$118.05–$177.45
71250 is for chest CT without contrast. Choose 71270 when the examination includes both unenhanced and contrast-enhanced imaging.
On this page
CMS RVU26D · Effective 2026-10-01
71270 Chest CT Medicare reimbursement rates
Reports a diagnostic chest CT with images obtained before and after contrast when the clinical question requires both phases in one examination. Compare 71270 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 71270?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$172.84–$265.99
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $93.15 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 71270 pays more and less
109 payment localities
$172.84 to $265.99
Diagnostic imaging
About 71270: Chest CT without and with contrast
Reports a diagnostic chest CT with images obtained before and after contrast when the clinical question requires both phases in one examination.
This service is a diagnostic CT examination of the chest that includes an unenhanced image acquisition followed by imaging after contrast administration. Radiologists commonly interpret it for evaluation of thoracic abnormalities such as a mass or other finding that needs assessment across both phases. It is performed in hospital imaging departments and outpatient radiology centers, with technologists operating the scanner and a qualified practitioner interpreting the images.
Report 71270 when the ordered and performed examination includes both the unenhanced and contrast-enhanced phases; do not separately report 71250 and 71260 for those phases of the same examination. The order and report should support the diagnostic indication and the use of both phases. The global service includes the interpretation and the technical work; modifier 26 identifies the professional interpretation, while modifier TC identifies the equipment and staff portion. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components when applicable.
CMS billing rules for 71270
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU1.22 · 21%
- Practice expense (office) RVU4.55 · 78%
- Malpractice RVU0.09 · 2%
60K
Medicare services in 2024 · #713 by national volume
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.
71270 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$147.46–$225.08
71260 is for chest CT with contrast only. Choose 71270 when unenhanced images are also obtained as part of the same diagnostic examination.
$121.09–$182.45
71271 is for low-dose lung cancer screening. Use 71270 for a diagnostic chest CT with both unenhanced and contrast-enhanced phases.
71275
No office rateCt angiography chest
71275 describes chest CT angiography. Use 71270 for the combined-phase diagnostic chest CT protocol rather than an angiographic study.
See how rates vary across the country
71270 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$172.84
$237.81
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $224.63 | 1 |
| AL | $175.43 | 1 |
| AR | $172.84 | 1 |
| AZ | $190.59 | 1 |
| CA | $209.62–$265.99 | 29 |
| CO | $205.29 | 1 |
| CT | $208.88 | 1 |
| DC | $225.32 | 1 |
| DE | $193.81 | 1 |
| FL | $190.55–$206.56 | 3 |
| GA | $179.89–$198.89 | 2 |
| GU | $215.28 | 1 |
| HI | $215.28 | 1 |
| IA | $181.00 | 1 |
| ID | $181.99 | 1 |
| IL | $184.20–$202.44 | 4 |
| IN | $183.09 | 1 |
| KS | $179.65 | 1 |
| KY | $178.60 | 1 |
| LA | $178.13–$187.17 | 2 |
| MA | $203.83–$226.55 | 2 |
| MD | $197.71–$225.32 | 3 |
| ME | $182.44–$193.25 | 2 |
| MI | $182.90–$192.47 | 2 |
| MN | $198.02 | 1 |
| MO | $174.68–$188.44 | 3 |
| MS | $173.82 | 1 |
| MT | $195.72 | 1 |
| NC | $184.46 | 1 |
| ND | $193.94 | 1 |
| NE | $182.16 | 1 |
| NH | $201.58 | 1 |
| NJ | $211.63–$222.82 | 2 |
| NM | $183.72 | 1 |
| NV | $195.38 | 1 |
| NY | $187.24–$229.64 | 5 |
| OH | $182.53 | 1 |
| OK | $178.80 | 1 |
| OR | $194.23–$212.48 | 2 |
| PA | $183.10–$203.27 | 2 |
| PR | $197.36 | 1 |
| RI | $201.19 | 1 |
| SC | $183.73 | 1 |
| SD | $193.73 | 1 |
| TN | $180.51 | 1 |
| TX | $181.84–$204.28 | 8 |
| UT | $186.30 | 1 |
| VA | $192.26–$225.32 | 2 |
| VI | $197.36 | 1 |
| VT | $192.72 | 1 |
| WA | $203.60–$231.71 | 2 |
| WI | $187.27 | 1 |
