# CPT 77049: MRI breast, bilateral, without then with contrast

Medicare CPT 77049 pays $339.69 in a non-facility setting and $339.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $300.50 in Arkansas to $391.57 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/77049-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $339.69 |
| National facility | $339.69 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $391.57 | $391.57 |
| District of Columbia | $390.53 | $390.53 |
| California | $387.48 | $387.48 |
| Washington | $377.25 | $377.25 |
| New Jersey | $376.68 | $376.68 |
| New York | $375.16 | $375.16 |
| Massachusetts | $373.03 | $373.03 |
| Hawaii | $372.99 | $372.99 |
| Connecticut | $362.29 | $362.29 |
| Colorado | $356.02 | $356.02 |
| Oregon | $352.69 | $352.69 |
| Maryland | $352.11 | $352.11 |
| New Hampshire | $349.66 | $349.66 |
| Rhode Island | $349.10 | $349.10 |
| Florida | $345.61 | $345.61 |
| Minnesota | $343.45 | $343.45 |
| Puerto Rico | $342.46 | $342.46 |
| Virgin Islands | $342.46 | $342.46 |
| Montana | $339.68 | $339.68 |
| Nevada | $339.05 | $339.05 |
| Wyoming | $338.30 | $338.30 |
| North Dakota | $336.51 | $336.51 |
| Delaware | $336.41 | $336.41 |
| South Dakota | $336.14 | $336.14 |
| Illinois | $336.06 | $336.06 |
| Texas | $335.70 | $335.70 |
| Pennsylvania | $335.41 | $335.41 |
| Vermont | $334.45 | $334.45 |
| Virginia | $333.70 | $333.70 |
| Arizona | $330.87 | $330.87 |
| Georgia | $328.91 | $328.91 |
| Maine | $326.15 | $326.15 |
| Michigan | $326.03 | $326.03 |
| Wisconsin | $325.09 | $325.09 |
| Utah | $323.57 | $323.57 |
| North Carolina | $320.37 | $320.37 |
| New Mexico | $319.22 | $319.22 |
| South Carolina | $319.16 | $319.16 |
| Missouri | $318.23 | $318.23 |
| Indiana | $317.99 | $317.99 |
| Louisiana | $317.36 | $317.36 |
| Ohio | $317.15 | $317.15 |
| Nebraska | $316.38 | $316.38 |
| Idaho | $316.11 | $316.11 |
| Iowa | $314.41 | $314.41 |
| Tennessee | $313.60 | $313.60 |
| Kansas | $312.12 | $312.12 |
| Oklahoma | $310.73 | $310.73 |
| Kentucky | $310.43 | $310.43 |
| West Virginia | $307.99 | $307.99 |
| Alabama | $304.93 | $304.93 |
| Mississippi | $302.22 | $302.22 |
| Arkansas | $300.50 | $300.50 |

## 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 77049 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