How much does Medicare pay for CPT 70540?

Medicare allowed an average of $143.49 per service and paid $110.88 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $848.40, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 70540?

Mri scan of bone of eye socket, face, and/or neck without contrast. It was billed 1,741 times to 1,607 Medicare beneficiaries by 56 providers in 2024.

Does 70540 pay differently in an office than a hospital?

Yes. The allowed amount averaged $202.56 in an office setting and $55.65 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 70540 most?

Diagnostic Radiology, with 1,701 services from 53 clinicians. Next are Independent Diagnostic Testing Facility (IDTF).

CPT 70540

Mri scan of bone of eye socket, face, and/or neck without contrast

$143.49Medicare-allowed amount per service, averaged across 1,741 services

Providers submitted

$848.40

Asking price, not received

Medicare allowed

$143.49

The fee schedule figure

Medicare paid

$110.88

Balance is patient coinsurance

Providers submitted an average of $848.40 for this code and Medicare allowed $143.49 — 5.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $110.88 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $202.56
Hospital / facility: $55.65

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 1,041 services were billed in an office setting and 700 in a facility.

Services: 1,741
Beneficiaries: 1,607
Providers billing it: 56
Total allowed: $249,816

What Medicare pays for CPT 70540

Across 1,741 services billed by 56 providers to 1,607 beneficiaries, Medicare allowed an average of $143.49 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 70540

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	1,701	1,567	$141.54	53
Independent Diagnostic Testing Facility (IDTF)	40	40	$226.53	3

70540 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Arkansas	656	$55.13	$45.62	3
New York	362	$218.42	$140.62	14
California	280	$186.79	$123.28	15
Florida	73	$178.70	$129.14	4
Arizona	63	$117.12	$93.68	2
Virginia	45	$256.05	$170.43	2
New Jersey	38	$261.23	$171.49	2
Maine	36	$117.29	$84.35	1
Alabama	31	$141.66	$118.67	2
Nevada	28	$214.79	$170.87	2
Georgia	28	$234.47	$169.24	2
Maryland	28	$240.92	$161.18	2
Texas	17	$210.30	$166.25	1
Delaware	16	$63.44	$42.21	1
District of Columbia	15	$263.57	$178.95	1
Ohio	13	$221.94	$166.12	1
Wisconsin	12	$86.58	$58.09	1

Related codes

70551Mri scan of brain without contrast$94.16
70553Mri scan of brain before and after contrast$153.94
70544Mri scan of blood vessels of head without contrast$93.59
70543Mri scan of bone of eye socket$189.65
70547Mri scan of blood vessels of neck without contrast$100.53
70549Mri scan of blood vessels of neck before and after contrast$145.19
70546Mri scan of blood vessels of head before and after contrast$164.09
70548Mri scan of blood vessels of neck$83.23
70552Mri scan of brain$109.43

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.