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See a sample rate comparisonCPT 76498 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.
Mri Scan, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View An Area Of The Body. Multiple Images May Be Taken.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 76498 |
National average reimbursement for CPT 76498 by major payers:
$284.66
$309.99
$317.71
$202.76
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CPT 76498
5 of 25 sample ratesHigher to lower in this preview
Prisma Health-Upstate, Prisma Health Transplant Center
Prisma Health - Upstate
$401.86Published rateMadison Hma LLC, Merit Health Madison
Madison Hma LLC
$159.61Published rateWhite River Health System, Inc., White River Medical Center
White River Health System Inc
$106.63Published rateCoastal Carolina Medical Center, Inc., Coastal Carolina Hospital
$80.90Published rateMercy Health Kings Mills Hospital LLC, Mercy Health - Kings Mills Hospital
Mercy Health Kings Mills Hospital LLC
$66.55Published rate
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See a sample payer proposalCPT 76498 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76498 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 76498 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 |
|---|---|---|
| 76498-CPT | Moderate | Mri Scan, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View An Area Of The Body. Multiple Images May Be Taken. |
| 76499-CPT | High | Unlisted Diagnostic Radiologic Procedure |
| 76700-CPT | Low | Ultrasound Abdominal |
| 76870-CPT | Low | Ultrasound Of Scrotum, An Ultrasound (Sound Waves) To Create An Image Of The Interior Of The Scrotum. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76498. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76498 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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