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See a sample rate comparisonCPT 70552 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $268.88 national non-facility rate (2026) · View Medicare rates for 70552 |
| Medicaid Fee Schedule | $221.19 median of the 8 states in the free preview · View Medicaid rates for 70552 |
National average reimbursement for CPT 70552 by major payers:

$366.48
BCBS / Anthem

$466.34
UnitedHealthcare

$523.88
Aetna

$521.27
Cigna
Choose a payer to see a sample of rates for CPT 70552.
Charleston Radiologists PA
Charleston Radiologists, P.A.
Salwa Haj-Ibrahim
Saint Peters University Hospital
Imteyaz Khan
Saint Peters University Hospital
Charleston Radiologists PA
Charleston Radiologists, P.A.
Ryan Kuehl
Saint Peters University Hospital
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 70552 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 70552. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 70551-CPT | Moderate | Mri Of Brain And Brainstem, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Brain And Brainstem. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
| 70552-CPT | Moderate | Mri Of Brain And Brainstem, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Brain And Brainstem. A Contrast Agent May Be Introduced To Highlight Areas. Multiple Images May Be Taken. |
| 70553-CPT | Moderate | Mri Brain Stem W O W Dye, Magnetic Resonance Eg Proton Imaging Brain Including Brain Stem Without Contrast Material Followed By Contrast Material S And Further Sequences |
| 70554-CPT | Moderate | Fmri Brain By Tech, Magnetic Resonance Imaging Brain Functional Mri Including Test Selection And Administration Of Repetitive Body Part Movement And Or Visual Stimulation Not Requiring Physician Or Psychologist Administration |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70552. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70552 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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