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CPT code 72198: Pelvic MRA, without and with contrast2026 Medicare rate & RVUs in Washington, DC area

Pelvic MR angiography performed before and after contrast evaluates pelvic vessels when a vascular question calls for magnetic resonance imaging.

CMS RVU26DEffective Oct 1, 2026One payment locality2.5K Medicare services in 2024

In Washington, DC area, Medicare pays $388.25 for 72198 in the office.

$388.25Office (non-facility)
Not available in this settingHospital or facility
+15.5%vs the national office rate ($336.01)

Check a contract rate as a % of Medicare · 72198 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 72198 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 72198 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 72198 covers

This examination uses magnetic resonance imaging to depict pelvic blood vessels, with image sequences obtained before and after contrast administration. It may be ordered to assess pelvic arteries, including the iliac arteries, when the clinical question concerns vascular anatomy or disease. A radiology technologist performs the imaging, and a radiologist interprets the study. It is distinct from a routine pelvic MRI, which focuses on pelvic organs and other soft tissues rather than an angiographic assessment of vessels.

Report this code when the documented study includes both noncontrast and contrast-enhanced MR angiographic imaging of the pelvis. The order and report should support the vascular indication, the pelvic anatomy examined, and the contrast protocol performed. The radiologist may bill the professional component with modifier 26; the imaging facility may bill the technical component with modifier TC. Billing without either modifier represents the global service. When diagnostic imaging multiple procedure reduction applies, it affects 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 Washington, DC area compares for 72198

Across 109 of 109 payment localities, the office rate for 72198 runs from $295.43 in Arkansas to $461.08 in San Benito County, CA. Washington, DC area pays $388.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

72198 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$388.25
  2. Los Angeles, CA · California$386.90−$1.35
  3. Miami, FL · Florida$353.84−$34.41
  4. Chicago, IL · Illinois$343.41−$44.84
  5. Manhattan, NY · New York$386.53−$1.72
  6. Alaska · Alaska$381.19−$7.06
  7. Alabama · Alabama$300.02−$88.23

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

72198 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$295.43—
ArizonaArizona$326.93—
Bakersfield, CACalifornia$361.63—
Chico, CACalifornia$361.19—
El Centro, CACalifornia$361.22—
Fresno, CACalifornia$361.19—
Hanford, CACalifornia$361.19—
Madera, CACalifornia$361.19—

72198 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$295.43

$411.14

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

View every state and territory as a table
72198 office rate range by state
State / territoryOffice rate rangeLocalities
AK$381.191
AL$300.021
AR$295.431
AZ$326.931
CA$361.19–$461.0829
CO$353.231
CT$359.111
DC$388.251
DE$332.591
FL$326.19–$353.843
GA$307.38–$341.432
GU$371.571
HI$371.571
IA$310.201
ID$311.891
IL$314.72–$347.144
IN$313.861
KS$307.661
KY$305.351
LA$304.45–$320.502
MA$350.54–$390.892
MD$339.52–$388.253
ME$312.54–$331.952
MI$312.83–$329.442
MN$340.871
MO$298.24–$322.923
MS$296.951
MT$336.001
NC$316.161
ND$333.431
NE$312.301
NH$346.661
NJ$363.89–$383.672
NM$314.241
NV$335.561
NY$321.08–$395.075
OH$312.311
OK$305.851
OR$333.63–$366.132
PA$313.40–$349.102
PR$338.951
RI$345.671
SC$314.621
SD$333.131
TN$309.171
TX$311.15–$351.468
UT$319.201
VA$330.10–$388.252
VI$338.951
VT$331.141
WA$350.20–$400.102
WI$321.551
WV$302.141
WY$334.881

See 72198 in every payment locality

How the 72198 rate is calculated

Each of 72198’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 · 72198

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.76

1.76 RVUs× 1.000 GPCI

Practice expense8.17

8.17 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

10.0600

Conversion factor

$33.4009

Medicare rate

$336.01

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,069

Code
72198
Physician work
1.76
Practice expense
8.17
Malpractice
0.13

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 72198 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0541.8550
Practice expense8.17× 1.1789.6243
Malpractice0.13× 1.1130.1447
Total RVUs11.6240
Conversion factor× 33.4009

Office rate, Washington, DC area$388.25

Office: (1.76 × 1.054 + 8.17 × 1.178 + 0.13 × 1.113) × $33.4009 = $388.25

Open 72198 in the RVU calculator

Payment rules and modifiers for 72198

The CMS indicators that decide how 72198 is paid alongside other services.

CMS payment indicators · 72198

Pelvic 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

72198 without 26 · national office

$336.01

Pelvic MRA, without and with contrast

72198-26 · Professional component

$81.83

Pays only the interpretation and report.

When to use modifier 26

Codes related to 72198

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 72198
CodeHow it relatesOffice range, Washington, DC area
Used instead
72191Pelvic CT angiography, with contrastPelvic CT angiography is an alternative vascular imaging method.No office rate
72197MRI pelvis, without and with contrastPelvic MRI with and without contrast evaluates anatomy rather than serving as the angiographic study.$384.60
72195Pelvic MRI, without contrastNoncontrast pelvic MRI is an alternative when the requested study is not MR angiography.$261.87

How 72198 has changed in Washington, DC area

72198 · Office / nonfacility

$388.25

Effective 2026-10-01

The base rate is $0.92 lower than on 2025-10-01, moving from $389.17 to $388.25 (0.2%).

