting, before claim adjustments.

See every locality for 70552 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 70552 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 70552 covers

This service is a conventional magnetic resonance examination of the brain, including the brain stem, acquired after contrast administration without a precontrast sequence. Radiology technologists perform the scan in hospital imaging departments, outpatient imaging centers, or equipped offices; a radiologist interprets the images. It may be ordered to evaluate enhancing intracranial abnormalities, such as a suspected tumor or infection, when the clinical question calls for contrast-enhanced imaging.

Select this code when the examination uses contrast only. If the study includes both precontrast and postcontrast imaging, use 70553; if it is performed without contrast, use 70551. The order, imaging record, contrast documentation, and interpretation should support the protocol and clinical indication. Bill the complete service without a component modifier, or report modifier 26 for the interpretation or TC for the equipment and staff. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional 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.

Where 70552 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$237.78 to $364.79

$237.78$301.29$364.79
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

70552 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$241.29Unavailable
Alaska$309.58Unavailable
Arizona$261.89Unavailable
Arkansas$237.78Unavailable
Atlanta, GA$273.17Unavailable
Austin, TX$280.53Unavailable
Bakersfield, CA$288.26Unavailable
Baltimore area, MD$285.85Unavailable
Beaumont, TX$249.99Unavailable
Brazoria, TX$266.60Unavailable

70552 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.

$237.78

$326.32

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

View every state and territory as a table
70552 office rate range by state
State / territoryOffice rate rangeLocalities
AK$309.581
AL$241.291
AR$237.781
AZ$261.891
CA$287.85–$364.7929
CO$281.931
CT$286.801
DC$309.271
DE$266.281
FL$261.80–$283.483
GA$247.32–$273.172
GU$295.511
HI$295.511
IA$248.891
ID$250.221
IL$253.15–$277.964
IN$251.721
KS$247.041
KY$245.591
LA$244.93–$257.222
MA$279.95–$310.932
MD$271.61–$309.273
ME$250.82–$265.542
MI$251.41–$264.392
MN$272.051
MO$240.24–$258.963
MS$239.091
MT$268.871
NC$253.581
ND$266.501
NE$250.461
NH$276.851
NJ$290.61–$305.892
NM$252.521
NV$268.411
NY$257.35–$315.115
OH$250.921
OK$245.861
OR$266.86–$291.732
PA$251.70–$279.172
PR$271.091
RI$276.371
SC$252.561
SD$266.221
TN$248.211
TX$249.99–$280.538
UT$256.061
VA$264.18–$309.272
VI$271.091
VT$264.831
WA$279.63–$317.982
WI$257.421
WV$243.521
WY$267.841

How the 70552 rate is calculated

Each of 70552’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 · 70552

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.74

1.74 RVUs× 1.000 GPCI

Practice expense6.19

6.19 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

8.0500

Conversion factor

$33.4009

Medicare rate

$268.88

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

Payment rules and modifiers for 70552

The CMS indicators that decide how 70552 is paid alongside other services.

CMS payment indicators · 70552

MRI brain, 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

70552 without 26 · national office

$268.88

MRI brain, with contrast

70552-26 · Professional component

$81.83

Pays only the interpretation and report.

When to use modifier 26

70552 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 70552

    MRI brain, with contrast1.74 wRVU

    $268.88

  • 70551

    Brain MRI, without contrast1.44 wRVU

    $195.40−$73.48

  • 70553

    Brain MRI, without and with contrast2.23 wRVU

    $316.97+$48.09

  • 70545

    Head MR angiography, with contrast1.17 wRVU

    $226.46−$42.42

  • 70558

    Functional brain MRI, with contrast0 wRVU

    Not priced

How to choose

70551Brain MRIWithout contrast
70551 is for brain MRI without contrast. This code is for contrast-enhanced imaging without a precontrast sequence.
70553Brain MRIWithout and with contrast
70553 includes both precontrast and postcontrast brain imaging; this code represents the contrast-only protocol.
70545Head MR angiographyWith contrast
70545 is contrast-enhanced MR angiography of the head, focused on intracranial vessels. This code is conventional brain MRI, focused on brain anatomy.
70558Functional brain MRIWith contrast
70558 is a functional brain MRI with contrast. This code represents conventional structural brain MRI with contrast.

70552 billing questions

How does this differ from 70553?

70552 represents contrast-enhanced imaging without a precontrast sequence. Use 70553 when the brain MRI includes both precontrast and postcontrast imaging.

Can the professional and technical services be billed separately?

Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the technical service, including equipment and staff. An unmodified claim represents the global service.

Does the multiple procedure reduction affect both components?

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

Is this code limited to imaging the brain stem?

No. It describes a conventional MRI of the brain, including the brain stem, with contrast. The documented examination and protocol should support the reported service.

When should 70551 be reported instead?

Use 70551 for a brain MRI performed without contrast. Use 70552 when contrast is used without a precontrast imaging sequence.

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 70552PPRRVU2026_Oct_nonQPP.csv, line 7,859 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 70552 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 70552 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist