CPT code 77046: Breast MRI, unilateral, without contrast2026 Medicare rate & RVUs in Colorado

Reports a noncontrast MRI examination of one breast, commonly used to assess breast implant integrity or another indication evaluated without contrast.

CMS RVU26DEffective Oct 1, 2026One payment locality288 Medicare services in 2024

In Colorado, Medicare pays $223.44 for 77046 in the office.

$223.44Office (non-facility)
Not available in this settingHospital or facility
+4.9%vs the national office rate ($213.10)

Check a contract rate as a % of Medicare · 77046 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 77046 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 77046 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 77046 covers

This code covers MRI imaging of one breast performed without contrast. A common use is evaluating a breast implant for possible rupture or other integrity concerns. A technologist typically acquires the images in an outpatient imaging center or hospital, and a radiologist interprets them. The code is specific to a unilateral, noncontrast examination; it does not describe a contrast-enhanced breast MRI protocol.

Select the code when the documented examination covers one breast and uses no contrast. The order, imaging record, laterality, protocol, and radiologist’s report should support those details and the clinical indication. CMS recognizes separate professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service. The diagnostic imaging multiple procedure reduction applies 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 Colorado compares for 77046

Across 109 of 109 payment localities, the office rate for 77046 runs from $188.66 in Arkansas to $288.93 in San Benito County, CA. Colorado pays $223.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

77046 in Colorado vs other payment areas
  1. Colorado · this page$223.44
  2. Los Angeles, CA · California$243.85+$20.41
  3. Washington, DC area · District of Columbia$244.99+$21.55
  4. Miami, FL · Florida$224.38+$0.94
  5. Chicago, IL · Illinois$218.14−$5.30
  6. Manhattan, NY · New York$244.28+$20.84
  7. Alaska · Alaska$245.89+$22.45

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

Every other payment area

77046 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$191.42—
ArkansasArkansas$188.66—
ArizonaArizona$207.61—
Bakersfield, CACalifornia$228.46—
Chico, CACalifornia$228.15—
El Centro, CACalifornia$228.17—
Fresno, CACalifornia$228.15—
Hanford, CACalifornia$228.15—

77046 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.

$188.66

$258.54

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

View every state and territory as a table
77046 office rate range by state
State / territoryOffice rate rangeLocalities
AK$245.891
AL$191.421
AR$188.661
AZ$207.611
CA$228.15–$288.9329
CO$223.441
CT$227.221
DC$244.991
DE$211.071
FL$207.44–$224.383
GA$196.07–$216.452
GU$234.161
HI$234.161
IA$197.431
ID$198.471
IL$200.61–$220.154
IN$199.651
KS$195.961
KY$194.751
LA$194.23–$203.892
MA$221.88–$246.322
MD$215.28–$244.993
ME$198.92–$210.522
MI$199.30–$209.462
MN$215.711
MO$190.53–$205.283
MS$189.661
MT$213.091
NC$201.091
ND$211.311
NE$198.681
NH$219.401
NJ$230.27–$242.352
NM$200.171
NV$212.761
NY$204.06–$249.495
OH$198.941
OK$194.991
OR$211.55–$231.172
PA$199.57–$221.212
PR$214.851
RI$219.051
SC$200.261
SD$211.101
TN$196.871
TX$198.21–$222.308
UT$203.011
VA$209.44–$244.992
VI$214.851
VT$209.981
WA$221.63–$251.902
WI$204.171
WV$193.041
WY$212.321

See 77046 in every payment locality

How the 77046 rate is calculated

Each of 77046’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 · 77046

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.41

1.41 RVUs× 1.000 GPCI

Practice expense4.88

4.88 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

6.3800

Conversion factor

$33.4009

Medicare rate

$213.10

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

The exact Colorado inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,949

Code
77046
Physician work
1.41
Practice expense
4.88
Malpractice
0.09

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Office calculation for 77046 in Colorado
ComponentRVULocality factorAdjusted
Physician work1.41× 1.0121.4269
Practice expense4.88× 1.0645.1923
Malpractice0.09× 0.7810.0703
Total RVUs6.6895
Conversion factor× 33.4009

Office rate, Colorado$223.44

Office: (1.41 × 1.012 + 4.88 × 1.064 + 0.09 × 0.781) × $33.4009 = $223.44

Open 77046 in the RVU calculator

Payment rules and modifiers for 77046

The CMS indicators that decide how 77046 is paid alongside other services.

CMS payment indicators · 77046

Breast MRI, unilateral, without 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

77046 without 26 · national office

$213.10

Breast MRI, unilateral, without contrast

77046-26 · Professional component

$66.13

Pays only the interpretation and report.

