CPT 70496 Fee Schedule
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.
| 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 |
National average reimbursement for CPT 70496 by major payers:
$341.25
$444.72
$431.79
$520.01
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 70496 | ||||||
United | 70496 | $301.35 | 1477551810 - ANTHONY MINOTTI | 341664365 - (OH) AKRON RADIOLOGY, INC. | OH | Diagnostic Radiology Physician (2085R0202X) |
United | 70496 | $331.48 | 1316969637 - ALEXANDER RASLAVICUS | 50526336 - (NH) ADVANCED DIAGNOSTIC IMAGING PLLC | NH | Diagnostic Radiology Physician (2085R0202X) |
United | 70496 | $704.05 | 1902350507 - JESSIE JAHJAH | 541124769 - UNIVERSITY OF VIRGINIA PHYSICIANS GROUP | VA | Diagnostic Radiology Physician (2085R0202X) |
United | 70496 | $759.78 | 1265478309 - JOHN SETO | 954540991 - USC CARE MEDICAL GROUP INC | CA | Body Imaging Physician (2085B0100X) |
United | 70496 | $346.57 | 1356339592 - WADE HUNT | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Medicine Physician (207Q00000X) |
United | 70496 | $1143.43 | 1699854257 - JAMES HARRIS | 421583605 - (ID) TETON RADIOLOGY DIAGNOSTIC | ID | Diagnostic Radiology Physician (2085R0202X) |
United | 70496 | $241.77 | 1952395006 - JULIUS SIMON | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Pediatrics Physician (208000000X) |
United | 70496 | $241.77 | 1295040616 - HILLARY HOLDEN | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Physician Assistant (363A00000X) |
United | 70496 | $918.76 | 1881183952 - KEVIN EHLERS | 411293970 - RANGE REGIONAL HEALTH SERVICES | MN | Diagnostic Radiology Physician (2085R0202X) |
United | 70496 | $194.96 | 1972590438 - JOHN LYONS | 273004594 | NJ | Diagnostic Radiology Physician (2085R0202X) |
United | 70496 | $1122.63 | 1578884003 - MARK HAMMER | 42312909 - MASS GENERAL BRIGHAM INCORPORATED | PA | Diagnostic Radiology Physician (2085R0202X) |
United | 70496 | $266.55 | 1659395788 - QASIM SHEIKH | 800639088 - (NY) CONEY ISLAND MEDICAL PRACTICE PLAN PC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | 70496 | $126.91 | 1386770527 - BRIAN BURKE | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | 70496 | $648.89 | 1285703629 - PETRA VAJTAI | 922142300 - (OR) OHSU OUTPATIENT CLINICAL SERVICES LLC / UNIVERSITY PROFESSIONAL SERVICES | OR | Diagnostic Radiology Physician (2085R0202X) |
United | 70496 | $648.89 | 1245376060 - MELISSA JACOBS | 262998718 - CASEY EYE PHYSICIANS AND SURGEONS LLC / LEGACY CLINICS LLC / LEGACY PHYSIATRY GROUP OREGON LLC | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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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,Orbit,Sella,Fossa,Ear;W/Contrast |
| 70482-CPT | Moderate | Computerized Axial 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 | Computed Tomographic Angiography Head With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing Essing |
| 70498-CPT | Moderate | Computed Tomographic Angiography Neck With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing Essing |
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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