CPT code 77048: Breast MRI, unilateral, with and without contrast2026 Medicare rate & RVUs in Connecticut

Reports MRI of one breast using images before and after contrast, including computer-aided detection when performed, for diagnostic breast evaluation.

CMS RVU26DEffective Oct 1, 2026One payment locality810 Medicare services in 2024

In Connecticut, Medicare pays $356.49 for 77048 in the office.

$356.49Office (non-facility)
Not available in this settingHospital or facility
+6.7%vs the national office rate ($334.01)

Check a contract rate as a % of Medicare · 77048 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 77048 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 77048 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 77048 covers

This service uses magnetic resonance imaging to evaluate one breast with images acquired before and after contrast administration. A radiologic technologist performs the scan, and a radiologist interprets the images. Common diagnostic situations include assessing the extent of a known breast cancer or investigating a concerning finding that needs further evaluation. Computer-aided detection is included when performed. For imaging both breasts with and without contrast, the bilateral code is used instead.

Report 77048 for one breast, not as a unilateral substitute when the documented examination covers both breasts. The order and imaging report should support the clinical reason for the MRI, the side examined, and the use of pre- and post-contrast imaging. The global service is reported without a component modifier; modifier 26 represents the interpretation, while modifier TC represents the equipment and staff. CMS applies the diagnostic imaging multiple-procedure reduction to both the professional and technical components when it applies.

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 Connecticut compares for 77048

Across 109 of 109 payment localities, the office rate for 77048 runs from $294.84 in Arkansas to $454.37 in San Benito County, CA. Connecticut pays $356.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

77048 in Connecticut vs other payment areas
  1. Connecticut · this page$356.49
  2. Los Angeles, CA · California$382.81+$26.32
  3. Washington, DC area · District of Columbia$384.65+$28.16
  4. Miami, FL · Florida$352.35−$4.14
  5. Chicago, IL · Illinois$342.28−$14.21
  6. Manhattan, NY · New York$383.53+$27.04
  7. Alaska · Alaska$382.93+$26.44

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

Every other payment area

77048 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$299.27—
ArkansasArkansas$294.84—
ArizonaArizona$325.21—
Bakersfield, CACalifornia$358.36—
Chico, CACalifornia$357.86—
El Centro, CACalifornia$357.88—
Fresno, CACalifornia$357.86—
Hanford, CACalifornia$357.86—

77048 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.

$294.84

$406.12

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

View every state and territory as a table
77048 office rate range by state
State / territoryOffice rate rangeLocalities
AK$382.931
AL$299.271
AR$294.841
AZ$325.211
CA$357.86–$454.3729
CO$350.411
CT$356.491
DC$384.651
DE$330.721
FL$325.07–$352.353
GA$306.83–$339.392
GU$367.591
HI$367.591
IA$308.841
ID$310.531
IL$314.16–$345.394
IN$312.421
KS$306.511
KY$304.661
LA$303.84–$319.322
MA$347.90–$386.812
MD$337.41–$384.653
ME$311.27–$329.822
MI$311.99–$328.332
MN$338.041
MO$297.93–$321.513
MS$296.491
MT$334.001
NC$314.751
ND$331.031
NE$310.831
NH$344.061
NJ$361.20–$380.352
NM$313.391
NV$333.431
NY$319.49–$391.925
OH$311.381
OK$305.021
OR$331.48–$362.742
PA$312.37–$346.892
PR$336.801
RI$343.371
SC$313.461
SD$330.681
TN$307.981
TX$310.21–$348.698
UT$317.871
VA$328.11–$384.652
VI$336.801
VT$328.931
WA$347.51–$395.662
WI$319.601
WV$302.041
WY$332.711

See 77048 in every payment locality

How the 77048 rate is calculated

Each of 77048’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 · 77048

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.05

2.05 RVUs× 1.000 GPCI

Practice expense7.80

7.80 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

10.0000

Conversion factor

$33.4009

Medicare rate

$334.01

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,955

Code
77048
Physician work
2.05
Practice expense
7.80
Malpractice
0.15

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 77048 in Connecticut
ComponentRVULocality factorAdjusted
Physician work2.05× 1.0202.0910
Practice expense7.80× 1.0778.4006
Malpractice0.15× 1.2100.1815
Total RVUs10.6731
Conversion factor× 33.4009

Office rate, Connecticut$356.49

Office: (2.05 × 1.02 + 7.8 × 1.077 + 0.15 × 1.21) × $33.4009 = $356.49

Open 77048 in the RVU calculator

Payment rules and modifiers for 77048

The CMS indicators that decide how 77048 is paid alongside other services.

