CPT code 77049: Breast MRI, bilateral, without and with contrast2026 Medicare rate & RVUs in Nebraska

In Nebraska, Medicare pays $316.38 for 77049 in the office.

Check a contract rate as a % of Medicare · 77049 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 77049 covers

This service images both breasts using MRI before and after contrast, with computer-aided detection included in the reported service. Radiologists interpret the images in hospital imaging departments and outpatient imaging centers. Common clinical situations include screening patients at elevated breast cancer risk and assessing known breast cancer, such as its extent or response to treatment.

Select this code when the study covers both breasts and includes imaging before and after contrast; the record should support the indication, bilateral examination, contrast protocol, and interpretation. CAD is included rather than reported as a separate service under this code. The code represents bilateral imaging, so modifier 50 does not increase payment. A radiologist may report the professional component with modifier 26, the facility may report the technical component with modifier TC, or one entity may bill the global service without either modifier. When multiple diagnostic imaging procedures are furnished, the CMS 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 Nebraska compares for 77049

Across 109 of 109 payment localities, the office rate for 77049 runs from $300.50 in Arkansas to $460.15 in San Benito County, CA. Nebraska pays $316.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

77049 rates by state

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

See 77049 in every payment locality

How the 77049 rate is calculated

Each of 77049’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.

Payment rules and modifiers for 77049

The CMS indicators that decide how 77049 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 77049

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

How 77049 has changed in Nebraska

Price 77049 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

• Abie
• Adams
• Agnew
• Ainsworth
• Albion
• Alda
• Alexandria
• Allen

Browse all communities in Nebraska

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

Open CMS sourceHow we calculate rates