CPT code 70554: Functional brain MRI2026 Medicare rate & RVUs in Redding
Report 70554 for functional brain MRI acquired by a technologist to map task-related brain activity, such as for presurgical planning, without physician or psychologist attendance.
In Redding, Medicare pays $405.41 for 70554 in the office.
Check a contract rate as a % of Medicare · 70554 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 70554 covers
This service uses functional MRI to map brain activity associated with tasks, often to help plan surgery near areas involved in language or movement. A technologist conducts the imaging acquisition; the physician or psychologist interprets the study and prepares the report without attending the acquisition. It is commonly performed in a hospital or imaging center when a clinical team needs functional information for neurologic or neurosurgical evaluation.
Choose this code for functional rather than routine anatomic brain imaging, and retain documentation of the clinical purpose, acquisition, interpretation, and report. The global service is billed without a component modifier; modifier TC identifies the technical service, and modifier 26 identifies the professional interpretation. When multiple diagnostic imaging procedures are performed, the imaging multiple-procedure reduction applies to both components. CMS pays each side separately at 100% when the service is performed bilaterally.
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 Redding compares for 70554
Across 109 of 109 payment localities, the office rate for 70554 runs from $332.25 in Arkansas to $516.75 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Redding pays $405.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding · this page$405.41
- Bakersfield · California$405.97+$0.56
- Chico · California$405.41
- El Centro · California$405.44+$0.03
- Fresno · California$405.41
- Hanford-Corcoran · California$405.41
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$434.18+$28.77
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | $405.41 | — |
| MercedCalifornia | $405.41 | — |
| ModestoCalifornia | $405.41 | — |
| NapaCalifornia | $475.75 | — |
| Oxnard-Thousand Oaks-VenturaCalifornia | $432.75 | — |
| Rest Of CaliforniaCalifornia | $405.41 | — |
| Riverside-San Bernardino-OntarioCalifornia | $407.28 | — |
| Sacramento-Roseville-FolsomCalifornia | $427.04 | — |
| SalinasCalifornia | $425.48 | — |
| San Diego-Chula Vista-CarlsbadCalifornia | $436.67 | — |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | $505.57 | — |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | $505.38 | — |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | $516.75 | — |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | $515.96 | — |
| San Luis Obispo-Paso RoblesCalifornia | $418.46 | — |
| Santa Cruz-WatsonvilleCalifornia | $441.78 | — |
| Santa Maria-Santa BarbaraCalifornia | $427.40 | — |
| Santa Rosa-PetalumaCalifornia | $446.34 | — |
| StocktonCalifornia | $405.41 | — |
| VallejoCalifornia | $475.47 | — |
| VisaliaCalifornia | $405.41 | — |
| Yuba CityCalifornia | $405.41 | — |
| Dc + Md/Va SuburbsDistrict of Columbia | $436.11 | — |
| MiamiFlorida | $398.88 | — |
| ChicagoIllinois | $387.12 | — |
| ManhattanNew York | $434.63 | — |
| Alaska*Alaska | $429.33 | — |
| AlabamaAlabama | $337.39 | — |
| ArkansasArkansas | $332.25 | — |
| ArizonaArizona | $367.54 | — |
| ColoradoColorado | $396.76 | — |
| ConnecticutConnecticut | $403.69 | — |
| DelawareDelaware | $373.90 | — |
| Fort LauderdaleFlorida | $386.29 | — |
| Rest Of FloridaFlorida | $367.28 | — |
| AtlantaGeorgia | $383.96 | — |
| Rest Of GeorgiaGeorgia | $346.10 | — |
| Hawaii, GuamHawaii | $416.92 | — |
| IowaIowa | $348.56 | — |
| IdahoIdaho | $350.51 | — |
| East St. LouisIllinois | $359.26 | — |
| Rest Of IllinoisIllinois | $354.58 | — |
| Suburban ChicagoIllinois | $390.82 | — |
| IndianaIndiana | $352.71 | — |
| KansasKansas | $345.83 | — |
| KentuckyKentucky | $343.62 | — |
| New OrleansLouisiana | $360.64 | — |
| Rest Of LouisianaLouisiana | $342.65 | — |
| Metropolitan BostonMassachusetts | $438.80 | — |
| Rest Of MassachusettsMassachusetts | $393.79 | — |
| Baltimore/Surr. CntysMaryland | $402.35 | — |
| Rest Of MarylandMaryland | $381.63 | — |
| Rest Of MaineMaine | $351.36 | — |
