# CPT 70492: CT soft tissue neck, without then with contrast

Medicare CPT 70492 pays $219.78 in a non-facility setting and $219.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $195.08 in Arkansas to $255.30 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/70492-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $219.78 |
| National facility | $219.78 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $255.30 | $255.30 |
| District of Columbia | $252.14 | $252.14 |
| California | $250.14 | $250.14 |
| Washington | $243.65 | $243.65 |
| New Jersey | $243.40 | $243.40 |
| New York | $242.40 | $242.40 |
| Massachusetts | $240.98 | $240.98 |
| Hawaii | $240.79 | $240.79 |
| Connecticut | $234.14 | $234.14 |
| Colorado | $230.15 | $230.15 |
| Oregon | $228.03 | $228.03 |
| Maryland | $227.68 | $227.68 |
| New Hampshire | $226.07 | $226.07 |
| Rhode Island | $225.82 | $225.82 |
| Florida | $223.49 | $223.49 |
| Minnesota | $222.17 | $222.17 |
| Puerto Rico | $221.53 | $221.53 |
| Virgin Islands | $221.53 | $221.53 |
| Montana | $219.77 | $219.77 |
| Nevada | $219.38 | $219.38 |
| Wyoming | $218.91 | $218.91 |
| North Dakota | $217.79 | $217.79 |
| Delaware | $217.74 | $217.74 |
| South Dakota | $217.56 | $217.56 |
| Illinois | $217.48 | $217.48 |
| Texas | $217.29 | $217.29 |
| Pennsylvania | $217.13 | $217.13 |
| Vermont | $216.49 | $216.49 |
| Virginia | $216.01 | $216.01 |
| Arizona | $214.22 | $214.22 |
| Georgia | $212.99 | $212.99 |
| Maine | $211.25 | $211.25 |
| Michigan | $211.16 | $211.16 |
| Wisconsin | $210.59 | $210.59 |
| Utah | $209.62 | $209.62 |
| North Carolina | $207.61 | $207.61 |
| New Mexico | $206.87 | $206.87 |
| South Carolina | $206.84 | $206.84 |
| Missouri | $206.25 | $206.25 |
| Indiana | $206.11 | $206.11 |
| Louisiana | $205.70 | $205.70 |
| Ohio | $205.57 | $205.57 |
| Nebraska | $205.10 | $205.10 |
| Idaho | $204.92 | $204.92 |
| Iowa | $203.85 | $203.85 |
| Tennessee | $203.34 | $203.34 |
| Kansas | $202.41 | $202.41 |
| Oklahoma | $201.52 | $201.52 |
| Kentucky | $201.33 | $201.33 |
| West Virginia | $199.78 | $199.78 |
| Alabama | $197.87 | $197.87 |
| Mississippi | $196.16 | $196.16 |
| Arkansas | $195.08 | $195.08 |

## 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
- 70491: CT soft tissue neck, with contrast — https://www.med-reveal.com/rates/70491-cpt-fee-schedule

Commercial negotiated rates for 70492 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