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See a sample rate comparisonCPT 70554 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.
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
| 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 | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 70554 |
| Medicaid Fee Schedule | View Medicaid rates for 70554 |
National average reimbursement for CPT 70554 by major payers:
$489.71
$564.74
$590.65
$658.61
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CPT 70554
5 of 25 sample ratesHigher to lower in this preview
Stacey Jantzen
Radiology Associates Of North Texas, PA
$1,144.07Published rateDaniel Bennett
Radiology Associates Of North Texas, PA
$870.69Published rateElizabeth Biesemeyer
Northern Arizona Healthcare Corporation
$849.59Published rateManmeet Bedi
Northern Arizona Healthcare Corporation
$373.01Published rateJames Estipona
Northern Arizona Healthcare Corporation
$92.27Published rate
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See a sample payer proposalCPT 70554 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70554 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 70554 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 |
|---|---|---|
| 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 70554. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70554 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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