CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 70554 RVU and Medicare Payment (2026)
Fmri brain by tech — 2.06 work RVU, about $377.76 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.06
- PE RVU (non-facility)
- 9.08
- PE RVU (facility)
- 9.08
- MP RVU
- 0.17
- Office payment
- $377.76
- Facility payment
- $377.76
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 70554 in a non-facility setting with national GPCI: (2.06 + 9.08 + 0.17) × $33.4009 ≈ $377.76. The same code in a facility setting pays about $377.76 because facility PE RVU (9.08) replaces office PE RVU.
What changes by locality
GPCI moves 70554 non-facility payment from $332.25 to $516.75 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 70554?
2.06. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 70554 in 2026?
About $377.76 non-facility ($377.76 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (2.06) and malpractice RVU stay fixed; only practice expense changes (9.08 office vs 9.08 facility). That is the entire office-vs-facility payment gap.