FairBillCheck

CPT 71045: what Medicare pays in 2026

Imaging

Medicare's 2026 national amount for 71045 is $25.38 when a doctor's office or clinic bills it. Across Medicare's 109 payment localities the office amount runs from $22.42 in Arkansas to $34.00 in San Jose-Sunnyvale-Santa Clara (San Benito County), CA.

CPT descriptions are copyrighted by the American Medical Association, so this page shows the code number only. The description printed on your bill, or the provider, will tell you what the code covers.

Medicare amounts for 71045 in 2026

Doctor's office or clinic, national
$25.38
Professional part only (modifier 26), office, national
$8.35
Technical part only (modifier TC), office, national
$17.03
Hospital outpatient rate, national (APC 5521)
$88.91
Hospital outpatient status Q3
may be paid as part of a composite rate

Hospital outpatient rates are national figures before Medicare's wage adjustment, which moves about 60% of the rate up or down with local hospital wages.

What providers charged Medicare for 71045 in 2024

From CMS's national utilization file (the most recent full year published). The charge is the provider's list price, the same kind of figure an uninsured patient is usually billed.

SettingServicesAverage chargeMedicare allowedCharge vs allowed
In an office or other non-facility setting725,151$41.07$14.402.9×
In a facility setting11,962,911$52.96$8.326.4×

How Medicare builds the 71045 amount

Each physician fee schedule amount is three relative value units (RVUs), each multiplied by the locality's cost index, added up and multiplied by the 2026 conversion factor of $33.4009.

Work RVU
0.18
Practice expense RVU, office
0.56
Malpractice RVU
0.02

71045 in every Medicare locality

The office amount is lowest in Arkansas and highest in San Jose-Sunnyvale-Santa Clara (San Benito County), CA.

StateLocalityOfficeFacility
AKAlaska$29.31none
ALAlabama$22.76none
ARArkansas$22.42none
AZArizona$24.71none
CABakersfield$27.03none
CAChico$26.97none
CAEl Centro$26.98none
CAFresno$26.97none
CAHanford-Corcoran$26.97none
CALos Angeles-Long Beach-Anaheim (Los Angeles/Orange County)$28.83none
CAMadera$26.97none
CAMerced$26.97none
CAModesto$26.97none
CANapa$31.38none
CAOxnard-Thousand Oaks-Ventura$28.71none
CARedding$26.97none
CARest of California$26.97none
CARiverside-San Bernardino-Ontario$27.19none
CASacramento-Roseville-Folsom$28.34none
CASalinas$28.24none
CASan Diego-Chula Vista-Carlsbad$28.93none
CASan Francisco-Oakland-Berkeley (Marin County)$33.26none
CASan Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa County)$33.24none
CASan Jose-Sunnyvale-Santa Clara (San Benito County)$34.00none
CASan Jose-Sunnyvale-Santa Clara (Santa Clara County)$33.91none
CASan Luis Obispo-Paso Robles$27.78none
CASanta Cruz-Watsonville$29.22none
CASanta Maria-Santa Barbara$28.35none
CASanta Rosa-Petaluma$29.52none
CAStockton$26.97none
CAVallejo$31.35none
CAVisalia$26.97none
CAYuba City$26.97none
COColorado$26.51none
CTConnecticut$27.09none
DCDC + MD/VA Suburbs$29.11none
DEDelaware$25.12none
FLFort Lauderdale$26.17none
FLMiami$27.17none
FLRest of Florida$24.90none
GAAtlanta$25.84none
GARest of Georgia$23.49none
HIHawaii, Guam$27.67none
IAIowa$23.39none
IDIdaho$23.54none
ILChicago$26.39none
ILEast St. Louis$24.57none
ILRest of Illinois$24.13none
ILSuburban Chicago$26.45none
INIndiana$23.68none
KSKansas$23.26none
KYKentucky$23.25none
LANew Orleans$24.37none
LARest of Louisiana$23.21none
MAMetropolitan Boston$29.19none
MARest of Massachusetts$26.34none
MDBaltimore/Surrounding Counties$27.00none
MDRest of Maryland$25.61none
MERest of Maine$23.64none
MESouthern Maine$24.97none
MIDetroit$25.19none
MIRest of Michigan$23.84none
MNMinnesota$25.46none
MOMetropolitan Kansas City$24.23none
MOMetropolitan St. Louis$24.49none
MORest of Missouri$22.79none
MSMississippi$22.61none
MTMontana$25.38none
NCNorth Carolina$23.89none
NDNorth Dakota$24.99none
NENebraska$23.53none
NHNew Hampshire$26.07none
NJNorthern NJ$28.80none
NJRest of New Jersey$27.41none
NMNew Mexico$23.97none
NVNevada$25.29none
NYManhattan$29.19none
NYNYC Suburbs/Long Island$29.88none
NYPoughkeepsie/Northern NYC Suburbs$27.57none
NYQueens$29.47none
NYRest of New York$24.25none
OHOhio$23.76none
OKOklahoma$23.23none
ORPortland$27.39none
ORRest of Oregon$25.11none
PAMetropolitan Philadelphia$26.39none
PARest of Pennsylvania$23.81none
PRPuerto Rico$25.58none
RIRhode Island$26.04none
SCSouth Carolina$23.86none
SDSouth Dakota$24.94none
TNTennessee$23.37none
TXAustin$26.41none
TXBeaumont$23.65none
TXBrazoria$25.12none
TXDallas$25.27none
TXFort Worth$25.09none
TXGalveston$25.19none
TXHouston$25.55none
TXRest of Texas$24.37none
UTUtah$24.19none
VAVirginia$24.87none
VIVirgin Islands$25.58none
VTVermont$24.87none
WARest of Washington$26.29none
WASeattle (King County)$29.81none
WIWisconsin$24.14none
WVWest Virginia$23.22none
WYWyoming$25.21none

Other imaging codes