CPT 70030 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • LT - Left side of body |
| Complexity Level | Moderate |
National average reimbursement for CPT 70030 by major payers:
$45.48
$34.15
$39.16
$45.37
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 70030 | ||||||
United | 70030 | $48.72 | 1457447120 - STEVEN LUTZKER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70030 | $39.88 | 1346211810 - JAMES YAQUINTO | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70030 | $19.11 | 1013092543 - KIM CARLTON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Medical Physician Assistant (363AM0700X) |
United | 70030 | $8.65 | 1942619408 - MOHANAD SOLIMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | KY | Pulmonary Disease Physician (207RP1001X) |
United | 70030 | $31.79 | 1003303900 - KENNETH VEIGA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 70030 | $14.40 | 1134381973 - EMILIE BOWERS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Nurse Practitioner (363L00000X) |
United | 70030 | $22.73 | 1861148595 - STELLA SQUIRE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Family Nurse Practitioner (363LF0000X) |
United | 70030 | $31.79 | 1447205885 - BERNARD GALLACHER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Anesthesiology Physician (207L00000X) |
United | 70030 | $21.64 | 1124020318 - BRIAN BRUENING | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 70030 | $31.79 | 1780113654 - NICOLE RUPE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 70030 | $21.64 | 1831150200 - IRA WOLKE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70030 | $31.79 | 1588192363 - NICOLE CHIEKA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CO | Gerontology Nurse Practitioner (363LG0600X) |
United | 70030 | $21.64 | 1205412186 - CELIA GARZA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
United | 70030 | $31.39 | 1073554226 - MICHAEL SULEIMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 70030 | $21.64 | 1144287657 - CHARLES DUVALL | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 70030 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70030 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 70030 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70030. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70030 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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