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CMS RVU26D · Effective 2026-10-01

70490 in Beaumont

Office / nonfacility

$139.98

Base rate per service

Facility setting

Not available in this setting

Base rate per service

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.

Diagnostic imaging

About 70490: Neck soft-tissue CT without contrast

CT of the neck’s soft tissues without contrast, reported when the diagnostic question calls for cross-sectional imaging without contrast material.

This study uses computed tomography to produce cross-sectional images of the neck’s soft tissues without contrast material. Radiologists interpret examinations performed in hospital imaging departments, outpatient centers, and other diagnostic imaging settings. Clinical questions may involve a neck mass, cervical lymph nodes, or other soft-tissue findings; the ordering clinician selects the protocol based on the diagnostic question and the patient’s circumstances.

Report 70490 when the examination covers the soft tissues of the neck and is performed without contrast. The order and imaging report should support the anatomic area examined and the noncontrast technique. Use 70491 for a neck soft-tissue CT with contrast, or 70492 when both without- and with-contrast imaging is performed. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC the equipment and staff, and no modifier represents the global service. When multiple diagnostic imaging procedures are reported, the imaging multiple-procedure reduction applies to both the professional and technical components.

CMS billing rules for 70490

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 RVU1.25 · 28%
  • Practice expense (office) RVU3.15 · 70%
  • Malpractice RVU0.08 · 2%

57.2K

Medicare services in 2024 · #733 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.

70490 compared with similar codes

Office rates for Beaumont, from the same CMS release.

70491

CT neck

With contrast

$170.98

Choose 70491 when contrast is administered for the neck soft-tissue CT; 70490 is for imaging without contrast.

70492

CT neck

Without and with contrast

$204.81

Choose 70492 when the neck is imaged both without and with contrast. 70490 covers the noncontrast examination only.

70498

Ct angiography neck

No office rate

70498 is CT angiography of the neck for vascular evaluation; 70490 is a noncontrast CT of neck soft tissues.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 70490 is $155.52—$15.54 higher than the $139.98 rate in Beaumont. Both use the same code, release and participation basis.

70490 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $139.98

  2. Austin

    $155.52

    $15.54 higher than Beaumont

  3. Brazoria

    $148.44

    $8.46 higher than Beaumont

  4. Dallas

    $149.21

    $9.23 higher than Beaumont

  5. Fort Worth

    $148.19

    $8.21 higher than Beaumont

  6. Galveston

    $148.77

    $8.79 higher than Beaumont

  7. Houston

    $150.24

    $10.26 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 70490 ranges from $133.51 in Arkansas to $199.49 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 70490

    Office

    $144.01

    Facility

    Unavailable

    $4.03 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 70490

    Office

    $169.70

    Facility

    Unavailable

    $29.72 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 70490

    Office

    $170.92

    Facility

    Unavailable

    $30.94 higher than Beaumont for the office setting.

  • Miami

    Florida · 70490

    Office

    $158.04

    Facility

    Unavailable

    $18.06 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 70490

    Office

    $153.91

    Facility

    Unavailable

    $13.93 higher than Beaumont for the office setting.

  • Manhattan

    New York · 70490

    Office

    $170.92

    Facility

    Unavailable

    $30.94 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 70490

    Office

    $176.15

    Facility

    Unavailable

    $36.17 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 70490

    Office

    $135.32

    Facility

    Unavailable

    $4.66 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 70490

    Office

    $133.51

    Facility

    Unavailable

    $6.47 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 70490

    Office

    $145.99

    Facility

    Unavailable

    $6.01 higher than Beaumont for the office setting.

  • Bakersfield

    California · 70490

    Office

    $159.48

    Facility

    Unavailable

    $19.50 higher than Beaumont for the office setting.

  • Chico

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • El Centro

    California · 70490

    Office

    $159.22

    Facility

    Unavailable

    $19.24 higher than Beaumont for the office setting.

  • Fresno

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • Madera

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • Merced

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • Modesto

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • Napa

    California · 70490

    Office

    $184.41

    Facility

    Unavailable

    $44.43 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 70490

    Office

    $168.95

    Facility

    Unavailable

    $28.97 higher than Beaumont for the office setting.

  • Redding

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • Rest Of California

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 70490

    Office

    $160.10

    Facility

    Unavailable

    $20.12 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 70490

    Office

    $167.05

    Facility

    Unavailable

    $27.07 higher than Beaumont for the office setting.

  • Salinas

    California · 70490

    Office

    $166.42

    Facility

    Unavailable

    $26.44 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 70490

    Office

    $170.29

    Facility

    Unavailable

    $30.31 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 70490

    Office

    $195.29

    Facility

    Unavailable

    $55.31 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 70490

    Office

    $195.20

    Facility

    Unavailable

    $55.22 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 70490

    Office

    $199.49

    Facility

    Unavailable

    $59.51 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 70490

    Office

    $199.12

    Facility

    Unavailable

    $59.14 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 70490

    Office

    $163.73

    Facility

    Unavailable

    $23.75 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 70490

    Office

    $171.89

    Facility

    Unavailable

    $31.91 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 70490

    Office

    $167.03

    Facility

    Unavailable

    $27.05 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 70490

    Office

    $173.64

    Facility

    Unavailable

    $33.66 higher than Beaumont for the office setting.