| Southern MaineMaine | $372.94 | — |
| DetroitMichigan | $371.04 | — |
| Rest Of MichiganMichigan | $352.11 | — |
| MinnesotaMinnesota | $382.56 | — |
| Metropolitan Kansas CityMissouri | $359.13 | — |
| Metropolitan St. LouisMissouri | $363.22 | — |
| Rest Of MissouriMissouri | $335.76 | — |
| MississippiMississippi | $334.13 | — |
| Montana**Montana | $377.75 | — |
| North CarolinaNorth Carolina | $355.39 | — |
| North Dakota**North Dakota | $374.39 | — |
| NebraskaNebraska | $350.88 | — |
| New HampshireNew Hampshire | $389.49 | — |
| Northern NjNew Jersey | $431.01 | — |
| Rest Of New JerseyNew Jersey | $408.97 | — |
| New MexicoNew Mexico | $353.73 | — |
| Nevada**Nevada | $377.12 | — |
| Nyc Suburbs/Long IslandNew York | $444.35 | — |
| Poughkpsie/N Nyc SuburbsNew York | $410.86 | — |
| QueensNew York | $439.87 | — |
| Rest Of New YorkNew York | $360.91 | — |
| OhioOhio | $351.42 | — |
| OklahomaOklahoma | $344.05 | — |
| PortlandOregon | $411.08 | — |
| Rest Of OregonOregon | $374.86 | — |
| Metropolitan PhiladelphiaPennsylvania | $392.53 | — |
| Rest Of PennsylvaniaPennsylvania | $352.58 | — |
| Puerto RicoPuerto Rico | $381.02 | — |
| Rhode IslandRhode Island | $388.47 | — |
| South CarolinaSouth Carolina | $353.86 | — |
| South Dakota**South Dakota | $373.99 | — |
| TennesseeTennessee | $347.54 | — |
| AustinTexas | $394.84 | — |
| BeaumontTexas | $350.07 | — |
| BrazoriaTexas | $374.34 | — |
| DallasTexas | $376.36 | — |
| Fort WorthTexas | $373.41 | — |
| GalvestonTexas | $375.22 | — |
| HoustonTexas | $378.33 | — |
| Rest Of TexasTexas | $361.75 | — |
| UtahUtah | $358.99 | — |
| VirginiaVirginia | $370.94 | — |
| Virgin IslandsUnited States Virgin Islands | $381.02 | — |
| VermontVermont | $371.93 | — |
| Rest Of WashingtonWashington | $393.38 | — |
| Seattle (King Cnty)Washington | $449.01 | — |
| WisconsinWisconsin | $361.10 | — |
| West VirginiaWest Virginia | $340.48 | — |
| Wyoming**Wyoming | $376.29 | — |
70554 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.
$332.25
$461.08
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 | $429.33 | 1 |
| AL | $337.39 | 1 |
| AR | $332.25 | 1 |
| AZ | $367.54 | 1 |
| CA | $405.41–$516.75 | 29 |
| CO | $396.76 | 1 |
| CT | $403.69 | 1 |
| DC | $436.11 | 1 |
| DE | $373.90 | 1 |
| FL | $367.28–$398.88 | 3 |
| GA | $346.10–$383.96 | 2 |
| GU | $416.92 | 1 |
| HI | $416.92 | 1 |
| IA | $348.56 | 1 |
| ID | $350.51 | 1 |
| IL | $354.58–$390.82 | 4 |
| IN | $352.71 | 1 |
| KS | $345.83 | 1 |
| KY | $343.62 | 1 |
| LA | $342.65–$360.64 | 2 |
| MA | $393.79–$438.80 | 2 |
| MD | $381.63–$436.11 | 3 |
| ME | $351.36–$372.94 | 2 |
| MI | $352.11–$371.04 | 2 |
| MN | $382.56 | 1 |
| MO | $335.76–$363.22 | 3 |
| MS | $334.13 | 1 |
| MT | $377.75 | 1 |
| NC | $355.39 | 1 |
| ND | $374.39 | 1 |
| NE | $350.88 | 1 |
| NH | $389.49 | 1 |
| NJ | $408.97–$431.01 | 2 |
| NM | $353.73 | 1 |
| NV | $377.12 | 1 |
| NY | $360.91–$444.35 | 5 |
| OH | $351.42 | 1 |
| OK | $344.05 | 1 |
| OR | $374.86–$411.08 | 2 |
| PA | $352.58–$392.53 | 2 |
| PR | $381.02 | 1 |
| RI | $388.47 | 1 |
| SC | $353.86 | 1 |
| SD | $373.99 | 1 |
| TN | $347.54 | 1 |
| TX | $350.07–$394.84 | 8 |
| UT | $358.99 | 1 |
| VA | $370.94–$436.11 | 2 |
| VI | $381.02 | 1 |
| VT | $371.93 | 1 |
| WA | $393.38–$449.01 | 2 |
| WI | $361.10 | 1 |
| WV | $340.48 | 1 |
| WY | $376.29 | 1 |
How the 70554 rate is calculated
Each of 70554’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 · 70554
RVUs × geographic indexes × conversion factor
Work2.06
2.06 RVUs× 1.000 GPCI
Practice expense9.08
9.08 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
11.3100
Conversion factor
$33.4009
Medicare rate
$377.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Redding inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,865
- Code
- 70554
- Physician work
- 2.06
- Practice expense
- 9.08
- Malpractice
- 0.17
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.06 | × 1.017 | 2.0950 |
| Practice expense | 9.08 | × 1.096 | 9.9517 |
| Malpractice | 0.17 | × 0.536 | 0.0911 |
| Total RVUs | 12.1378 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Redding$405.41
Office: (2.06 × 1.017 + 9.08 × 1.096 + 0.17 × 0.536) × $33.4009 = $405.41
Payment rules and modifiers for 70554
The CMS indicators that decide how 70554 is paid alongside other services.
