How much does Medicare pay for CPT 70547?

Medicare allowed an average of $100.53 per service and paid $78.59 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $737.47, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 70547?

Mri scan of blood vessels of neck without contrast. It was billed 29,666 times to 28,490 Medicare beneficiaries by 1,096 providers in 2024.

Does 70547 pay differently in an office than a hospital?

Yes. The allowed amount averaged $183.87 in an office setting and $54.47 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 70547 most?

Diagnostic Radiology, with 27,817 services from 1,034 clinicians. Next are Independent Diagnostic Testing Facility (IDTF), Neurology, Interventional Radiology.

CPT 70547

Mri scan of blood vessels of neck without contrast

$100.53Medicare-allowed amount per service, averaged across 29,666 services

Providers submitted

$737.47

Asking price, not received

Medicare allowed

$100.53

The fee schedule figure

Medicare paid

$78.59

Balance is patient coinsurance

Providers submitted an average of $737.47 for this code and Medicare allowed $100.53 — 7.3× 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 $78.59 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $183.87
Hospital / facility: $54.47

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. 10,560 services were billed in an office setting and 19,106 in a facility.

Services: 29,666
Beneficiaries: 28,490
Providers billing it: 1,096
Total allowed: $2,982,323

What Medicare pays for CPT 70547

Across 29,666 services billed by 1,096 providers to 28,490 beneficiaries, Medicare allowed an average of $100.53 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 70547

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	27,817	26,684	$95.74	1,034
Independent Diagnostic Testing Facility (IDTF)	938	929	$201.29	37
Neurology	411	382	$171.82	10
Interventional Radiology	277	275	$53.31	11
Nuclear Medicine	189	186	$217.18	2
Undefined Physician type	19	19	$49.60	1
Neurosurgery	15	15	$204.57	1

70547 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
New York	6,625	$147.51	$97.80	153
California	3,185	$114.96	$78.66	134
Texas	2,367	$73.61	$57.26	107
Florida	2,328	$81.60	$62.14	109
Maryland	1,418	$98.92	$70.49	46
New Jersey	1,183	$91.42	$63.62	46
Arizona	1,162	$91.95	$71.22	32
Ohio	1,139	$69.68	$52.03	48
North Carolina	1,049	$58.46	$45.43	40
Pennsylvania	1,041	$81.01	$58.27	44
Georgia	912	$77.17	$58.70	47
Virginia	776	$69.52	$51.45	26
Tennessee	605	$57.46	$46.10	24
Massachusetts	596	$115.79	$81.60	29
Delaware	533	$61.13	$46.42	19
Nevada	490	$157.96	$125.01	18
Alabama	485	$90.09	$75.78	22
Minnesota	470	$75.22	$55.95	22
District of Columbia	407	$105.47	$72.02	12
Illinois	400	$61.75	$45.38	22
Hawaii	329	$96.51	$69.52	10
Mississippi	240	$50.97	$40.84	12
Washington	239	$101.19	$73.46	9
Colorado	229	$144.66	$93.87	3
Michigan	189	$54.36	$41.04	10
Maine	181	$110.31	$78.31	4
Utah	164	$51.22	$40.21	7
Connecticut	153	$74.33	$50.82	5
Missouri	129	$67.28	$52.61	8
Indiana	121	$67.64	$55.17	5
Oregon	102	$75.21	$58.20	2
South Dakota	61	$50.62	$35.73	2
New Mexico	52	$50.74	$39.16	1
Kentucky	50	$51.14	$41.07	2
Louisiana	46	$53.92	$41.45	3
Kansas	46	$52.11	$40.97	3
West Virginia	27	$210.59	$164.92	1
Oklahoma	25	$52.54	$39.88	2
New Hampshire	24	$52.64	$40.86	1
Alaska	22	$238.79	$170.82	1
Arkansas	16	$50.80	$38.99	1
Wisconsin	14	$55.76	$40.71	1
South Carolina	13	$195.09	$166.82	1
Guam	12	$208.28	$140.51	1
Nebraska	11	$49.92	$40.91	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
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
70540Mri scan of bone of eye socket$143.49

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.