# CPT 70486: CT maxillofacial, without contrast

Medicare CPT 70486 pays $128.26 in a non-facility setting and $128.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $113.39 in Arkansas to $147.63 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/70486-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Otolaryngology, Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $128.26 |
| National facility | $128.26 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $147.63 | $147.63 |
| District of Columbia | $147.52 | $147.52 |
| California | $146.39 | $146.39 |
| Washington | $142.51 | $142.51 |
| New Jersey | $142.27 | $142.27 |
| New York | $141.68 | $141.68 |
| Hawaii | $140.91 | $140.91 |
| Massachusetts | $140.91 | $140.91 |
| Connecticut | $136.82 | $136.82 |
| Colorado | $134.46 | $134.46 |
| Oregon | $133.20 | $133.20 |
| Maryland | $132.96 | $132.96 |
| New Hampshire | $132.05 | $132.05 |
| Rhode Island | $131.82 | $131.82 |
| Florida | $130.48 | $130.48 |
| Minnesota | $129.71 | $129.71 |
| Puerto Rico | $129.31 | $129.31 |
| Virgin Islands | $129.31 | $129.31 |
| Montana | $128.26 | $128.26 |
| Nevada | $128.02 | $128.02 |
| Wyoming | $127.74 | $127.74 |
| North Dakota | $127.07 | $127.07 |
| Delaware | $127.01 | $127.01 |
| South Dakota | $126.93 | $126.93 |
| Illinois | $126.86 | $126.86 |
| Texas | $126.74 | $126.74 |
| Pennsylvania | $126.63 | $126.63 |
| Vermont | $126.28 | $126.28 |
| Virginia | $126.00 | $126.00 |
| Arizona | $124.92 | $124.92 |
| Georgia | $124.16 | $124.16 |
| Maine | $123.13 | $123.13 |
| Michigan | $123.07 | $123.07 |
| Wisconsin | $122.73 | $122.73 |
| Utah | $122.14 | $122.14 |
| North Carolina | $120.93 | $120.93 |
| New Mexico | $120.48 | $120.48 |
| South Carolina | $120.47 | $120.47 |
| Missouri | $120.11 | $120.11 |
| Indiana | $120.04 | $120.04 |
| Louisiana | $119.78 | $119.78 |
| Ohio | $119.70 | $119.70 |
| Nebraska | $119.43 | $119.43 |
| Idaho | $119.32 | $119.32 |
| Iowa | $118.68 | $118.68 |
| Tennessee | $118.37 | $118.37 |
| Kansas | $117.81 | $117.81 |
| Oklahoma | $117.27 | $117.27 |
| Kentucky | $117.15 | $117.15 |
| West Virginia | $116.22 | $116.22 |
| Alabama | $115.07 | $115.07 |
| Mississippi | $114.04 | $114.04 |
| Arkansas | $113.39 | $113.39 |

## Related codes

- 70450: CT head/brain, without contrast — https://www.med-reveal.com/rates/70450-cpt-fee-schedule
- 70460: CT head/brain, with contrast — https://www.med-reveal.com/rates/70460-cpt-fee-schedule
- 70470: CT head/brain, without then with contrast — https://www.med-reveal.com/rates/70470-cpt-fee-schedule
- 70480: CT orbit/sella/posterior fossa, without contrast — https://www.med-reveal.com/rates/70480-cpt-fee-schedule
- 70487: CT maxillofacial, with contrast — https://www.med-reveal.com/rates/70487-cpt-fee-schedule
- 70490: CT soft tissue neck, without contrast — https://www.med-reveal.com/rates/70490-cpt-fee-schedule
- 70491: CT soft tissue neck, with contrast — https://www.med-reveal.com/rates/70491-cpt-fee-schedule
- 70492: CT soft tissue neck, without then with contrast — https://www.med-reveal.com/rates/70492-cpt-fee-schedule

Commercial negotiated rates for 70486 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules