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See a sample rate comparisonCPT 70491 Fee Schedule
Medicare rates as of October 2026
CPT 70491 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Ct Scan Of Neck, A Ct Scanner Circles The Head Taking X-Rays Of The Neck 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 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $183.37 national non-facility rate (2026) · View Medicare rates for 70491 |
| Medicaid Fee Schedule | $150.695 median of the 8 states in the free preview · View Medicaid rates for 70491 |
National average reimbursement for CPT 70491 by major payers:
$236.32
BCBS / Anthem
$276.38
UnitedHealthcare
$324.86
Aetna
$322.62
Cigna
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CPT 70491
5 of 25 sample ratesHigher to lower in this preview
Jodi Tesch
Neuroscience Group Of Northeast Wisconsin, S.C.
$812.96Published rateThomas Mattio
Neuroscience Group Of Northeast Wisconsin, S.C.
$812.96Published rateChca Mainland, L.P., Mainland Medical Center
$339.25Published rateSteven Price
Neuroscience Group Of Northeast Wisconsin, S.C.
$283.07Published rateAthens Hospital, LLC
$220.00Published rate
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See a sample payer proposalCPT 70491 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 70491. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 70486-CPT | Low | Ct Scan Of Face And Jaw, A Ct Scanner Circles The Head Taking X-Rays Of The Face And Jaw And Assembles Them Into A 3-D Image. Dye Might Be Used To Highlight Areas On The Images. |
| 70490-CPT | Low | Ct Scan Of Neck, A Ct Scanner Circles The Head Taking X-Rays Of The Neck And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 70491-CPT | Moderate | Ct Scan Of Neck, A Ct Scanner Circles The Head Taking X-Rays Of The Neck And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 70492-CPT | Moderate | Ct Scan Of Neck, A Ct Scanner Circles The Head Taking X-Rays Of The Neck 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 70491. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70491 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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Frequently Asked Questions
CPT 70491 reports a CT scan of the soft tissues of the neck with contrast. Without contrast it is 70490, and without followed by with contrast it is 70492.
In an office or imaging center, the contrast agent is usually billed separately with its HCPCS code. In a hospital outpatient setting, payment is typically bundled into the facility claim.
Imaging codes such as CPT 70491 split into a professional component (modifier 26, the physician's interpretation) and a technical component (modifier TC, the equipment, staff and supplies). A global claim covers both. A radiologist reading for a hospital usually bills only the professional component, so compare rates for the same component. Commercial rates also differ between hospital outpatient departments and freestanding imaging centers.
This page lists the rates commercial payers have published for CPT 70491 in their Transparency in Coverage files, so you can compare payers and see where a contract falls. For government benchmarks, PayerPrice also has the Medicare fee schedule lookup and Medicaid fee schedules by state.