CPT code 77047: Breast MRI, bilateral, without contrast2026 Medicare rate & RVUs in North Carolina
Reports bilateral breast MRI performed without contrast, commonly for evaluating breast implant integrity or suspected implant rupture.
In North Carolina, Medicare pays $204.45 for 77047 in the office.
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.
On this page 11 sections
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 North Carolina 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. North Carolina pays $204.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$204.45
- Los Angeles, CA · California$246.91+$42.46
- Washington, DC area · District of Columbia$248.29+$43.84
- Miami, FL · Florida$228.15+$23.70
- Chicago, IL · Illinois$221.93+$17.48
- Manhattan, NY · New York$247.81+$43.36
- Alaska · Alaska$251.46+$47.01
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $231.23 | — |
| Merced, CACalifornia | $231.23 | — |
| Modesto, CACalifornia | $231.23 | — |
| Napa, CACalifornia | $269.27 | — |
| Oxnard, CACalifornia | $245.94 | — |
| Redding, CACalifornia | $231.23 | — |
| Rest of CaliforniaCalifornia | $231.23 | — |
| Riverside, CACalifornia | $232.34 | — |
| Sacramento, CACalifornia | $243.01 | — |
| Salinas, CACalifornia | $242.10 | — |
| San Diego, CACalifornia | $248.03 | — |
| Marin County, CACalifornia | $285.59 | — |
| San Francisco, CACalifornia | $285.47 | — |
| San Benito County, CACalifornia | $291.78 | — |
| Santa Clara County, CACalifornia | $291.31 | — |
| San Luis Obispo, CACalifornia | $238.15 | — |
| Santa Cruz, CACalifornia | $250.60 | — |
| Santa Maria, CACalifornia | $243.07 | — |
| Santa Rosa, CACalifornia | $253.16 | — |
| Stockton, CACalifornia | $231.23 | — |
| Vallejo, CACalifornia | $269.11 | — |
| Visalia, CACalifornia | $231.23 | — |
| Yuba City, CACalifornia | $231.23 | — |
| ColoradoColorado | $226.64 | — |
| ConnecticutConnecticut | $230.58 | — |
| DelawareDelaware | $214.43 | — |
| Fort Lauderdale, FLFlorida | $221.23 | — |
| Rest of FloridaFlorida | $211.03 | — |
| Atlanta, GAGeorgia | $219.84 | — |
| Rest of GeorgiaGeorgia | $199.69 | — |
| Hawaii, Guam, HIHawaii | $237.09 | — |
| IowaIowa | $200.74 | — |
| IdahoIdaho | $201.80 | — |
| East St. Louis, ILIllinois | $206.95 | — |
| Rest of IllinoisIllinois | $204.31 | — |
| Suburban Chicago, ILIllinois | $223.73 | — |
| IndianaIndiana | $202.97 | — |
| KansasKansas | $199.33 | — |
| KentuckyKentucky | $198.28 | — |
| New Orleans, LALouisiana | $207.39 | — |
| Rest of LouisianaLouisiana | $197.78 | — |
| Metropolitan Boston, MAMassachusetts | $249.44 | — |
| Rest of MassachusettsMassachusetts | $225.13 | — |
| Baltimore area, MDMaryland | $229.82 | — |
| Rest of MarylandMaryland | $218.62 | — |
| Rest of MaineMaine | $202.30 | — |
| Southern Maine, MEMaine | $213.76 | — |
| Detroit, MIMichigan | $213.09 | — |
| Rest of MichiganMichigan | $202.86 | — |
| MinnesotaMinnesota | $218.76 | — |
| Metropolitan Kansas City, MOMissouri | $206.54 | — |
| Metropolitan St. Louis, MOMissouri | $208.72 | — |
| Rest of MissouriMissouri | $194.13 | — |
| MississippiMississippi | $193.19 | — |
| MontanaMontana | $216.43 | — |
| North DakotaNorth Dakota | $214.45 | — |
| NebraskaNebraska | $201.96 | — |
| New HampshireNew Hampshire | $222.62 | — |
| Northern New JerseyNew Jersey | $245.71 | — |
| Rest of New JerseyNew Jersey | $233.66 | — |
| New MexicoNew Mexico | $203.75 | — |
| NevadaNevada | $216.04 | — |
| NYC suburbs and Long Island, NYNew York | $253.06 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $234.78 | — |
