Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 70540 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Mri Of The Face And Neck, Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Eyes Face And Neck. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 70540 |
| Medicaid Fee Schedule | View Medicaid rates for 70540 |
National average reimbursement for CPT 70540 by major payers:
$315.81
$402.47
$469.27
$446.77
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 70540.
CPT 70540
5 of 25 sample ratesHigher to lower in this preview
Titus County Hospital District, Titus Regional Medical Center
$528.75Published rateNmc Operating Company LLC, The Spine Hospital Of Louisiana
Nmc Operating Company, LLC
$517.78Published rateChca Womans Hospital Lp, Woman'S Hospital Of Texas
Chca Womans Hospital Lp
$437.25Published rateHcn Ep Horizon City, LLC, The Hospitals Of Providence Horizon City Campus
Hcn Ep Horizon City LLC
$230.13Published rateTyler Regional Hospital LLC
$183.46Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 70540 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70540 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 70540 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 70490-CPT | Low | Ct Scan Of Neck, A Ct Scanner Circles The Head Taking X-Rays Of The Neck And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 70492-CPT | Moderate | Ct Scan Of Neck, A Ct Scanner Circles The Head Taking X-Rays Of The Neck And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 70540-CPT | Moderate | Mri Of The Face And Neck, Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Eyes Face And Neck. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
| 70542-CPT | Moderate | Mri Of The Face And Neck, Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Eyes Face And Neck. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70540 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 70540) and we'll show you how you compare in 15 minutes or less.