  • Stockton

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • Vallejo

    California · 70490

    Office

    $184.28

    Facility

    Unavailable

    $44.30 higher than Beaumont for the office setting.

  • Visalia

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • Yuba City

    California · 70490

    Office

    $159.21

    Facility

    Unavailable

    $19.23 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 70490

    Office

    $156.29

    Facility

    Unavailable

    $16.31 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 70490

    Office

    $159.13

    Facility

    Unavailable

    $19.15 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 70490

    Office

    $148.31

    Facility

    Unavailable

    $8.33 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 70490

    Office

    $153.16

    Facility

    Unavailable

    $13.18 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 70490

    Office

    $146.35

    Facility

    Unavailable

    $6.37 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 70490

    Office

    $151.98

    Facility

    Unavailable

    $12.00 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 70490

    Office

    $138.79

    Facility

    Unavailable

    $1.19 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 70490

    Office

    $162.93

    Facility

    Unavailable

    $22.95 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 70490

    Office

    $139.08

    Facility

    Unavailable

    $0.90 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 70490

    Office

    $139.81

    Facility

    Unavailable

    $0.17 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 70490

    Office

    $143.93

    Facility

    Unavailable

    $3.95 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 70490

    Office

    $141.99

    Facility

    Unavailable

    $2.01 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 70490

    Office

    $154.83

    Facility

    Unavailable

    $14.85 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 70490

    Office

    $140.58

    Facility

    Unavailable

    $0.60 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 70490

    Office

    $138.21

    Facility

    Unavailable

    $1.77 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 70490

    Office

    $137.73

    Facility

    Unavailable

    $2.25 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 70490

    Office

    $143.79

    Facility

    Unavailable

    $3.81 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 70490

    Office

    $137.42

    Facility

    Unavailable

    $2.56 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 70490

    Office

    $171.47

    Facility

    Unavailable

    $31.49 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 70490

    Office

    $155.34

    Facility

    Unavailable

    $15.36 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 70490

    Office

    $158.62

    Facility

    Unavailable

    $18.64 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 70490

    Office

    $151.10

    Facility

    Unavailable

    $11.12 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 70490

    Office

    $140.21

    Facility

    Unavailable

    $0.23 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 70490

    Office

    $147.70

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 70490

    Office

    $147.79

    Facility

    Unavailable

    $7.81 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 70490

    Office

    $140.83

    Facility

    Unavailable

    $0.85 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 70490

    Office

    $150.81

    Facility

    Unavailable

    $10.83 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 70490

    Office

    $143.16

    Facility

    Unavailable

    $3.18 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 70490

    Office

    $144.59

    Facility

    Unavailable

    $4.61 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 70490

    Office

    $135.05

    Facility

    Unavailable

    $4.93 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 70490

    Office

    $134.31

    Facility

    Unavailable

    $5.67 lower than Beaumont for the office setting.

  • Montana**

    Montana · 70490

    Office

    $149.63

    Facility

    Unavailable

    $9.65 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 70490

    Office

    $141.62

    Facility

    Unavailable

    $1.64 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 70490

    Office

    $148.05

    Facility

    Unavailable

    $8.07 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 70490

    Office

    $139.87

    Facility

    Unavailable

    $0.11 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 70490

    Office

    $153.62

    Facility

    Unavailable

    $13.64 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 70490

    Office

    $169.28

    Facility

    Unavailable

    $29.30 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 70490

    Office

    $161.24

    Facility

    Unavailable

    $21.26 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 70490

    Office

    $141.44

    Facility

    Unavailable

    $1.46 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 70490

    Office

    $149.30

    Facility

    Unavailable

    $9.32 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 70490

    Office

    $174.48

    Facility

    Unavailable

    $34.50 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 70490

    Office

    $162.07

    Facility

    Unavailable

    $22.09 higher than Beaumont for the office setting.

  • Queens

    New York · 70490

    Office

    $172.64

    Facility

    Unavailable

    $32.66 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 70490

    Office

    $143.58

    Facility

    Unavailable

    $3.60 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 70490

    Office

    $140.50

    Facility

    Unavailable

    $0.52 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 70490

    Office

    $137.78

    Facility

    Unavailable

    $2.20 lower than Beaumont for the office setting.