| Queens, NYNew York | $250.55 | — |
| Rest of New YorkNew York | $207.40 | — |
| OhioOhio | $202.46 | — |
| OklahomaOklahoma | $198.47 | — |
| Portland, OROregon | $234.29 | — |
| Rest of OregonOregon | $214.80 | — |
| Metropolitan Philadelphia, PAPennsylvania | $224.62 | — |
| Rest of PennsylvaniaPennsylvania | $203.05 | — |
| Puerto RicoPuerto Rico | $218.16 | — |
| Rhode IslandRhode Island | $222.38 | — |
| South CarolinaSouth Carolina | $203.70 | — |
| South DakotaSouth Dakota | $214.22 | — |
| TennesseeTennessee | $200.24 | — |
| Austin, TXTexas | $225.50 | — |
| Beaumont, TXTexas | $201.71 | — |
| Brazoria, TXTexas | $214.67 | — |
| Dallas, TXTexas | $215.79 | — |
| Fort Worth, TXTexas | $214.22 | — |
| Galveston, TXTexas | $215.15 | — |
| Houston, TXTexas | $216.98 | — |
| Rest of TexasTexas | $207.90 | — |
| UtahUtah | $206.44 | — |
| VirginiaVirginia | $212.72 | — |
| Virgin Islands, VIUnited States Virgin Islands | $218.16 | — |
| VermontVermont | $213.18 | — |
| Rest of WashingtonWashington | $224.85 | — |
| King County, WAWashington | $254.98 | — |
| WisconsinWisconsin | $207.36 | — |
| West VirginiaWest Virginia | $196.79 | — |
| WyomingWyoming | $215.57 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $251.46 | 1 |
| AL | $194.86 | 1 |
| AR | $192.12 | 1 |
| AZ | $210.97 | 1 |
| CA | $231.23–$291.78 | 29 |
| CO | $226.64 | 1 |
| CT | $230.58 | 1 |
| DC | $248.29 | 1 |
| DE | $214.43 | 1 |
| FL | $211.03–$228.15 | 3 |
| GA | $199.69–$219.84 | 2 |
| GU | $237.09 | 1 |
| HI | $237.09 | 1 |
| IA | $200.74 | 1 |
| ID | $201.80 | 1 |
| IL | $204.31–$223.73 | 4 |
| IN | $202.97 | 1 |
| KS | $199.33 | 1 |
| KY | $198.28 | 1 |
| LA | $197.78–$207.39 | 2 |
| MA | $225.13–$249.44 | 2 |
| MD | $218.62–$248.29 | 3 |
| ME | $202.30–$213.76 | 2 |
| MI | $202.86–$213.09 | 2 |
| MN | $218.76 | 1 |
| MO | $194.13–$208.72 | 3 |
| MS | $193.19 | 1 |
| MT | $216.43 | 1 |
| NC | $204.45 | 1 |
| ND | $214.45 | 1 |
| NE | $201.96 | 1 |
| NH | $222.62 | 1 |
| NJ | $233.66–$245.71 | 2 |
| NM | $203.75 | 1 |
| NV | $216.04 | 1 |
| NY | $207.40–$253.06 | 5 |
| OH | $202.46 | 1 |
| OK | $198.47 | 1 |
| OR | $214.80–$234.29 | 2 |
| PA | $203.05–$224.62 | 2 |
| PR | $218.16 | 1 |
| RI | $222.38 | 1 |
| SC | $203.70 | 1 |
| SD | $214.22 | 1 |
| TN | $200.24 | 1 |
| TX | $201.71–$225.50 | 8 |
| UT | $206.44 | 1 |
| VA | $212.72–$248.29 | 2 |
| VI | $218.16 | 1 |
| VT | $213.18 | 1 |
| WA | $224.85–$254.98 | 2 |
| WI | $207.36 | 1 |
| WV | $196.79 | 1 |
| WY | $215.57 | 1 |
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
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 North Carolina 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
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.56 | × 1.000 | 1.5600 |
| Practice expense | 4.82 | × 0.933 | 4.4971 |
| Malpractice | 0.10 | × 0.639 | 0.0639 |
| Total RVUs | 6.1210 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$204.45
Office: (1.56 × 1 + 4.82 × 0.933 + 0.1 × 0.639) × $33.4009 = $204.45
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
How 77047 has changed in North Carolina
77047 · Office / nonfacility
$204.45
Effective 2026-10-01
The base rate is $2.19 higher than on 2025-10-01, moving from $202.26 to $204.45 (1.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$202.26changed to$204.45
- 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 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$211.14changed to$202.26
- 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.