CMS payment indicators · 77048

Breast MRI, unilateral, with and 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

77048 without 26 · national office

$334.01

Breast MRI, unilateral, with and without contrast

77048-26 · Professional component

$96.86

Pays only the interpretation and report.

When to use modifier 26

How 77048 has changed in Connecticut

77048 · Office / nonfacility

$356.49

Effective 2026-10-01

The base rate is $0.05 lower than on 2025-10-01, moving from $356.54 to $356.49 (0.0%).

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

    $356.54changed to$356.49

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.10 changed to 2.05
    • Practice expense RVU 7.97 changed to 7.80
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $371.96changed to$356.54

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.12 changed to 7.97
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $365.89changed to$371.96

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $388.32changed to$365.89

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.29 changed to 8.12
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207
  5. January 1, 2023

    RVU23A

    $403.07changed to$388.32

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.40 changed to 8.29
    • Malpractice RVU 0.12 changed to 0.15
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $425.07changed to$403.07

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.88 changed to 8.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $432.59changed to$425.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.72 changed to 8.88
    • Malpractice RVU 0.11 changed to 0.12
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $440.68changed to$432.59

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.91 changed to 8.72
    • Malpractice RVU 0.14 changed to 0.11
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$440.68

    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$356.49Not available in this settingRVU26D
2026-07-01$356.49Not available in this settingRVU26C
2026-04-01$356.49Not available in this settingRVU26B
2026-01-01$356.49Not available in this settingRVU26A
2025-10-01$356.54Not available in this settingRVU25D
2025-07-01$356.54Not available in this settingRVU25C
2025-04-01$356.54Not available in this settingRVU25B
2025-01-01$356.54Not available in this settingRVU25A
2024-10-01$371.96Not available in this settingRVU24D
2024-07-01$371.96Not available in this settingRVU24C
2024-04-01$371.96Not available in this settingRVU24B
2024-03-09$371.96Not available in this settingRVU24AR
2024-01-01$365.89Not available in this settingRVU24A
2023-10-01$388.32Not available in this settingRVU23D
2023-07-01$388.32Not available in this settingRVU23C
2023-04-01$388.32Not available in this settingRVU23B
2023-01-01$388.32Not available in this settingRVU23A
2022-10-01$403.07Not available in this settingRVU22D
2022-07-01$403.07Not available in this settingRVU22C
2022-04-01$403.07Not available in this settingRVU22B
2022-01-01$403.07Not available in this settingRVU22A
2021-10-01$425.07Not available in this settingRVU21D
2021-07-01$425.07Not available in this settingRVU21C
2021-04-01$425.07Not available in this settingRVU21B
2021-01-01$425.07Not available in this settingRVU21A
2020-10-01$432.59Not available in this settingRVU20D
2020-07-01$432.59Not available in this settingRVU20C
2020-04-01$432.59Not available in this settingRVU20B
2020-01-01$432.59Not available in this settingRVU20A
2019-10-01$440.68Not available in this settingRVU19D
2019-07-01$440.68Not available in this settingRVU19C
2019-04-01$440.68Not available in this settingRVU19B
2019-01-01$440.68Not 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 77048 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

77048 billing questions

When should 77048 be chosen instead of 77049?

Use 77048 when the MRI covers one breast with and without contrast. Use 77049 when the documented examination covers both breasts with and without contrast.

How does 77048 differ from 77046?

Both are unilateral breast MRI codes, but 77048 describes imaging with and without contrast; 77046 is for imaging without contrast.

Is CAD separately reported with 77048?

No. Computer-aided detection is included in 77048 when performed.

How are the professional and technical services billed?

Report modifier 26 for the professional interpretation or modifier TC for the technical service. Without either modifier, the claim represents the global service.

Does a multiple-procedure reduction affect 77048?

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

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 77048PPRRVU2026_Oct_nonQPP.csv, line 8,955 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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