CPT 70100 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 | • 11 - Office • 23 - Emergency Room |
| Common Modifiers | • None • 26 - Professional component • Q6 - Service furnished by a locum tenens physician |
| Complexity Level | Moderate |
National average reimbursement for CPT 70100 by major payers:
$45.62
$39.94
$44.71
$53.50
| 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 70100 | ||||||
United | 70100 | $59.54 | 1356630800 - JACQUELYN SMITH | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70100 | $59.54 | 1962403501 - MICHAEL HILL | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70100 | $23.45 | 1467985986 - MOHAMMAD IBRAHIM | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 70100 | $9.38 | 1245303940 - KELLY KAUFMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 70100 | $34.79 | 1356755433 - PETER LASATER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Orthopaedic Surgery Physician (207X00000X) |
United | 70100 | $37.16 | 1891781720 - MARGARET KOZAK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NJ | Family Medicine Physician (207Q00000X) |
United | 70100 | $34.79 | 1730180431 - MARLOU HEILAND | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Urology Physician (208800000X) |
United | 70100 | $15.01 | 1225326127 - NICOLE KURNIK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Plastic Surgery Physician (208200000X) |
United | 70100 | $49.81 | 1831455401 - KYLE MURRAY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | PA | Emergency Medicine Physician (207P00000X) |
United | 70100 | $15.01 | 1518209964 - MATTHEW RYBKA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 70100 | $59.54 | 1760477236 - MUKUL MAHESHWARI | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 70100 | $28.96 | 1275892341 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 70100 | $34.79 | 1316461296 - SONDRA WILLIAMS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 70100 | $27.79 | 1881190403 - JEROME ROGICH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Emergency Medicine Physician (207P00000X) |
United | 70100 | $9.38 | 1700390861 - DYMAN KWARCIAK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IL | Hospice and Palliative Medicine (Family Medicine) Physician (207QH0002X) |
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 70100 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70100 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 70100 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 70100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70100 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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