$192.12
77047 covers noncontrast MRI of both breasts; 77046 covers one breast.
On this page
CMS RVU26D · Effective 2026-10-01
77046 Breast MRI Medicare reimbursement rates in Arkansas
Reports a noncontrast MRI examination of one breast, commonly used to assess breast implant integrity or another indication evaluated without contrast. Compare 77046 office and facility rates across CMS payment localities in Arkansas.
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 77046 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$188.66
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
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.
Breast imaging
About 77046: Unilateral breast MRI without contrast
Reports a noncontrast MRI examination of one breast, commonly used to assess breast implant integrity or another indication evaluated without contrast.
This code covers MRI imaging of one breast performed without contrast. A common use is evaluating a breast implant for possible rupture or other integrity concerns. A technologist typically acquires the images in an outpatient imaging center or hospital, and a radiologist interprets them. The code is specific to a unilateral, noncontrast examination; it does not describe a contrast-enhanced breast MRI protocol.
Select the code when the documented examination covers one breast and uses no contrast. The order, imaging record, laterality, protocol, and radiologist’s report should support those details and the clinical indication. CMS recognizes separate professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components.
CMS billing rules for 77046
- 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 RVU1.41 · 22%
- Practice expense (office) RVU4.88 · 76%
- Malpractice RVU0.09 · 1%
288
Medicare services in 2024 · #4027 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.
77046 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$294.84
77048 is for a unilateral MRI performed without and with contrast, including CAD when performed. 77046 is a unilateral noncontrast examination.
$300.50
77049 covers bilateral MRI performed without and with contrast, including CAD when performed. 77046 covers one breast without contrast.
$109.48
77065 reports unilateral diagnostic mammography, not MRI. Choose based on the imaging modality and examination actually performed.
Compare 77046 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.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$188.66
Facility
Unavailable
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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 77046 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
8,949
- Code
- 77046
- Physician work
- 1.41
- Practice expense
- 4.88
- Malpractice
- 0.09
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.41 | × 1.000 | 1.4100 |
| Practice expense | 4.88 | × 0.859 | 4.1919 |
| Malpractice | 0.09 | × 0.515 | 0.0464 |
| Total RVUs | 5.6483 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$188.66
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.41 | 1 |
| Practice expense | 4.88 | 0.859 |
| Malpractice | 0.09 | 0.515 |
(1.41 × 1 + 4.88 × 0.859 + 0.09 × 0.515) × $33.4009 = $188.66
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.
77046 billing questions
When should 77046 be used instead of 77047?
Use 77046 for a noncontrast MRI of one breast. Use 77047 when the noncontrast examination covers both breasts.
How does 77046 differ from 77048?
77046 is unilateral and performed without contrast. 77048 is unilateral and uses a without-and-with-contrast protocol, including CAD when performed.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; without either modifier, the claim represents the global service.
Does a multiple imaging reduction affect 77046?
CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.
What documentation supports reporting 77046?
The record should establish the clinical indication, the breast examined, the noncontrast protocol, the imaging performed, and the radiologist’s interpretation.
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.
8,94677022,,Mri gdn parnchyma tiss abltj,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,94777022,26,Mri gdn parnchyma tiss abltj,A,,4.13,1.37,,1.37,,0.22,5.72,5.72,1,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,94877022,TC,Mri gdn parnchyma tiss abltj,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,94977046,,Mri breast c- unilateral,A,,1.41,4.88,,4.88,NA,0.09,6.38,6.38,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,7.76,7.76,0.10
8,95077046,26,Mri breast c- unilateral,A,,1.41,0.50,,0.50,,0.07,1.98,1.98,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,95177046,TC,Mri breast c- unilateral,A,,0.00,4.38,,4.38,NA,0.02,4.40,4.40,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,7.26,7.26,0.03
8,95277047,,Mri breast c- bilateral,A,,1.56,4.82,,4.82,NA,0.10,6.48,6.48,1,XXX,0.00,0.00,0.00,4,2,0,0,0,9,,33.4009,09,0,88,7.81,7.81,0.11
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541