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See a sample rate comparisonCPT 70553 Fee Schedule
Medicare rates as of October 2026
CPT 70553 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $316.98 national non-facility rate (2026) · View Medicare rates for 70553 |
| Medicaid Fee Schedule | $261.545 median of the 8 states in the free preview · View Medicaid rates for 70553 |
National average reimbursement for CPT 70553 by major payers:
$436.79
BCBS / Anthem
$612.71
UnitedHealthcare
$616.98
Aetna
$666.70
Cigna
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CPT 70553
5 of 25 sample ratesHigher to lower in this preview
Chukwuemeka Okoro
$1,378.81Published rateKristen Launier
Childrens Hospital Of Orange County
$569.55Published rateSanbir Sidhu
$337.66Published ratePeter Mcgowan
Phoebe Physician Group Inc
$224.53Published rateHema Dave
$79.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 70553 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 70553. 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 70553. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70553 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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