When to use modifier 26

How 77046 has changed in Colorado

77046 · Office / nonfacility

$223.44

Effective 2026-10-01

The base rate is $6.44 higher than on 2025-10-01, moving from $217.00 to $223.44 (3.0%).

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

    $217.00changed to$223.44

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.45 changed to 1.41
    • Practice expense RVU 4.92 changed to 4.88
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.008 changed to 1.012
    • Practice expense GPCI 1.053 changed to 1.064
    • Malpractice GPCI 0.827 changed to 0.781

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $227.09changed to$217.00

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.02 changed to 4.92
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $223.38changed to$227.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $232.92changed to$223.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.09 changed to 5.02
    • Work GPCI 1.005 changed to 1.008
    • Practice expense GPCI 1.050 changed to 1.053
    • Malpractice GPCI 0.797 changed to 0.827
  5. January 1, 2023

    RVU23A

    $239.84changed to$232.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.16 changed to 5.09
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.047 changed to 1.050
    • Malpractice GPCI 0.767 changed to 0.797

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $251.53changed to$239.84

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.44 changed to 5.16
    • Malpractice RVU 0.08 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $255.09changed to$251.53

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.36 changed to 5.44
    • Malpractice RVU 0.09 changed to 0.08
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.033 changed to 1.047
    • Malpractice GPCI 0.905 changed to 0.767

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $256.69changed to$255.09

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.48 changed to 5.36
    • Practice expense GPCI 1.018 changed to 1.033
    • Malpractice GPCI 1.042 changed to 0.905

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$256.69

    Held through RVU19B, RVU19C, RVU19D.

  10. 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, RVU18AR1, RVU18B, RVU18C, RVU18D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$223.44Not available in this settingRVU26D
2026-07-01$223.44Not available in this settingRVU26C
2026-04-01$223.44Not available in this settingRVU26B
2026-01-01$223.44Not available in this settingRVU26A
2025-10-01$217.00Not available in this settingRVU25D
2025-07-01$217.00Not available in this settingRVU25C
2025-04-01$217.00Not available in this settingRVU25B
2025-01-01$217.00Not available in this settingRVU25A
2024-10-01$227.09Not available in this settingRVU24D
2024-07-01$227.09Not available in this settingRVU24C
2024-04-01$227.09Not available in this settingRVU24B
2024-03-09$227.09Not available in this settingRVU24AR
2024-01-01$223.38Not available in this settingRVU24A
2023-10-01$232.92Not available in this settingRVU23D
2023-07-01$232.92Not available in this settingRVU23C
2023-04-01$232.92Not available in this settingRVU23B
2023-01-01$232.92Not available in this settingRVU23A
2022-10-01$239.84Not available in this settingRVU22D
2022-07-01$239.84Not available in this settingRVU22C
2022-04-01$239.84Not available in this settingRVU22B
2022-01-01$239.84Not available in this settingRVU22A
2021-10-01$251.53Not available in this settingRVU21D
2021-07-01$251.53Not available in this settingRVU21C
2021-04-01$251.53Not available in this settingRVU21B
2021-01-01$251.53Not available in this settingRVU21A
2020-10-01$255.09Not available in this settingRVU20D
2020-07-01$255.09Not available in this settingRVU20C
2020-04-01$255.09Not available in this settingRVU20B
2020-01-01$255.09Not available in this settingRVU20A
2019-10-01$256.69Not available in this settingRVU19D
2019-07-01$256.69Not available in this settingRVU19C
2019-04-01$256.69Not available in this settingRVU19B
2019-01-01$256.69Not available in this settingRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
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 77046 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

  • Acres Green
  • Aetna Estates
  • Aguilar
  • Air Force Academy
  • Akron
  • Alamosa
  • Alamosa East
  • Allenspark

Browse all communities in Colorado

77046 billing questions

When should 77046 be used instead of 77047?

Use 77046 for a noncontrast MRI of one breast. Use 77047 when the noncontrast examination covers both breasts.

How does 77046 differ from 77048?

77046 is unilateral and performed without contrast. 77048 is unilateral and uses a without-and-with-contrast protocol, including CAD when performed.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; without either modifier, the claim represents the global service.

Does a multiple imaging reduction affect 77046?

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

What documentation supports reporting 77046?

The record should establish the clinical indication, the breast examined, the noncontrast protocol, the imaging performed, and the radiologist’s interpretation.

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 77046PPRRVU2026_Oct_nonQPP.csv, line 8,949 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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