Radiology Billing Services
Radiology billing involves high-volume with complex technical/professional component splits, contrast rules, and interventional radiology coding that requires precision.
Why Radiology Billing Requires Specialty Expertise
Radiology coding requires understanding of professional (mod 26) vs technical (mod TC) component billing, contrast administration rules (with/without/both), and the complex coding for interventional radiology procedures.
Common Radiology CPT Codes
Our coders handle these radiology codes daily. This is not an exhaustive list.
2026 Medicare Allowables for Radiology CPT Codes by State
Medicare reimbursement for radiologyprocedures is not a single national number. Each code's allowable is adjusted by your state's Geographic Practice Cost Index (GPCI) and processed under that state's Medicare Administrative Contractor (MAC), so the same radiology CPT code pays a different amount in California than it does in Texas or Florida. The table below shows the 10 core radiologycodes our coders bill priced at each state's 2026 locality. The non-facility figure is what an office-based practice collects. The facility figure applies when the service is performed in a hospital-based setting.
Commercial carriers in each state typically reimburse above these Medicare benchmarks and state Medicaid below them, but the Medicare allowable is the contracting anchor every payer negotiation starts from. Compare any individual code across all states with our Medicare fee calculator by state.
| Code | Radiology Procedure | CA | TX | FL | NY | PA | IL | OH | GA | NC | MI |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 70450 | CT head or brain without contrast | $120.71 | $105.37 | $108.70 | $117.46 | $105.36 | $105.88 | $99.88 | $103.45 | $100.68 | $102.68 |
| 71250 | CT chest without contrast | $150.23 | $131.15 | $135.13 | $146.11 | $131.13 | $131.64 | $124.34 | $128.73 | $125.38 | $127.75 |
| 72148 | MRI lumbar spine without contrast | $217.63 | $189.57 | $195.35 | $211.42 | $189.50 | $190.20 | $179.54 | $186.00 | $181.12 | $184.52 |
| 73721 | MRI lower extremity joint without contrast | $233.45 | $202.00 | $207.78 | $225.77 | $201.80 | $202.00 | $190.75 | $197.83 | $192.79 | $196.04 |
| 74177 | CT abdomen and pelvis with contrast | $343.81 | $296.62 | $305.17 | $332.01 | $296.25 | $296.44 | $279.71 | $290.32 | $282.84 | $287.60 |
| 76700 | Abdominal ultrasound, complete | $129.99 | $112.90 | $116.41 | $126.12 | $112.84 | $113.25 | $106.78 | $110.72 | $107.76 | $109.81 |
| 76830 | Transvaginal ultrasound | $134.54 | $116.11 | $119.78 | $130.12 | $116.00 | $116.33 | $109.48 | $113.71 | $110.60 | $112.70 |
| 77065 | Diagnostic mammography, unilateral | $141.45 | $122.44 | $126.13 | $136.93 | $122.33 | $122.61 | $115.62 | $119.96 | $116.79 | $118.91 |
| 77067 | Screening mammography, bilateral | $144.68 | $124.72 | $128.17 | $139.57 | $124.55 | $124.49 | $117.58 | $122.03 | $118.96 | $120.84 |
| 76536 | Soft tissue head and neck ultrasound | $124.88 | $107.18 | $110.12 | $120.17 | $106.98 | $106.84 | $100.83 | $104.75 | $102.12 | $103.68 |
Full Radiology fee detail by state
2026 Medicare allowables for radiology CPT codes in California, processed under Noridian Healthcare Solutions (Jurisdiction E). See California medical billing.
| Code | Description | Non-Facility | Facility |
|---|---|---|---|
| 70450 | CT head or brain without contrast | $120.71 | $120.71 |
| 71250 | CT chest without contrast | $150.23 | $150.23 |
| 72148 | MRI lumbar spine without contrast | $217.63 | $217.63 |
| 73721 | MRI lower extremity joint without contrast | $233.45 | $233.45 |
| 74177 | CT abdomen and pelvis with contrast | $343.81 | $343.81 |
| 76700 | Abdominal ultrasound, complete | $129.99 | $129.99 |
| 76830 | Transvaginal ultrasound | $134.54 | $134.54 |
| 77065 | Diagnostic mammography, unilateral | $141.45 | $141.45 |
| 77067 | Screening mammography, bilateral | $144.68 | $144.68 |
| 76536 | Soft tissue head and neck ultrasound | $124.88 | $124.88 |
Source: 2026 Medicare Physician Fee Schedule, locality-adjusted by state MAC. Figures are for reference and contracting benchmarks, not a guarantee of payment.
Radiology Billing Challenges We Solve
Common billing problems in radiology and how our team handles them.
Component Billing
26/TC splits must match the service your practice actually provides.
Contrast Rules
With contrast, without contrast, and with+without have different codes and rates.
Interventional Radiology
IR procedures combine surgical and imaging codes with specific supervision requirements.
Prior Auth Volume
Advanced imaging (MRI, CT, PET) requires authorization from most payers.
Common Radiology Denial Reasons
We prevent these before submission and appeal aggressively when they occur.
Revenue Opportunities Most Radiology Practices Miss
Payer-Specific Radiology Billing Tips
Radiology Billing Best Practices
Practical tips from our coding team to maximize reimbursement and minimize denials.
Get Expert Radiology Billing Support
Free billing assessment for your radiology practice. See where revenue is leaking.
What We Handle for Radiology Practices
Why Choose Go Medical Billing for Radiology
Our radiology coders handle the full spectrum from plain films to interventional procedures, with correct component billing and contrast coding.
We serve radiology practices in all 50 states, starting at 2.49% of collections. Our credentialing team handles payer enrollment, and our A/R specialists recover aging claims.
Radiology Billing by State
We handle radiology billing in all 50 states. The 2026 Medicare allowables for radiology CPT codes in every state are in the fee table above. Open any state below for its full payer environment, Medicaid rules, and Medicare MAC policies.
Frequently Asked Questions
Get Expert Radiology Billing Support
Stop losing revenue to radiology coding errors and preventable denials. Call 888-701-6090 for a free billing assessment.