How can I find out the cost of a specific medical procedure?

To find out the cost of a specific medical procedure, especially based on a CPT code and your location, you can utilize specialized tools. We recommend using Payerprice, which offers a fee schedule lookup tool. This tool allows users to search for prices using CPT codes and specific locations, helping you get a better understanding of potential costs. You should also contact your insurance provider to understand your specific benefits and out-of-pocket responsibilities.

What is a CPT code and why is it important?

CPT stands for Current Procedural Terminology. CPT codes are a standardized set of five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for accurate billing and to ensure that healthcare providers are reimbursed correctly by insurance companies. When looking up procedure costs, knowing the CPT code can significantly help in getting precise price information from tools like Payerprice.

Does my insurance cover this procedure?

Whether your insurance covers a specific procedure depends on your individual health insurance plan, its benefits, and the medical necessity of the procedure. It's essential to contact your insurance provider directly. They can inform you about your coverage, any pre-authorization requirements, your deductible status, co-pays, and coinsurance responsibilities for the specific service you are considering.

What's the difference between a co-pay, deductible, and coinsurance?

These are common terms related to your out-of-pocket healthcare costs: * **Copay (or Copayment):** A fixed amount you pay for a covered health care service, usually paid at the time of service. It may or may not count towards your deductible. * **Deductible:** The amount you must pay for covered healthcare services yourself before your insurance plan starts to pay. For example, if your deductible is $1,000, your plan won't pay for most services until you've paid $1,000 out-of-pocket. * **Coinsurance:** Your share of the cost of a healthcare service, calculated as a percentage (for example, 20%) of the allowed amount for the service. You typically pay coinsurance after you've met your deductible.

Why do prices for the same procedure vary so much?

Healthcare prices can vary significantly for several reasons. Factors include the specific healthcare provider or facility (e.g., hospital vs. independent clinic), geographical location, the complexity of the procedure, negotiations between providers and different insurance companies, and whether the provider is in-network or out-of-network for your plan. The historical lack of price transparency has also contributed to this variability. Tools like Payerprice aim to provide more clarity on these varying costs.

CPT 70450 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.

Ct Scan Of Head Or Brain, A Ct Scanner Circles The Head Taking X-Rays Of The Skull And Brain And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See.

Key Fact	Detail
Service Type	Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures
Common Place of Service	23 - Emergency Room 21 - Inpatient Hospital
Common Modifiers	None 26 - Professional component TC - Technical component
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 70450
Medicaid Fee Schedule	View Medicaid rates for 70450

National average reimbursement for CPT 70450 by major payers:

$145.04

$168.99

$212.48

$200.80

Compare published rates across providers.

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CPT 70450

5 of 25 sample ratesHigher to lower in this preview

Peter Chang
Regents Of The University Of California At Irvine
CANeuroradiology PhysicianNPI 1841530458Tax ID 95-2226406
$525.27Published rate
Eric Dorn
WIDiagnostic Radiology PhysicianNPI 1033192562Tax ID 39-0807063
$302.22Published rate
Fnu Arun Prasath
WINeonatal-Perinatal Medicine PhysicianNPI 1659787620Tax ID 75-6002868
$149.77Published rate
Kevin Banks
Urology San Antonio, P.A.
TXDiagnostic Radiology PhysicianNPI 1356331656Tax ID 74-2719352
$117.29Published rate
Rory Karibo
Trinity Regional Medical Center
IADiagnostic Radiology PhysicianNPI 1609008515Tax ID 42-1009175
$54.15Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

This code appears in 1 published specialty market.

Explore state-level rates by specialty

CPT 70450 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The CPT 70450 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 70450 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
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).
70450-CPT	Low	Ct Scan Of Head Or Brain, A Ct Scanner Circles The Head Taking X-Rays Of The Skull And Brain And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See.
70460-CPT	Low	Ct Scan Of Head Or Brain, A Ct Scanner Circles The Head Taking X-Rays Of The Skull And Brain And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See.
70470-CPT	Moderate	Ct Scan Of Head Or Brain, A Ct Scanner Circles The Head Taking X-Rays Of The Skull And Brain And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 70450 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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CPT 70450 Fee Schedule

Peter Chang

Eric Dorn

Fnu Arun Prasath

Kevin Banks

Rory Karibo