CPT code 77047: Breast MRI, bilateral, without contrast2026 Medicare rate & RVUs in Minnesota

Reports bilateral breast MRI performed without contrast, commonly for evaluating breast implant integrity or suspected implant rupture.

CMS RVU26DEffective Oct 1, 2026One payment locality3.6K Medicare services in 2024

In Minnesota, Medicare pays $218.76 for 77047 in the office.

$218.76Office (non-facility)
Not available in this settingHospital or facility
+1.1%vs the national office rate ($216.44)

Check a contract rate as a % of Medicare · 77047 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 77047 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 77047 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 77047 covers

This service is an MRI examination of both breasts performed without contrast material. A common use is assessment of breast implants when there is concern for rupture or another implant complication. The study is performed in an MRI department or imaging center, with a radiologist interpreting the images. It is distinct from contrast-enhanced breast MRI used for other diagnostic questions.

Report 77047 when both breasts are imaged without contrast; the documented protocol should support the lack of contrast and bilateral extent. The service may be billed globally, or its professional interpretation and technical performance may be billed separately with modifier 26 or TC. When multiple diagnostic imaging procedures are performed, the multiple-procedure reduction applies to both the professional and technical components. The code is priced for bilateral imaging, so modifier 50 does not increase payment.

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 Minnesota compares for 77047

Across 109 of 109 payment localities, the office rate for 77047 runs from $192.12 in Arkansas to $291.78 in San Benito County, CA. Minnesota pays $218.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

77047 in Minnesota vs other payment areas
  1. Minnesota · this page$218.76
  2. Los Angeles, CA · California$246.91+$28.15
  3. Washington, DC area · District of Columbia$248.29+$29.53
  4. Miami, FL · Florida$228.15+$9.39
  5. Chicago, IL · Illinois$221.93+$3.17
  6. Manhattan, NY · New York$247.81+$29.05
  7. Alaska · Alaska$251.46+$32.70

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

Every other payment area

77047 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$194.86—
ArkansasArkansas$192.12—
ArizonaArizona$210.97—
Bakersfield, CACalifornia$231.58—
Chico, CACalifornia$231.23—
El Centro, CACalifornia$231.25—
Fresno, CACalifornia$231.23—
Hanford, CACalifornia$231.23—

77047 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.

$192.12

$261.51

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

View every state and territory as a table
77047 office rate range by state
State / territoryOffice rate rangeLocalities
AK$251.461
AL$194.861
AR$192.121
AZ$210.971
CA$231.23–$291.7829
CO$226.641
CT$230.581
DC$248.291
DE$214.431
FL$211.03–$228.153
GA$199.69–$219.842
GU$237.091
HI$237.091
IA$200.741
ID$201.801
IL$204.31–$223.734
IN$202.971
KS$199.331
KY$198.281
LA$197.78–$207.392
MA$225.13–$249.442
MD$218.62–$248.293
ME$202.30–$213.762
MI$202.86–$213.092
MN$218.761
MO$194.13–$208.723
MS$193.191
MT$216.431
NC$204.451
ND$214.451
NE$201.961
NH$222.621
NJ$233.66–$245.712
NM$203.751
NV$216.041
NY$207.40–$253.065
OH$202.461
OK$198.471
OR$214.80–$234.292
PA$203.05–$224.622
PR$218.161
RI$222.381
SC$203.701
SD$214.221
TN$200.241
TX$201.71–$225.508
UT$206.441
VA$212.72–$248.292
VI$218.161
VT$213.181
WA$224.85–$254.982
WI$207.361
WV$196.791
WY$215.571

See 77047 in every payment locality

How the 77047 rate is calculated

Each of 77047’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 · 77047

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.56

1.56 RVUs× 1.000 GPCI

Practice expense4.82

4.82 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

6.4800

Conversion factor

$33.4009

Medicare rate

$216.44

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,952

Code
77047
Physician work
1.56
Practice expense
4.82
Malpractice
0.10

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 77047 in Minnesota
ComponentRVULocality factorAdjusted
Physician work1.56× 1.0001.5600
Practice expense4.82× 1.0294.9598
Malpractice0.10× 0.2960.0296
Total RVUs6.5494
Conversion factor× 33.4009

Office rate, Minnesota$218.76

Office: (1.56 × 1 + 4.82 × 1.029 + 0.1 × 0.296) × $33.4009 = $218.76

Open 77047 in the RVU calculator

Payment rules and modifiers for 77047

The CMS indicators that decide how 77047 is paid alongside other services.

CMS payment indicators · 77047

Breast MRI, bilateral, 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)2Already bilateral by definition: paid once at 100%.
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

77047 without 26 · national office

$216.44

Breast MRI, bilateral, without contrast

77047-26 · Professional component

$73.15

Pays only the interpretation and report.

When to use modifier 26

How 77047 has changed in Minnesota

77047 · Office / nonfacility

$218.76

Effective 2026-10-01

The base rate is $1.68 higher than on 2025-10-01, moving from $217.08 to $218.76 (0.8%).

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

    $217.08changed to$218.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.60 changed to 1.56
    • Practice expense RVU 4.96 changed to 4.82
    • Malpractice RVU 0.09 changed to 0.10
    • Practice expense GPCI 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $226.56changed to$217.08

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.05 changed to 4.96
    • Malpractice RVU 0.10 changed to 0.09

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $222.87changed to$226.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $233.85changed to$222.87

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.17 changed to 5.05
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300
  5. January 1, 2023

    RVU23A

    $238.53changed to$233.85

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.19 changed to 5.17
    • Practice expense GPCI 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $250.51changed to$238.53

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.48 changed to 5.19
    • Malpractice RVU 0.08 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $255.76changed to$250.51

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.39 changed to 5.48
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 1.012 changed to 1.013
    • Malpractice GPCI 0.357 changed to 0.353

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $259.73changed to$255.76

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.51 changed to 5.39
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 1.011 changed to 1.012
    • Malpractice GPCI 0.362 changed to 0.357

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$259.73

    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$218.76Not available in this settingRVU26D
2026-07-01$218.76Not available in this settingRVU26C
2026-04-01$218.76Not available in this settingRVU26B
2026-01-01$218.76Not available in this settingRVU26A
2025-10-01$217.08Not available in this settingRVU25D
2025-07-01$217.08Not available in this settingRVU25C
2025-04-01$217.08Not available in this settingRVU25B
2025-01-01$217.08Not available in this settingRVU25A
2024-10-01$226.56Not available in this settingRVU24D
2024-07-01$226.56Not available in this settingRVU24C
2024-04-01$226.56Not available in this settingRVU24B
2024-03-09$226.56Not available in this settingRVU24AR
2024-01-01$222.87Not available in this settingRVU24A
2023-10-01$233.85Not available in this settingRVU23D
2023-07-01$233.85Not available in this settingRVU23C
2023-04-01$233.85Not available in this settingRVU23B
2023-01-01$233.85Not available in this settingRVU23A
2022-10-01$238.53Not available in this settingRVU22D
2022-07-01$238.53Not available in this settingRVU22C
2022-04-01$238.53Not available in this settingRVU22B
2022-01-01$238.53Not available in this settingRVU22A
2021-10-01$250.51Not available in this settingRVU21D
2021-07-01$250.51Not available in this settingRVU21C
2021-04-01$250.51Not available in this settingRVU21B
2021-01-01$250.51Not available in this settingRVU21A
2020-10-01$255.76Not available in this settingRVU20D
2020-07-01$255.76Not available in this settingRVU20C
2020-04-01$255.76Not available in this settingRVU20B
2020-01-01$255.76Not available in this settingRVU20A
2019-10-01$259.73Not available in this settingRVU19D
2019-07-01$259.73Not available in this settingRVU19C
2019-04-01$259.73Not available in this settingRVU19B
2019-01-01$259.73Not 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 77047 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

77047 billing questions

How is 77047 distinguished from 77049?

77047 is for bilateral breast MRI without contrast. Use 77049 for bilateral MRI performed without and with contrast, including CAD.

When should 77046 be reported instead?

77046 describes breast MRI without contrast for one breast. Report 77047 when the examination covers both breasts.

Should modifier 50 be added for the bilateral study?

No. 77047 is already priced as a bilateral service, and modifier 50 does not increase payment.

Can the interpretation and imaging service 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.

What documentation supports reporting 77047?

Document the clinical reason for the examination, that both breasts were imaged, and that the MRI was performed without contrast. For implant evaluation, record the concern being assessed, such as suspected rupture.

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 77047PPRRVU2026_Oct_nonQPP.csv, line 8,952 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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