CPT 75559 Fee Schedule

Medicare rates as of October 2026

CPT 75559 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.

Mri Heart Function Study, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To Study The Heart Function. The Heart May Be Evaluated While It Is Working. The Muscle And Valves Are Evaluated. Blood Flow May Be Recorded.

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 TC - Technical component
Complexity Level	Moderate
Medicare Fee Schedule	$380.10 national non-facility rate (2026) · View Medicare rates for 75559
Medicaid Fee Schedule	$309.79 median of the 8 states in the free preview · View Medicaid rates for 75559

National average reimbursement for CPT 75559 by major payers:

$514.41

BCBS / Anthem

$608.25

UnitedHealthcare

$550.08

Aetna

$683.50

Cigna

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CPT 75559

5 of 25 sample ratesHigher to lower in this preview

Health Imaging Partners, LLC
TXPhysiological LaboratoryNPI 1033492483Tax ID 27-1385885
$1,809.56Published rate
Tarris Webber
Northern Arizona Healthcare Corporation
NVInternal Medicine PhysicianNPI 1154771780Tax ID 74-2410946
$980.40Published rate
Baycare Home Care, Inc.
Baycare Home Care Inc
FLHome Health AgencyNPI 1134127301Tax ID 59-3582520
$512.65Published rate
Christopher Raio
St Francis Hospital
NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-2050523
$271.16Published rate
Jason Daniels
Northern Arizona Healthcare Corporation
AZEmergency Medicine PhysicianNPI 1023074317Tax ID 74-2410946
$123.62Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 75559 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The table lists codes related to 75559. Select one to see its fee schedule.

Code	Complexity	Description
75557-CPT	Moderate	Mri Heart Function Study, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To Study The Heart Function. The Heart May Be Evaluated While It Is Working. The Muscle And Valves Are Evaluated. Blood Flow May Be Recorded.
75559-CPT	Moderate	Mri Heart Function Study, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To Study The Heart Function. The Heart May Be Evaluated While It Is Working. The Muscle And Valves Are Evaluated. Blood Flow May Be Recorded.
75561-CPT	Moderate	Mri Heart Function Study, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of Heart Function. A Contrast Agent Highlights Areas On Additional Images. The Heart Muscle Blood Flow Vessels And Valves Are Evaluated While At Work And At Rest.
75563-CPT	Moderate	Mri Heart Function Study, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of Heart Function. A Contrast Agent Highlights Areas On Additional Images. The Heart Muscle Blood Flow Vessels And Valves Are Evaluated While At Work And At Rest.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75559. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 75559 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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