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See a sample rate comparisonCPT 71260 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $166.67 national non-facility rate (2026) · View Medicare rates for 71260 |
| Medicaid Fee Schedule | $136.23 median of the 8 states in the free preview · View Medicaid rates for 71260 |
National average reimbursement for CPT 71260 by major payers:

$219.99
BCBS / