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See a sample rate comparisonCPT 70491 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 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 | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 70491 |
| Medicaid Fee Schedule | View Medicaid rates for 70491 |
National average reimbursement for CPT 70491 by major payers:
$236.32
$276.38
$324.86
$322.62
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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 CPT 70491 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 70491 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 |
|---|---|---|
| 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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