CPT 70547 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | • 21 - Inpatient Hospital • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Moderate |
National average reimbursement for CPT 70547 by major payers:
$307.07
$409.73
$467.50
$468.36
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 70547 | ||||||
United | 70547 | $885.59 | 1851824163 - MATTHEW STUART | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 70547 | $997.91 | 1053439935 - GREGORY POE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70547 | $885.59 | 1790836252 - RANGADHAM NAGARAKANTI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Clinical Cardiac Electrophysiology Physician (207RC0001X) |
United | 70547 | $987.01 | 1407637762 - HANNAH WARD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Speech-Language Pathologist (235Z00000X) |
United | 70547 | $987.01 | 1174769699 - JESSICA JAKOBSEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CO | Certified Registered Nurse Anesthetist (367500000X) |
United | 70547 | $987.01 | 1043718950 - DANIEL HAINLEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Certified Registered Nurse Anesthetist (367500000X) |
United | 70547 | $987.01 | 1285703215 - JAMES HAYES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 70547 | $885.59 | 1891026381 - NANCY UDALL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Certified Registered Nurse Anesthetist (367500000X) |
United | 70547 | $212.58 | 1124057070 - NITEEN ANDALKAR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurological Surgery Physician (207T00000X) |
United | 70547 | $160.13 | 1285668624 - ARPANA GUPTA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | HI | Internal Medicine Physician (207R00000X) |
United | 70547 | $885.59 | 1063070175 - EMMA KROLOFF | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Physician Assistant (363A00000X) |
United | 70547 | $987.01 | 1497935670 - ROBERT REED | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 70547 | $987.01 | 1255868451 - MEGAN POTILECHIO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospice and Palliative Medicine (Internal Medicine) Physician (207RH0002X) |
United | 70547 | $842.73 | 1487828596 - CHARLES CRUM | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70547 | $212.58 | 1467494575 - MICHAEL BOWEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | OR | Obstetrics & Gynecology Physician (207V00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 70547 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70547 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 70547 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 |
|---|---|---|
| 70492-CPT | Moderate | Computerized Axial Tomography Soft Tissue Neck; Without Contrast Material Followed By Contrast Material(S) And Further Sections |
| 70498-CPT | Moderate | Computed Tomographic Angiography Neck With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing Essing |
| 70540-CPT | Moderate | Mri; Orbit, Face, & Neck |
| 70547-CPT | Moderate | Magnetic Resonance Angiography, Neck; Without Contrast Material(S) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70547. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70547 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.
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