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

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, 2026One payment locality16.8K Medicare services in 2024

In North Dakota, Medicare pays $266.50 for 70552 in the office.

$266.50Office (non-facility)
Not available in this settingHospital or facility
−0.9%vs the national office rate ($268.88)

Check a contract rate as a % of Medicare · 70552 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 70552 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 70552 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 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.

How North Dakota compares for 70552

Across 109 of 109 payment localities, the office rate for 70552 runs from $237.78 in Arkansas to $364.79 in San Benito County, CA. North Dakota pays $266.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

70552 in North Dakota vs other payment areas
  1. North Dakota · this page$266.50
  2. Los Angeles, CA · California$307.75+$41.25
  3. Washington, DC area · District of Columbia$309.27+$42.77
  4. Miami, FL · Florida$283.48+$16.98
  5. Chicago, IL · Illinois$275.51+$9.01
  6. Manhattan, NY · New York$308.44+$41.94
  7. Alaska · Alaska$309.58+$43.08

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

Every other payment area

70552 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$241.29—
ArkansasArkansas$237.78—
ArizonaArizona$261.89—
Bakersfield, CACalifornia$288.26—
Chico, CACalifornia$287.85—
El Centro, CACalifornia$287.87—
Fresno, CACalifornia$287.85—
Hanford, CACalifornia$287.85—

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

See 70552 in every payment locality

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.

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,859

Code
70552
Physician work
1.74
Practice expense
6.19
Malpractice
0.12

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 70552 in North Dakota
ComponentRVULocality factorAdjusted
Physician work1.74× 1.0001.7400
Practice expense6.19× 1.0006.1900
Malpractice0.12× 0.4060.0487
Total RVUs7.9787
Conversion factor× 33.4009

Office rate, North Dakota$266.50

Office: (1.74 × 1 + 6.19 × 1 + 0.12 × 0.406) × $33.4009 = $266.50

Open 70552 in the RVU calculator

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

How 70552 has changed in North Dakota

70552 · Office / nonfacility

$266.50

Effective 2026-10-01

The base rate is $1.68 higher than on 2025-10-01, moving from $264.82 to $266.50 (0.6%).

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

    $264.82changed to$266.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.78 changed to 1.74
    • Practice expense RVU 6.35 changed to 6.19
    • Malpractice RVU 0.11 changed to 0.12
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $275.69changed to$264.82

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.44 changed to 6.35
    • Malpractice RVU 0.12 changed to 0.11

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $271.19changed to$275.69

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $284.19changed to$271.19

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.54 changed to 6.44
    • Malpractice RVU 0.14 changed to 0.12
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $291.29changed to$284.19

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.59 changed to 6.54
    • Malpractice RVU 0.11 changed to 0.14
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $304.88changed to$291.29

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.91 changed to 6.59

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $311.57changed to$304.88

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.80 changed to 6.91
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $317.32changed to$311.57

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.96 changed to 6.80
    • Malpractice RVU 0.12 changed to 0.11
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $324.89changed to$317.32

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.18 changed to 6.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $322.48changed to$324.89

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.14 changed to 7.18
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $319.96changed to$322.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.09 changed to 7.14
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $320.40changed to$319.96

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.07 changed to 7.09

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $318.81changed to$320.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $334.74changed to$318.81

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.50 changed to 7.07
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $486.26changed to$334.74

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 12.45 changed to 7.50
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $486.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$266.50Not available in this settingRVU26D
2026-07-01$266.50Not available in this settingRVU26C
2026-04-01$266.50Not available in this settingRVU26B
2026-01-01$266.50Not available in this settingRVU26A
2025-10-01$264.82Not available in this settingRVU25D
2025-07-01$264.82Not available in this settingRVU25C
2025-04-01$264.82Not available in this settingRVU25B
2025-01-01$264.82Not available in this settingRVU25A
2024-10-01$275.69Not available in this settingRVU24D
2024-07-01$275.69Not available in this settingRVU24C
2024-04-01$275.69Not available in this settingRVU24B
2024-03-09$275.69Not available in this settingRVU24AR
2024-01-01$271.19Not available in this settingRVU24A
2023-10-01$284.19Not available in this settingRVU23D
2023-07-01$284.19Not available in this settingRVU23C
2023-04-01$284.19Not available in this settingRVU23B
2023-01-01$284.19Not available in this settingRVU23A
2022-10-01$291.29Not available in this settingRVU22D
2022-07-01$291.29Not available in this settingRVU22C
2022-04-01$291.29Not available in this settingRVU22B
2022-01-01$291.29Not available in this settingRVU22A
2021-10-01$304.88Not available in this settingRVU21D
2021-07-01$304.88Not available in this settingRVU21C
2021-04-01$304.88Not available in this settingRVU21B
2021-01-01$304.88Not available in this settingRVU21A
2020-10-01$311.57Not available in this settingRVU20D
2020-07-01$311.57Not available in this settingRVU20C
2020-04-01$311.57Not available in this settingRVU20B
2020-01-01$311.57Not available in this settingRVU20A
2019-10-01$317.32Not available in this settingRVU19D
2019-07-01$317.32Not available in this settingRVU19C
2019-04-01$317.32Not available in this settingRVU19B
2019-01-01$317.32Not available in this settingRVU19A
2018-10-01$324.89Not available in this settingRVU18D
2018-07-01$324.89Not available in this settingRVU18C
2018-04-01$324.89Not available in this settingRVU18B
2018-01-01$324.89Not available in this settingRVU18AR1
2017-10-01$322.48Not available in this settingRVU17D
2017-07-01$322.48Not available in this settingRVU17C
2017-04-01$322.48Not available in this settingRVU17B
2017-01-01$322.48Not available in this settingRVU17A
2016-10-01$319.96Not available in this settingRVU16D
2016-07-01$319.96Not available in this settingRVU16C
2016-04-01$319.96Not available in this settingRVU16B
2016-01-01$319.96Not available in this settingRVU16A
2015-10-01$320.40Not available in this settingRVU15D
2015-07-01$320.40Not available in this settingRVU15C
2015-04-01$318.81Not available in this settingRVU15B
2015-01-01$318.81Not available in this settingRVU15A
2014-10-01$334.74Not available in this settingRVU14D
2014-07-01$334.74Not available in this settingRVU14C
2014-04-01$334.74Not available in this settingRVU14B
2014-01-01$334.74Not available in this settingRVU14A
2013-10-01$486.26Not available in this settingRVU13D
2013-07-01$486.26Not available in this settingRVU13C
2013-04-01$486.26Not available in this settingRVU13B
2013-01-01$486.26Not available in this settingRVU13AR

Price 70552 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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