CPT 70498 Radiology

How Much Does CT Angiography Neck Cost?

Also known as: Ct angiography neck (CPT 70498)

A CT angiography of your neck to visualize the carotid and vertebral arteries.

CT Angiography Neck (CPT 70498) costs $274 at Medicare rates.

The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.

Medicare (Facility)
$274
CMS PFS 2026 national rate

Patient Guide: CT Angiography Neck

What you need to know before your appointment

What to Expect

An IV is placed for contrast injection. A rapid CT scan captures detailed images of the neck blood vessels that supply blood to your brain.

How Long Does It Take?

15-20 minutes

Common Reasons Doctors Order This

Carotid artery disease evaluation, stroke workup, neck vessel narrowing, pre-surgical planning

How to Prepare

Fast for 4 hours. Report allergies to contrast dye. Tell staff about kidney problems.

Procedures Commonly Done Together

These procedures are frequently performed alongside Ct angiography neck

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How to Reduce Your Cost for Ct angiography neck

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

1.71
Work RVU
6.37
Practice Expense RVU
0.12
Malpractice RVU
8.20
Total RVU

Payment = Total RVU (8.20) x CF ($33.40) = $274

Frequently Asked Questions

How much does Ct angiography neck cost?

The Medicare facility rate for Ct angiography neck is $274. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Ct angiography neck cost without insurance?

Without insurance, the cost of Ct angiography neck can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Ct angiography neck?

Most commercial health insurance plans and Medicare cover Ct angiography neck when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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