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See a sample rate comparisonHealthcare 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 24 - Ambulatory Surgical Center |
| Common Modifiers | None TC - Technical component 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 70320 |
| Medicaid Fee Schedule | View Medicaid rates for 70320 |
National average reimbursement for CPT 70320 by major payers:

$65.76

$60.39

$58.33

$76.14
Choose a payer to see a sample of rates for CPT 70320.
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Radiology Associates Of North Texas, PA
St Francis Hospital
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 70320 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 70320 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 70320 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 |
|---|---|---|
| 70100-CPT | Low | X-Ray Mandible;Part,Under 4 Views |
| 70300-CPT | Low | Teeth Single First Film |
| 70310-CPT | Low | Radiologic Examination Teeth, Radiologic Examination Teeth Partial Examination Lessthan Full Mouth Radiologic Examination Teeth Partial Examination Less |
| 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 70320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70320 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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