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

    $389.17changed to$388.25

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.80 changed to 1.76
    • Practice expense RVU 8.36 changed to 8.17
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $405.66changed to$389.17

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.50 changed to 8.36
    • Malpractice RVU 0.13 changed to 0.14

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $399.04changed to$405.66

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $425.28changed to$399.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.63 changed to 8.50
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $441.89changed to$425.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.66 changed to 8.63
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $466.26changed to$441.89

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.14 changed to 8.66

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $467.62changed to$466.26

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.94 changed to 9.14
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $471.47changed to$467.62

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.17 changed to 8.94
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $482.23changed to$471.47

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.43 changed to 9.17

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $480.12changed to$482.23

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.41 changed to 9.43
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $476.63changed to$480.12

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.35 changed to 9.41
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $478.35changed to$476.63

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $475.97changed to$478.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $500.46changed to$475.97

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.94 changed to 9.35
    • Malpractice RVU 0.11 changed to 0.12
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $559.62changed to$500.46

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 12.05 changed to 9.94
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $559.62

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$388.25Not available in this settingRVU26D
2026-07-01$388.25Not available in this settingRVU26C
2026-04-01$388.25Not available in this settingRVU26B
2026-01-01$388.25Not available in this settingRVU26A
2025-10-01$389.17Not available in this settingRVU25D
2025-07-01$389.17Not available in this settingRVU25C
2025-04-01$389.17Not available in this settingRVU25B
2025-01-01$389.17Not available in this settingRVU25A
2024-10-01$405.66Not available in this settingRVU24D
2024-07-01$405.66Not available in this settingRVU24C
2024-04-01$405.66Not available in this settingRVU24B
2024-03-09$405.66Not available in this settingRVU24AR
2024-01-01$399.04Not available in this settingRVU24A
2023-10-01$425.28Not available in this settingRVU23D
2023-07-01$425.28Not available in this settingRVU23C
2023-04-01$425.28Not available in this settingRVU23B
2023-01-01$425.28Not available in this settingRVU23A
2022-10-01$441.89Not available in this settingRVU22D
2022-07-01$441.89Not available in this settingRVU22C
2022-04-01$441.89Not available in this settingRVU22B
2022-01-01$441.89Not available in this settingRVU22A
2021-10-01$466.26Not available in this settingRVU21D
2021-07-01$466.26Not available in this settingRVU21C
2021-04-01$466.26Not available in this settingRVU21B
2021-01-01$466.26Not available in this settingRVU21A
2020-10-01$467.62Not available in this settingRVU20D
2020-07-01$467.62Not available in this settingRVU20C
2020-04-01$467.62Not available in this settingRVU20B
2020-01-01$467.62Not available in this settingRVU20A
2019-10-01$471.47Not available in this settingRVU19D
2019-07-01$471.47Not available in this settingRVU19C
2019-04-01$471.47Not available in this settingRVU19B
2019-01-01$471.47Not available in this settingRVU19A
2018-10-01$482.23Not available in this settingRVU18D
2018-07-01$482.23Not available in this settingRVU18C
2018-04-01$482.23Not available in this settingRVU18B
2018-01-01$482.23Not available in this settingRVU18AR1
2017-10-01$480.12Not available in this settingRVU17D
2017-07-01$480.12Not available in this settingRVU17C
2017-04-01$480.12Not available in this settingRVU17B
2017-01-01$480.12Not available in this settingRVU17A
2016-10-01$476.63Not available in this settingRVU16D
2016-07-01$476.63Not available in this settingRVU16C
2016-04-01$476.63Not available in this settingRVU16B
2016-01-01$476.63Not available in this settingRVU16A
2015-10-01$478.35Not available in this settingRVU15D
2015-07-01$478.35Not available in this settingRVU15C
2015-04-01$475.97Not available in this settingRVU15B
2015-01-01$475.97Not available in this settingRVU15A
2014-10-01$500.46Not available in this settingRVU14D
2014-07-01$500.46Not available in this settingRVU14C
2014-04-01$500.46Not available in this settingRVU14B
2014-01-01$500.46Not available in this settingRVU14A
2013-10-01$559.62Not available in this settingRVU13D
2013-07-01$559.62Not available in this settingRVU13C
2013-04-01$559.62Not available in this settingRVU13B
2013-01-01$559.62Not available in this settingRVU13AR

Price 72198 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

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72198 billing questions

How is this different from a routine pelvic MRI?

This code is for MR angiographic imaging of pelvic vessels, such as the iliac arteries. A routine pelvic MRI code is used when the study evaluates pelvic organs or soft tissues rather than vessels.

Can the before-contrast and after-contrast imaging be billed as separate studies?

No. The code represents one MR angiographic examination that includes imaging before and after contrast.

How should the professional and technical portions be reported?

Use modifier 26 for the radiologist’s interpretation and modifier TC for the equipment and staff portion. Without either modifier, the claim represents the global service.

Does the multiple procedure reduction affect only the technical portion?

No. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.

When would 72191 be used instead?

72191 describes pelvic CT angiography, while 72198 is MR angiography. Choose according to the imaging method documented and performed.

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 72198PPRRVU2026_Oct_nonQPP.csv, line 8,069 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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