# CPT 77046: MRI breast, unilateral, without contrast

Medicare CPT 77046 pays $213.10 in a non-facility setting and $213.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $188.66 in Arkansas to $245.89 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/77046-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $213.10 |
| National facility | $213.10 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $245.89 | $245.89 |
| District of Columbia | $244.99 | $244.99 |
| California | $243.28 | $243.28 |
| Washington | $236.77 | $236.77 |
| New Jersey | $236.31 | $236.31 |
| New York | $235.25 | $235.25 |
| Hawaii | $234.16 | $234.16 |
| Massachusetts | $234.10 | $234.10 |
| Connecticut | $227.22 | $227.22 |
| Colorado | $223.44 | $223.44 |
| Oregon | $221.36 | $221.36 |
| Maryland | $220.87 | $220.87 |
| New Hampshire | $219.40 | $219.40 |
| Rhode Island | $219.05 | $219.05 |
| Florida | $216.49 | $216.49 |
| Minnesota | $215.71 | $215.71 |
| Puerto Rico | $214.85 | $214.85 |
| Virgin Islands | $214.85 | $214.85 |
| Montana | $213.09 | $213.09 |
| Nevada | $212.76 | $212.76 |
| Wyoming | $212.32 | $212.32 |
| North Dakota | $211.31 | $211.31 |
| South Dakota | $211.10 | $211.10 |
| Delaware | $211.07 | $211.07 |
| Texas | $210.61 | $210.61 |
| Illinois | $210.50 | $210.50 |
| Pennsylvania | $210.39 | $210.39 |
| Vermont | $209.98 | $209.98 |
| Virginia | $209.44 | $209.44 |
| Arizona | $207.61 | $207.61 |
| Georgia | $206.26 | $206.26 |
| Maine | $204.72 | $204.72 |
| Michigan | $204.38 | $204.38 |
| Wisconsin | $204.17 | $204.17 |
| Utah | $203.01 | $203.01 |
| North Carolina | $201.09 | $201.09 |
| South Carolina | $200.26 | $200.26 |
| New Mexico | $200.17 | $200.17 |
| Indiana | $199.65 | $199.65 |
| Missouri | $199.63 | $199.63 |
| Louisiana | $199.06 | $199.06 |
| Ohio | $198.94 | $198.94 |
| Nebraska | $198.68 | $198.68 |
| Idaho | $198.47 | $198.47 |
| Iowa | $197.43 | $197.43 |
| Tennessee | $196.87 | $196.87 |
| Kansas | $195.96 | $195.96 |
| Oklahoma | $194.99 | $194.99 |
| Kentucky | $194.75 | $194.75 |
| West Virginia | $193.04 | $193.04 |
| Alabama | $191.42 | $191.42 |
| Mississippi | $189.66 | $189.66 |
| Arkansas | $188.66 | $188.66 |

## Related codes

- 70540: MRI orbit/face/neck, without contrast — https://www.med-reveal.com/rates/70540-cpt-fee-schedule
- 70551: MRI brain, without contrast — https://www.med-reveal.com/rates/70551-cpt-fee-schedule
- 70552: MRI brain, with contrast — https://www.med-reveal.com/rates/70552-cpt-fee-schedule
- 70553: MRI brain, without then with contrast — https://www.med-reveal.com/rates/70553-cpt-fee-schedule
- 70558: MRI orbit/face/neck, without then with contrast — https://www.med-reveal.com/rates/70558-cpt-fee-schedule
- 71550: MRI chest, without contrast — https://www.med-reveal.com/rates/71550-cpt-fee-schedule
- 71551: MRI chest, with contrast — https://www.med-reveal.com/rates/71551-cpt-fee-schedule
- 71552: MRI chest, without then with contrast — https://www.med-reveal.com/rates/71552-cpt-fee-schedule

Commercial negotiated rates for 77046 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