| WV | $177.12 | 1 |
| WY | $194.95 | 1 |
Compare 71270 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $175.43 | Facility Unavailable |
| Alaska* | Office $224.63 | Facility Unavailable |
| Arizona | Office $190.59 | Facility Unavailable |
| Arkansas | Office $172.84 | Facility Unavailable |
| Atlanta | Office $198.89 | Facility Unavailable |
| Austin | Office $204.28 | Facility Unavailable |
| Bakersfield | Office $209.92 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $208.19 | Facility Unavailable |
| Beaumont | Office $181.84 | Facility Unavailable |
| Brazoria | Office $194.03 | Facility Unavailable |
| Chicago | Office $200.67 | Facility Unavailable |
| Chico | Office $209.62 | Facility Unavailable |
| Colorado | Office $205.29 | Facility Unavailable |
| Connecticut | Office $208.88 | Facility Unavailable |
| Dallas | Office $195.06 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $225.32 | Facility Unavailable |
| Delaware | Office $193.81 | Facility Unavailable |
| Detroit | Office $192.47 | Facility Unavailable |
| East St. Louis | Office $186.62 | Facility Unavailable |
| El Centro | Office $209.63 | Facility Unavailable |
| Fort Lauderdale | Office $200.13 | Facility Unavailable |
| Fort Worth | Office $193.58 | Facility Unavailable |
| Fresno | Office $209.62 | Facility Unavailable |
| Galveston | Office $194.47 | Facility Unavailable |
| Hanford-Corcoran | Office $209.62 | Facility Unavailable |
| Hawaii, Guam | Office $215.28 | Facility Unavailable |
| Houston | Office $196.12 | Facility Unavailable |
| Idaho | Office $181.99 | Facility Unavailable |
| Indiana | Office $183.09 | Facility Unavailable |
| Iowa | Office $181.00 | Facility Unavailable |
| Kansas | Office $179.65 | Facility Unavailable |
| Kentucky | Office $178.60 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $224.20 | Facility Unavailable |
| Madera | Office $209.62 | Facility Unavailable |
| Manhattan | Office $224.72 | Facility Unavailable |
| Merced | Office $209.62 | Facility Unavailable |
| Metropolitan Boston | Office $226.55 | Facility Unavailable |
| Metropolitan Kansas City | Office $186.39 | Facility Unavailable |
| Metropolitan Philadelphia | Office $203.27 | Facility Unavailable |
| Metropolitan St. Louis | Office $188.44 | Facility Unavailable |
| Miami | Office $206.56 | Facility Unavailable |
| Minnesota | Office $198.02 | Facility Unavailable |
| Mississippi | Office $173.82 | Facility Unavailable |
| Modesto | Office $209.62 | Facility Unavailable |
| Montana** | Office $195.72 | Facility Unavailable |
| Napa | Office $245.15 | Facility Unavailable |
| Nebraska | Office $182.16 | Facility Unavailable |
| Nevada** | Office $195.38 | Facility Unavailable |
| New Hampshire | Office $201.58 | Facility Unavailable |
| New Mexico | Office $183.72 | Facility Unavailable |
| New Orleans | Office $187.17 | Facility Unavailable |
| North Carolina | Office $184.46 | Facility Unavailable |
| North Dakota** | Office $193.94 | Facility Unavailable |
| Northern Nj | Office $222.82 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $229.64 | Facility Unavailable |
| Ohio | Office $182.53 | Facility Unavailable |
| Oklahoma | Office $178.80 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $223.40 | Facility Unavailable |
| Portland | Office $212.48 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $212.63 | Facility Unavailable |
| Puerto Rico | Office $197.36 | Facility Unavailable |
| Queens | Office $227.33 | Facility Unavailable |
| Redding | Office $209.62 | Facility Unavailable |
| Rest Of California | Office $209.62 | Facility Unavailable |
| Rest Of Florida | Office $190.55 | Facility Unavailable |
| Rest Of Georgia | Office $179.89 | Facility Unavailable |
| Rest Of Illinois | Office $184.20 | Facility Unavailable |
| Rest Of Louisiana | Office $178.13 | Facility Unavailable |
| Rest Of Maine | Office $182.44 | Facility Unavailable |
| Rest Of Maryland | Office $197.71 | Facility Unavailable |
| Rest Of Massachusetts | Office $203.83 | Facility Unavailable |
| Rest Of Michigan | Office $182.90 | Facility Unavailable |
| Rest Of Missouri | Office $174.68 | Facility Unavailable |
