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See a sample rate comparisonCPT 70260 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.
Radiologic Examination Skull, Radiologic Examination Skull Complete Minimum Of Fourviews With Or Without Stereo Radiologic Examination Skull Complete Minimum Of Four
| 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 70260 |
| Medicaid Fee Schedule | View Medicaid rates for 70260 |
National average reimbursement for CPT 70260 by major payers:
$56.23
$53.67
$58.71
$66.20
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CPT 70260
5 of 25 sample ratesHigher to lower in this preview
Eastland Memorial Hospital District, Eastland Memorial Hospital
$250.17Published rateAmy Taylor
Northern Arizona Healthcare Corporation
$79.19Published rateEl Paso Vamc
$60.02Published rateCorey Hanrahan
Radiology Associates Of North Texas, PA
$45.11Published rateRolling Plains Memorial Hospital
The Nolan County Hospital District
$16.29Published rate
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See a sample payer proposalCPT 70260 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70260 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 70260 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 |
|---|---|---|
| 70250-CPT | Low | Radiologic Examination Skull, Radiologic Examination Skull Less Than Four Views With Orwithout Stereo Radiologic Examination Skull Less Than Four Views With Or |
| 70260-CPT | Low | Radiologic Examination Skull, Radiologic Examination Skull Complete Minimum Of Fourviews With Or Without Stereo Radiologic Examination Skull Complete Minimum Of Four |
| 70300-CPT | Low | Teeth Single First Film |
| 70320-CPT | Low | Radiologic Examination Teeth, Radiologic Examination Teeth Complete Full Mouthradiologic Examination Teeth Complete Full Mouth |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70260 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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