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See a sample rate comparisonCPT 70555 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.
Advanced Imaging - Mr, Magnetic Resonance Imaging Brain Functional Mri; Including Test Selection And Administration Of Repetitive Body Part Movement And/Or Visual Stimulation Requiring Physician Or Psychologist Administration Of Entire Neurofunctional Testing
| 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 70555 |
| Medicaid Fee Schedule | View Medicaid rates for 70555 |
National average reimbursement for CPT 70555 by major payers:
$645.87
$737.94
$744.55
$974.31
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CPT 70555
5 of 25 sample ratesHigher to lower in this preview
Health Imaging Partners, LLC
$3,381.87Published rateHealth Imaging Partners LLC
$755.25Published rateShilo Gifford
Northern Arizona Healthcare Corporation
$599.36Published rateBenjamin Wilson
Radiology Associates Of North Texas, PA
$324.82Published rateRichard Lloyd
Northern Arizona Healthcare Corporation
$89.30Published rate
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See a sample payer proposalCPT 70555 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70555 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 70555 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 |
| 70555-CPT | Moderate | Advanced Imaging - Mr, Magnetic Resonance Imaging Brain Functional Mri; Including Test Selection And Administration Of Repetitive Body Part Movement And/Or Visual Stimulation Requiring Physician Or Psychologist Administration Of Entire Neurofunctional Testing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70555. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70555 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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