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See a sample rate comparisonCPT 75561 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
| 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 ME - The order for this service adheres to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $365.07 national non-facility rate (2026) · View Medicare rates for 75561 |
| Medicaid Fee Schedule | $299.495 median of the 8 states in the free preview · View Medicaid rates for 75561 |
National average reimbursement for CPT 75561 by major payers:

$489.19
BCBS / Anthem

$575.02
UnitedHealthcare

$615.75
Aetna

$661.32
Cigna
Choose a payer to see a sample of rates for CPT 75561.
Trent Peterson
Northern Arizona Healthcare Corporation
Laura Macphee
Northern Arizona Healthcare Corporation
Saman Selahi
Northern Arizona Healthcare Corporation
Scott Gibson
Northern Arizona Healthcare Corporation
Connor Maldonado
Town Center Orthopaedic Associates, P.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 75561 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 75561. 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 75561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75561 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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