CPT code 71046: Chest X-ray, two views2026 Medicare rate & RVUs in North Carolina

A two-view chest radiograph, usually frontal and lateral, is reported to evaluate symptoms or findings such as cough, dyspnea, chest pain, or suspected pneumonia.

CMS RVU26DEffective Oct 1, 2026One payment locality6.7M Medicare services in 2024

In North Carolina, Medicare pays $31.12 for 71046 in the office.

$31.12Office (non-facility)
Not available in this settingHospital or facility
−5.9%vs the national office rate ($33.07)

Check a contract rate as a % of Medicare · 71046 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 71046 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 71046 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 71046 covers

This study captures two distinct radiographic projections of the chest, classically a standing posteroanterior (PA) view and a left lateral view. It shows the lungs, heart, mediastinum, pleural spaces, diaphragm, and bony thorax. Common reasons for the study include suspected pneumonia, persistent cough, shortness of breath, chest pain, heart failure follow-up, and suspected pleural effusion. Radiologic technologists acquire the images in hospital radiology departments, emergency departments, imaging centers, urgent care clinics, and physician offices. A radiologist or other qualified physician interprets the images and issues a written report.

Select 71046 by the number of distinct chest projections obtained, not their orientation; AP and lateral views also qualify. The image record and signed interpretation should support two views and document the findings. CMS prices this diagnostic test by component: modifier 26 identifies the professional interpretation, and modifier TC identifies the equipment, staff, and supplies used to produce the images. Billing without either modifier represents the global service when the billing entity furnishes both components. For a hospital study, the interpreting physician typically bills with modifier 26, while the hospital bills for producing the images.

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 Carolina compares for 71046

Across 109 of 109 payment localities, the office rate for 71046 runs from $29.16 in Arkansas to $44.75 in San Benito County, CA. North Carolina pays $31.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

71046 in North Carolina vs other payment areas
  1. North Carolina · this page$31.12
  2. Los Angeles, CA · California$37.78+$6.66
  3. Washington, DC area · District of Columbia$38.04+$6.92
  4. Miami, FL · Florida$35.13+$4.01
  5. Chicago, IL · Illinois$34.11+$2.99
  6. Manhattan, NY · New York$38.02+$6.90
  7. Alaska · Alaska$37.92+$6.80

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

Every other payment area

71046 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$29.60—
ArkansasArkansas$29.16—
ArizonaArizona$32.18—
Bakersfield, CACalifornia$35.38—
Chico, CACalifornia$35.31—
El Centro, CACalifornia$35.32—
Fresno, CACalifornia$35.31—
Hanford, CACalifornia$35.31—

71046 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.

$29.16

$40.03

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

View every state and territory as a table
71046 office rate range by state
State / territoryOffice rate rangeLocalities
AK$37.921
AL$29.601
AR$29.161
AZ$32.181
CA$35.31–$44.7529
CO$34.631
CT$35.301
DC$38.041
DE$32.731
FL$32.29–$35.133
GA$30.45–$33.632
GU$36.261
HI$36.261
IA$30.511
ID$30.681
IL$31.23–$34.324
IN$30.871
KS$30.301
KY$30.191
LA$30.12–$31.662
MA$34.39–$38.212
MD$33.39–$38.043
ME$30.78–$32.592
MI$30.94–$32.642
MN$33.331
MO$29.55–$31.853
MS$29.361
MT$33.071
NC$31.121
ND$32.671
NE$30.701
NH$34.021
NJ$35.75–$37.622
NM$31.091
NV$32.981
NY$31.60–$38.895
OH$30.861
OK$30.201
OR$32.77–$35.832
PA$30.95–$34.362
PR$33.341
RI$33.971
SC$31.041
SD$32.621
TN$30.451
TX$30.73–$34.488
UT$31.481
VA$32.44–$38.042
VI$33.341
VT$32.481
WA$34.34–$39.062
WI$31.541
WV$30.031
WY$32.891

See 71046 in every payment locality

How the 71046 rate is calculated

Each of 71046’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 · 71046

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.21

0.21 RVUs× 1.000 GPCI

Practice expense0.76

0.76 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.9900

Conversion factor

$33.4009

Medicare rate

$33.07

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,883

Code
71046
Physician work
0.21
Practice expense
0.76
Malpractice
0.02

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 71046 in North Carolina
ComponentRVULocality factorAdjusted
Physician work0.21× 1.0000.2100
Practice expense0.76× 0.9330.7091
Malpractice0.02× 0.6390.0128
Total RVUs0.9319
Conversion factor× 33.4009

Office rate, North Carolina$31.12

Office: (0.21 × 1 + 0.76 × 0.933 + 0.02 × 0.639) × $33.4009 = $31.12

Open 71046 in the RVU calculator

Payment rules and modifiers for 71046

The CMS indicators that decide how 71046 is paid alongside other services.