CMS payment indicators · 70554
Functional brain MRI
| 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) | 3 | Each side paid at 100% (no 150% cap). |
| 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
70554 without 26 · national office
$377.76
Functional brain MRI
70554-26 · Professional component
$97.86
Pays only the interpretation and report.
How 70554 has changed in Redding
70554 · Office / nonfacility
$405.41
Effective 2026-10-01
The base rate is $5.39 higher than on 2025-10-01, moving from $400.02 to $405.41 (1.3%).
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
$400.02changed to$405.41
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.11 changed to 2.06
- Practice expense RVU 9.27 changed to 9.08
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$418.39changed to$400.02
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.46 changed to 9.27
- Malpractice RVU 0.16 changed to 0.17
Held through RVU25B, RVU25C, RVU25D.
October 1, 2024
RVU24D
$435.59changed to$418.39
- Conversion factor 34.6062 changed to 33.2875
- Practice expense RVU 9.70 changed to 9.46
- Malpractice RVU 0.15 changed to 0.16
- Work GPCI 1.027 changed to 1.014
- Practice expense GPCI 1.065 changed to 1.093
- Malpractice GPCI 0.597 changed to 0.560
July 1, 2022
RVU22C
$455.18changed to$435.59
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.13 changed to 9.70
January 1, 2021
RVU21A
$463.94changed to$455.18
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 9.93 changed to 10.13
- Malpractice RVU 0.12 changed to 0.15
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B.
January 1, 2020
RVU20A
$473.08changed to$463.94
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 10.14 changed to 9.93
- Malpractice RVU 0.15 changed to 0.12
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$485.71changed to$473.08
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 10.48 changed to 10.14
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$484.89changed to$485.71
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 10.44 changed to 10.48
- Malpractice RVU 0.14 changed to 0.15
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$484.89
Held through RVU17B, RVU17C, RVU17D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $405.41 | Not available in this setting | RVU26D |
| 2026-07-01 | $405.41 | Not available in this setting | RVU26C |
| 2026-04-01 | $405.41 | Not available in this setting | RVU26B |
| 2026-01-01 | $405.41 | Not available in this setting | RVU26A |
| 2025-10-01 | $400.02 | Not available in this setting | RVU25D |
| 2025-07-01 | $400.02 | Not available in this setting | RVU25C |
| 2025-04-01 | $400.02 | Not available in this setting | RVU25B |
| 2025-01-01 | $400.02 | Not available in this setting | RVU25A |
| 2024-10-01 | $418.39 | Not available in this setting | RVU24D |
| 2022-07-01 | $435.59 | Not available in this setting | RVU22C |
| 2021-04-01 | $455.18 | Not available in this setting | RVU21B |
| 2021-01-01 | $455.18 | Not available in this setting | RVU21A |
| 2020-10-01 | $463.94 | Not available in this setting | RVU20D |
| 2020-07-01 | $463.94 | Not available in this setting | RVU20C |
| 2020-04-01 | $463.94 | Not available in this setting | RVU20B |
| 2020-01-01 | $463.94 | Not available in this setting | RVU20A |
| 2019-10-01 | $473.08 | Not available in this setting | RVU19D |
| 2019-07-01 | $473.08 | Not available in this setting | RVU19C |
| 2019-04-01 | $473.08 | Not available in this setting | RVU19B |
| 2019-01-01 | $473.08 | Not available in this setting | RVU19A |
| 2018-10-01 | $485.71 | Not available in this setting | RVU18D |
| 2018-07-01 | $485.71 | Not available in this setting | RVU18C |
| 2018-04-01 | $485.71 | Not available in this setting | RVU18B |
| 2018-01-01 | $485.71 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $484.89 | Not available in this setting | RVU17D |
| 2017-07-01 | $484.89 | Not available in this setting | RVU17C |
| 2017-04-01 | $484.89 | Not available in this setting | RVU17B |
| 2017-01-01 | $484.89 | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Redding rate applies
Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
70554 billing questions
How is 70554 different from 70555?
70554 is for technologist acquisition without physician or psychologist attendance. Use 70555 when the physician or psychologist attends the functional imaging.
Can the technical and professional services be billed separately?
Yes. Report modifier TC for the technical service and modifier 26 for the professional interpretation and report. Billing without either modifier represents the global service.
When does the imaging multiple-procedure reduction apply?
When multiple diagnostic imaging procedures are performed, CMS applies the reduction to both the technical and professional components.
Is 70554 the code for a routine brain MRI?
No. It describes functional imaging that maps task-related brain activity. Routine anatomic brain MRI is represented by codes such as 70551 through 70553, selected according to contrast use.
What documentation supports reporting 70554?
Document the clinical reason for functional mapping, the imaging acquisition, and the interpreting physician's or psychologist's findings and report. The record should support that the technologist performed the acquisition without physician or psychologist attendance.
How does CMS treat bilateral performance?
When the service is performed bilaterally, CMS pays each side separately at 100%. Follow applicable claim instructions for reporting the sides.
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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