| Rest Of New Jersey | Office $211.63 | Facility Unavailable |
| Rest Of New York | Office $187.24 | Facility Unavailable |
| Rest Of Oregon | Office $194.23 | Facility Unavailable |
| Rest Of Pennsylvania | Office $183.10 | Facility Unavailable |
| Rest Of Texas | Office $187.69 | Facility Unavailable |
| Rest Of Washington | Office $203.60 | Facility Unavailable |
| Rhode Island | Office $201.19 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $210.61 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $220.57 | Facility Unavailable |
| Salinas | Office $219.76 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $225.36 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $260.28 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $260.18 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $265.99 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $265.57 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $216.15 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $227.86 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $220.70 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $230.21 | Facility Unavailable |
| Seattle (King Cnty) | Office $231.71 | Facility Unavailable |
| South Carolina | Office $183.73 | Facility Unavailable |
| South Dakota** | Office $193.73 | Facility Unavailable |
| Southern Maine | Office $193.25 | Facility Unavailable |
| Stockton | Office $209.62 | Facility Unavailable |
| Suburban Chicago | Office $202.44 | Facility Unavailable |
| Tennessee | Office $180.51 | Facility Unavailable |
| Utah | Office $186.30 | Facility Unavailable |
| Vallejo | Office $245.00 | Facility Unavailable |
| Vermont | Office $192.72 | Facility Unavailable |
| Virgin Islands | Office $197.36 | Facility Unavailable |
| Virginia | Office $192.26 | Facility Unavailable |
| Visalia | Office $209.62 | Facility Unavailable |
| West Virginia | Office $177.12 | Facility Unavailable |
| Wisconsin | Office $187.27 | Facility Unavailable |
| Wyoming** | Office $194.95 | Facility Unavailable |
| Yuba City | Office $209.62 | Facility Unavailable |
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71270 billing questions
When should 71270 be chosen instead of 71250 or 71260?
Use 71270 when the chest CT includes both an unenhanced acquisition and imaging after contrast. Use 71250 for an examination without contrast, and 71260 when it is performed with contrast only.
Can 71250 and 71260 be billed separately for the same examination?
Do not split the unenhanced and contrast phases of one examination into those two codes. Report 71270 for the combined protocol.
What do modifiers 26 and TC represent?
Modifier 26 reports the professional interpretation. Modifier TC reports the technical service, including equipment and staff; without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect both components?
Yes. CMS applies the diagnostic imaging multiple procedure reduction to the technical and professional components.
How does 71270 differ from chest CT angiography?
71270 describes a diagnostic chest CT with unenhanced and contrast-enhanced phases. Use 71275 when the examination is CT angiography of the chest.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,91371260,,Ct thorax dx c+,A,,1.13,3.77,,3.77,NA,0.09,4.99,4.99,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.74,5.74,0.10
7,91471260,26,Ct thorax dx c+,A,,1.13,0.41,,0.41,,0.07,1.61,1.61,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,91571260,TC,Ct thorax dx c+,A,,0.00,3.36,,3.36,NA,0.02,3.38,3.38,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,5.33,5.33,0.03
7,91671270,,Ct thorax dx c-/c+,A,,1.22,4.55,,4.55,NA,0.09,5.86,5.86,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.77,5.77,0.10
7,91771270,26,Ct thorax dx c-/c+,A,,1.22,0.43,,0.43,,0.07,1.72,1.72,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,91871270,TC,Ct thorax dx c-/c+,A,,0.00,4.12,,4.12,NA,0.02,4.14,4.14,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,5.34,5.34,0.03
7,91971271,,Ct thorax lung cancer scr c-,A,,1.05,2.95,,2.95,NA,0.08,4.08,4.08,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00