CMS payment indicators · 71046

Chest X-ray, two views

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
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

71046 without 26 · national office

$33.07

Chest X-ray, two views

71046-26 · Professional component

$10.02

Pays only the interpretation and report.

When to use modifier 26

How 71046 has changed in North Carolina

71046 · Office / nonfacility

$31.12

Effective 2026-10-01

The base rate is $0.51 higher than on 2025-10-01, moving from $30.61 to $31.12 (1.7%).

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

    $30.61changed to$31.12

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.22 changed to 0.21
    • Practice expense RVU 0.77 changed to 0.76
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $31.50changed to$30.61

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $30.99changed to$31.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $32.15changed to$30.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665
  5. January 1, 2023

    RVU23A

    $32.59changed to$32.15

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.76 changed to 0.77
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $32.21changed to$32.59

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.74 changed to 0.76

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $31.31changed to$32.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.68 changed to 0.74
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $30.24changed to$31.31

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.65 changed to 0.68
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $29.20changed to$30.24

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.62 changed to 0.65

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$29.20

    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$31.12Not available in this settingRVU26D
2026-07-01$31.12Not available in this settingRVU26C
2026-04-01$31.12Not available in this settingRVU26B
2026-01-01$31.12Not available in this settingRVU26A
2025-10-01$30.61Not available in this settingRVU25D
2025-07-01$30.61Not available in this settingRVU25C
2025-04-01$30.61Not available in this settingRVU25B
2025-01-01$30.61Not available in this settingRVU25A
2024-10-01$31.50Not available in this settingRVU24D
2024-07-01$31.50Not available in this settingRVU24C
2024-04-01$31.50Not available in this settingRVU24B
2024-03-09$31.50Not available in this settingRVU24AR
2024-01-01$30.99Not available in this settingRVU24A
2023-10-01$32.15Not available in this settingRVU23D
2023-07-01$32.15Not available in this settingRVU23C
2023-04-01$32.15Not available in this settingRVU23B
2023-01-01$32.15Not available in this settingRVU23A
2022-10-01$32.59Not available in this settingRVU22D
2022-07-01$32.59Not available in this settingRVU22C
2022-04-01$32.59Not available in this settingRVU22B
2022-01-01$32.59Not available in this settingRVU22A
2021-10-01$32.21Not available in this settingRVU21D
2021-07-01$32.21Not available in this settingRVU21C
2021-04-01$32.21Not available in this settingRVU21B
2021-01-01$32.21Not available in this settingRVU21A
2020-10-01$31.31Not available in this settingRVU20D
2020-07-01$31.31Not available in this settingRVU20C
2020-04-01$31.31Not available in this settingRVU20B
2020-01-01$31.31Not available in this settingRVU20A
2019-10-01$30.24Not available in this settingRVU19D
2019-07-01$30.24Not available in this settingRVU19C
2019-04-01$30.24Not available in this settingRVU19B
2019-01-01$30.24Not available in this settingRVU19A
2018-10-01$29.20Not available in this settingRVU18D
2018-07-01$29.20Not available in this settingRVU18C
2018-04-01$29.20Not available in this settingRVU18B
2018-01-01$29.20Not available in this settingRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 71046 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

71046 billing questions

Does the code require PA and lateral views specifically?

No. Selection is based on two distinct chest projections; AP and lateral views also qualify.

What if the technologist repeats an image because the first was suboptimal?

A repeat exposure of the same projection for technical quality is not another view. Count distinct projections when choosing among 71045, 71046, 71047, and 71048.

When is modifier 26 appended?

Append modifier 26 when the physician bills only for interpreting the images, such as a radiologist reading a hospital study. Modifier TC identifies the technical component when it is billed separately under the physician fee schedule.

Can a treating physician bill an interpretation if a radiologist also reads the film?

Medicare generally pays for one medically necessary interpretation of a chest study. A separately billed interpretation requires a written report; a brief image review documented only in an E/M note is part of that visit.

Do dedicated rib or spine images count as chest views?

No. Dedicated rib, sternum, and thoracic spine images are not counted as additional views of a two-view chest 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 71046PPRRVU2026_Oct_nonQPP.csv, line 7,883 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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