CPT (Current Procedural Terminology) codes are a standardized set of five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to payers for billing and reimbursement purposes. They are essential for communicating medical procedures and services consistently across the healthcare industry.

How do I find the cost of a medical procedure?

To find the cost of a specific medical procedure, you'll typically need the procedure's CPT code and your specific location. Many factors can influence the final cost, including your insurance plan, deductible, and the healthcare provider. For accurate, location-specific pricing, you can use tools like Payerprice, which offers a fee schedule lookup tool that allows you to search with a CPT code and your specific location to get relevant pricing information.

Where can I look up healthcare fee schedules?

Healthcare fee schedules provide a list of prices for medical services. To look up fee schedules for specific CPT codes and locations, you can use specialized tools. Payerprice offers a fee schedule lookup tool where you can enter a CPT code and your location to find relevant pricing information. This can help you understand potential costs before receiving care.

What factors influence the cost of a medical service?

The cost of a medical service can be influenced by several factors, including the specific CPT code for the procedure, your geographic location, the healthcare provider or facility, your insurance plan (deductible, copay, coinsurance), whether the provider is in-network or out-of-network, and the complexity or duration of the service. For specific cost estimates based on these factors, tools like Payerprice can be helpful to explore fee schedules.

Is the price I see online the final price I will pay?

The price you see online, often a list price or an estimated fee schedule, may not be the final amount you will pay. Your actual out-of-pocket cost depends on your individual insurance plan, including deductibles, copayments, and coinsurance, as well as any negotiations between your insurance company and the provider. While tools like Payerprice can provide valuable insights into fee schedules, it's always best to verify with your insurance provider and the healthcare facility directly for a personalized estimate.

How can I compare prices for medical services?

To compare prices for medical services, you should gather the CPT codes for the services you need. Then, you can use resources designed for price transparency. Payerprice provides a fee schedule lookup tool that allows you to search by CPT code and specific location, making it easier to compare potential costs across different providers or understand regional pricing variations. Always follow up with providers and your insurer for personalized quotes.

CPT 70496 Fee Schedule

Q: What factors affect fee schedules?

Factors that affect fee schedules include 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), and Provider Type (hospital providers may have different rates than private practice).

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 Blood Vessels, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In The Head. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight A Specific Area.

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	Moderate
Medicare Fee Schedule	View Medicare rates for 70496
Medicaid Fee Schedule	View Medicaid rates for 70496

National average reimbursement for CPT 70496 by major payers:

$341.25

$444.72

$431.79

$520.01

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 70496.

CPT 70496

5 of 25 sample ratesHigher to lower in this preview

Frank Muto
Ths Physician Partners Inc
WVDiagnostic Radiology PhysicianNPI 1932103579Tax ID 45-4395947
$1,456.93Published rate
Muhammad Naeem
Emory University
GADiagnostic Radiology PhysicianNPI 1487035812Tax ID 58-2030692
$764.77Published rate
Henry Talarico
Eastern Maine Healthcare Systems
MEDiagnostic Radiology PhysicianNPI 1093792145Tax ID 10-263628
$483.17Published rate
Anthony Minotti
Akron Radiology, Inc.
OHDiagnostic Radiology PhysicianNPI 1477551810Tax ID 34-1664365
$301.35Published rate
Brian Burke
Slocum Dickson Medical Group PLLC
NYDiagnostic Radiology PhysicianNPI 1386770527Tax ID 20-0362623
$126.91Published 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

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CPT 70496 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The CPT 70496 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 70496 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
70481-CPT	Moderate	Ct Scan Of Eye Socket Or Ear, A Ct Scanner Circles The Head Taking X-Rays Of The Eye Socket Or Ear And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See.
70482-CPT	Moderate	Ct Orbit Ear Fossa W O W Dye, Computed Tomography Orbit Sella Or Posterior Fossa Or Outer Middle Or Inner Ear Without Contrast Material Followed By Contrast Material S And Further Sections
70496-CPT	Moderate	Ct Scan Of Head Blood Vessels, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In The Head. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight A Specific Area.
70498-CPT	Moderate	Ct Scan Of Neck Blood Vessels, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In The Neck. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight A Specific Area.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70496. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 70496 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 70496 Fee Schedule

Compare published rates across providers.

Frank Muto

Muhammad Naeem

Henry Talarico

Anthony Minotti

Brian Burke