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See a sample rate comparisonCPT 70200 Fee Schedule
Last Verified: September 2026
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.
X-Ray; Orbits, Complete, Minimum 4 Views
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 70200 |
| Medicaid Fee Schedule | View Medicaid rates for 70200 |
National average reimbursement for CPT 70200 by major payers:
$57.85
$52.57
$58.95
$66.86
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CPT 70200
5 of 25 sample ratesHigher to lower in this preview
Brent Davidson
Northern Arizona Healthcare Corporation
$72.59Published rateKrishna Pakanati
Northern Arizona Healthcare Corporation
$49.18Published rateNina Souders
Northern Arizona Healthcare Corporation
$49.18Published rateManmeet Bedi
Northern Arizona Healthcare Corporation
$23.40Published rateJohn Rooney
Northern Arizona Healthcare Corporation
$14.06Published rate
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See a sample payer proposalCPT 70200 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70200 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 70200 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.
| Code | Complexity | Description |
|---|---|---|
| 70190-CPT | Low | X-Ray; Optic Foramina |
| 70200-CPT | Low | X-Ray; Orbits, Complete, Minimum 4 Views |
| 70210-CPT | Low | X-Ray Sinuses,Paranasal,Under 3 Vws |
| 70336-CPT | Moderate | Mri Of Jaw Joint (Tmj), An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of A Jaw Joint (Temporomandibular Joint Or Tmj). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70200 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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