# CPT 70491: CT soft tissue neck, with contrast

Medicare CPT 70491 pays $183.37 in a non-facility setting and $183.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $162.84 in Arkansas to $213.36 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/70491-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $183.37 |
| National facility | $183.37 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $213.36 | $213.36 |
| District of Columbia | $210.22 | $210.22 |
| California | $208.40 | $208.40 |
| Washington | $203.10 | $203.10 |
| New Jersey | $202.99 | $202.99 |
| New York | $202.23 | $202.23 |
| Massachusetts | $200.89 | $200.89 |
| Hawaii | $200.64 | $200.64 |
| Connecticut | $195.32 | $195.32 |
| Colorado | $191.91 | $191.91 |
| Oregon | $190.14 | $190.14 |
| Maryland | $189.94 | $189.94 |
| New Hampshire | $188.54 | $188.54 |
| Rhode Island | $188.37 | $188.37 |
| Florida | $186.67 | $186.67 |
| Minnesota | $185.18 | $185.18 |
| Puerto Rico | $184.81 | $184.81 |
| Virgin Islands | $184.81 | $184.81 |
| Montana | $183.36 | $183.36 |
| Nevada | $183.00 | $183.00 |
| Wyoming | $182.59 | $182.59 |
| Illinois | $181.70 | $181.70 |
| Delaware | $181.67 | $181.67 |
| North Dakota | $181.59 | $181.59 |
| South Dakota | $181.37 | $181.37 |
| Texas | $181.31 | $181.31 |
| Pennsylvania | $181.21 | $181.21 |
| Vermont | $180.53 | $180.53 |
| Virginia | $180.19 | $180.19 |
| Arizona | $178.74 | $178.74 |
| Georgia | $177.81 | $177.81 |
| Michigan | $176.35 | $176.35 |
| Maine | $176.23 | $176.23 |
| Wisconsin | $175.61 | $175.61 |
| Utah | $174.95 | $174.95 |
| North Carolina | $173.22 | $173.22 |
| New Mexico | $172.75 | $172.75 |
| South Carolina | $172.64 | $172.64 |
| Missouri | $172.19 | $172.19 |
| Indiana | $171.95 | $171.95 |
| Louisiana | $171.75 | $171.75 |
| Ohio | $171.63 | $171.63 |
| Nebraska | $171.09 | $171.09 |
| Idaho | $170.96 | $170.96 |
| Iowa | $170.06 | $170.06 |
| Tennessee | $169.67 | $169.67 |
| Kansas | $168.89 | $168.89 |
| Oklahoma | $168.23 | $168.23 |
| Kentucky | $168.10 | $168.10 |
| West Virginia | $166.95 | $166.95 |
| Alabama | $165.16 | $165.16 |
| Mississippi | $163.78 | $163.78 |
| Arkansas | $162.84 | $162.84 |

## 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
- 70490: CT soft tissue neck, without contrast — https://www.med-reveal.com/rates/70490-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 70491 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