Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 70558 Fee Schedule
Medicare rates as of October 2026
CPT 70558 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Advanced Imaging - Mr, Magnetic Resonance (Eg Proton) Imaging Brain (Including Brain Stem And Skull Base) During Open Intracranial Procedure (Eg To Assess For Residual Tumor Or Residual Vascular Malformation); With Contrast Material(S)
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $169.68 national non-facility rate (2026) · View Medicare rates for 70558 |
| Medicaid Fee Schedule | $147.32 median of the 3 states in the free preview · View Medicaid rates for 70558 |
National average reimbursement for CPT 70558 by major payers:
$911.41
BCBS / Anthem
$478.04
UnitedHealthcare
$485.54
Aetna
$1,494.61
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 70558.
CPT 70558
5 of 25 sample ratesHigher to lower in this preview
Gurjeet Singh
Northern Arizona Healthcare Corporation
$735.07Published rateMohammad Khedr
Northern Arizona Healthcare Corporation
$459.16Published rateGina Badescu
Northern Arizona Healthcare Corporation
$275.91Published rateAdnan Zubair
Northern Arizona Healthcare Corporation
$154.91Published rateJohn Mougin
Northern Arizona Healthcare Corporation
$154.91Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 70558 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 70558. 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. |
| 70557-CPT | High | Mri Brain W O Dye, Magnetic Resonance Eg Proton Imaging Brain Including Brain Stem And Skull Base During Open Intracranial Procedure Eg To Assess For Residual Tumor Or Residual Vascular Malformation Without Contrast Material |
| 70558-CPT | Moderate | Advanced Imaging - Mr, Magnetic Resonance (Eg Proton) Imaging Brain (Including Brain Stem And Skull Base) During Open Intracranial Procedure (Eg To Assess For Residual Tumor Or Residual Vascular Malformation); With Contrast Material(S) |
| 70559-CPT | Moderate | Mri Brain W O W Dye, Magnetic Resonance Eg Proton Imaging Brain Including Brain Stem And Skull Base During Open Intracranial Procedure Eg To Assess For Residual Tumor Or Residual Vascular Malformation Without Contrast Material S Followed By Contrast Material S And Further Sequences |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70558. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70558 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 70558) and we'll show you how you compare in 15 minutes or less.