  • Portland

    Oregon · 70490

    Office

    $161.30

    Facility

    Unavailable

    $21.32 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 70490

    Office

    $148.42

    Facility

    Unavailable

    $8.44 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 70490

    Office

    $155.22

    Facility

    Unavailable

    $15.24 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 70490

    Office

    $140.86

    Facility

    Unavailable

    $0.88 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 70490

    Office

    $150.75

    Facility

    Unavailable

    $10.77 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 70490

    Office

    $153.61

    Facility

    Unavailable

    $13.63 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 70490

    Office

    $141.24

    Facility

    Unavailable

    $1.26 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 70490

    Office

    $147.86

    Facility

    Unavailable

    $7.88 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 70490

    Office

    $138.82

    Facility

    Unavailable

    $1.16 lower than Beaumont for the office setting.

  • Utah

    Utah · 70490

    Office

    $143.05

    Facility

    Unavailable

    $3.07 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 70490

    Office

    $147.06

    Facility

    Unavailable

    $7.08 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 70490

    Office

    $150.75

    Facility

    Unavailable

    $10.77 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 70490

    Office

    $147.26

    Facility

    Unavailable

    $7.28 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 70490

    Office

    $155.12

    Facility

    Unavailable

    $15.14 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 70490

    Office

    $175.12

    Facility

    Unavailable

    $35.14 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 70490

    Office

    $143.37

    Facility

    Unavailable

    $3.39 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 70490

    Office

    $137.00

    Facility

    Unavailable

    $2.98 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 70490

    Office

    $148.94

    Facility

    Unavailable

    $8.96 higher than Beaumont for the office setting.

See how rates vary across the country

70490 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$133.51

$179.35

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$176.151
AL$135.321
AR$133.511
AZ$145.991
CA$159.21–$199.4929
CO$156.291
CT$159.131
DC$170.921
DE$148.311
FL$146.35–$158.043
GA$138.79–$151.982
GU$162.931
HI$162.931
IA$139.081
ID$139.811
IL$141.99–$154.834
IN$140.581
KS$138.211
KY$137.731
LA$137.42–$143.792
MA$155.34–$171.472
MD$151.10–$170.923
ME$140.21–$147.702
MI$140.83–$147.792
MN$150.811
MO$135.05–$144.593
MS$134.311
MT$149.631
NC$141.621
ND$148.051
NE$139.871
NH$153.621
NJ$161.24–$169.282
NM$141.441
NV$149.301
NY$143.58–$174.485
OH$140.501
OK$137.781
OR$148.42–$161.302
PA$140.86–$155.222
PR$150.751
RI$153.611
SC$141.241
SD$147.861
TN$138.821
TX$139.98–$155.528
UT$143.051
VA$147.06–$170.922
VI$150.751
VT$147.261
WA$155.12–$175.122
WI$143.371
WV$137.001
WY$148.941

Explore 70490 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 70490 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$153.98

$139.98 × 110% = $153.98

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 70490 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

7,814

Code
70490
Physician work
1.25
Practice expense
3.15
Malpractice
0.08

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 70490 in Beaumont
ComponentRVULocality factorAdjusted
Physician work1.25× 1.0001.2500
Practice expense3.15× 0.9102.8665
Malpractice0.08× 0.9290.0743
Total RVUs4.1908
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$139.98

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 70490 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.251
Practice expense3.150.91
Malpractice0.080.929

(1.25 × 1 + 3.15 × 0.91 + 0.08 × 0.929) × $33.4009 = $139.98

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

70490 · Office / nonfacility

$139.98

Effective 2026-10-01

The base rate is $2.38 higher than on 2025-10-01, moving from $137.60 to $139.98 (1.7%).

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

    $137.60changed to$139.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.28 changed to 1.25
    • Practice expense RVU 3.22 changed to 3.15
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $137.60

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$139.98Not available in this settingRVU26D
2026-07-01$139.98Not available in this settingRVU26C
2026-04-01$139.98Not available in this settingRVU26B
2026-01-01$139.98Not available in this settingRVU26A
2025-10-01$137.60Not available in this settingRVU25D
2025-07-01$137.60Not available in this settingRVU25C
2025-04-01$137.60Not available in this settingRVU25B
2025-01-01$137.60Not available in this settingRVU25A

70490 billing questions

When should 70490 be chosen over 70491?

Use 70490 for a neck soft-tissue CT performed without contrast. Use 70491 when contrast is administered for the examination.

How does 70490 differ from 70492?

70492 represents a neck soft-tissue CT performed both without and with contrast. 70490 represents the noncontrast examination only.

Can the professional and technical services be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Billing without a modifier represents the global service.

What documentation supports reporting 70490?

The order and imaging report should identify the neck soft tissues as the imaged area and support that the examination was performed without contrast.

How does the multiple-procedure reduction affect this code?

When multiple diagnostic imaging procedures are reported, the CMS imaging multiple-procedure reduction applies to the professional and technical components of 70490.

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.

RVUs for 70490PPRRVU2026_Oct_nonQPP.csv, line 7,814 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet