# CPT 70490: CT soft tissue neck, without contrast

Medicare CPT 70490 pays $149.64 in a non-facility setting and $149.64 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $133.51 in Arkansas to $176.15 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/70490-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Otolaryngology, Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $149.64 |
| National facility | $149.64 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $176.15 | $176.15 |
| District of Columbia | $170.92 | $170.92 |
| California | $169.19 | $169.19 |
| New Jersey | $165.26 | $165.26 |
| Washington | $165.12 | $165.12 |
| New York | $164.74 | $164.74 |
| Massachusetts | $163.41 | $163.41 |
| Hawaii | $162.93 | $162.93 |
| Connecticut | $159.13 | $159.13 |
| Colorado | $156.29 | $156.29 |
| Maryland | $154.86 | $154.86 |
| Oregon | $154.86 | $154.86 |
| New Hampshire | $153.62 | $153.62 |
| Rhode Island | $153.61 | $153.61 |
| Florida | $152.52 | $152.52 |
| Minnesota | $150.81 | $150.81 |
| Puerto Rico | $150.75 | $150.75 |
| Virgin Islands | $150.75 | $150.75 |
| Montana | $149.63 | $149.63 |
| Nevada | $149.30 | $149.30 |
| Wyoming | $148.94 | $148.94 |
| Illinois | $148.67 | $148.67 |
| Delaware | $148.31 | $148.31 |
| North Dakota | $148.05 | $148.05 |
| Pennsylvania | $148.04 | $148.04 |
| Texas | $148.04 | $148.04 |
| South Dakota | $147.86 | $147.86 |
| Vermont | $147.26 | $147.26 |
| Virginia | $147.06 | $147.06 |
| Arizona | $145.99 | $145.99 |
| Georgia | $145.39 | $145.39 |
| Michigan | $144.31 | $144.31 |
| Maine | $143.95 | $143.95 |
| Wisconsin | $143.37 | $143.37 |
| Utah | $143.05 | $143.05 |
| North Carolina | $141.62 | $141.62 |
| New Mexico | $141.44 | $141.44 |
| South Carolina | $141.24 | $141.24 |
| Missouri | $140.93 | $140.93 |
| Louisiana | $140.60 | $140.60 |
| Indiana | $140.58 | $140.58 |
| Ohio | $140.50 | $140.50 |
| Nebraska | $139.87 | $139.87 |
| Idaho | $139.81 | $139.81 |
| Iowa | $139.08 | $139.08 |
| Tennessee | $138.82 | $138.82 |
| Kansas | $138.21 | $138.21 |
| Oklahoma | $137.78 | $137.78 |
| Kentucky | $137.73 | $137.73 |
| West Virginia | $137.00 | $137.00 |
| Alabama | $135.32 | $135.32 |
| Mississippi | $134.31 | $134.31 |
| Arkansas | $133.51 | $133.51 |

## 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
- 70486: CT maxillofacial, without contrast — https://www.med-reveal.com/rates/70486-cpt-fee-schedule
- 70487: CT maxillofacial, with contrast — https://www.med-reveal.com/rates/70487-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 70490 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