March 9, 2024
RVU24AR
$207.69changed to$211.14
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$219.14changed to$207.69
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.17 changed to 5.05
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$224.88changed to$219.14
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.19 changed to 5.17
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$235.56changed to$224.88
- 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.
January 1, 2021
RVU21A
$241.11changed to$235.56
- 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 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$245.04changed to$241.11
- 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 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$245.04
Held through RVU19B, RVU19C, RVU19D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $204.45 | Not available in this setting | RVU26D |
| 2026-07-01 | $204.45 | Not available in this setting | RVU26C |
| 2026-04-01 | $204.45 | Not available in this setting | RVU26B |
| 2026-01-01 | $204.45 | Not available in this setting | RVU26A |
| 2025-10-01 | $202.26 | Not available in this setting | RVU25D |
| 2025-07-01 | $202.26 | Not available in this setting | RVU25C |
| 2025-04-01 | $202.26 | Not available in this setting | RVU25B |
| 2025-01-01 | $202.26 | Not available in this setting | RVU25A |
| 2024-10-01 | $211.14 | Not available in this setting | RVU24D |
| 2024-07-01 | $211.14 | Not available in this setting | RVU24C |
| 2024-04-01 | $211.14 | Not available in this setting | RVU24B |
| 2024-03-09 | $211.14 | Not available in this setting | RVU24AR |
| 2024-01-01 | $207.69 | Not available in this setting | RVU24A |
| 2023-10-01 | $219.14 | Not available in this setting | RVU23D |
| 2023-07-01 | $219.14 | Not available in this setting | RVU23C |
| 2023-04-01 | $219.14 | Not available in this setting | RVU23B |
| 2023-01-01 | $219.14 | Not available in this setting | RVU23A |
| 2022-10-01 | $224.88 | Not available in this setting | RVU22D |
| 2022-07-01 | $224.88 | Not available in this setting | RVU22C |
| 2022-04-01 | $224.88 | Not available in this setting | RVU22B |
| 2022-01-01 | $224.88 | Not available in this setting | RVU22A |
| 2021-10-01 | $235.56 | Not available in this setting | RVU21D |
| 2021-07-01 | $235.56 | Not available in this setting | RVU21C |
| 2021-04-01 | $235.56 | Not available in this setting | RVU21B |
| 2021-01-01 | $235.56 | Not available in this setting | RVU21A |
| 2020-10-01 | $241.11 | Not available in this setting | RVU20D |
| 2020-07-01 | $241.11 | Not available in this setting | RVU20C |
| 2020-04-01 | $241.11 | Not available in this setting | RVU20B |
| 2020-01-01 | $241.11 | Not available in this setting | RVU20A |
| 2019-10-01 | $245.04 | Not available in this setting | RVU19D |
| 2019-07-01 | $245.04 | Not available in this setting | RVU19C |
| 2019-04-01 | $245.04 | Not available in this setting | RVU19B |
| 2019-01-01 | $245.04 | Not available in this setting | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
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
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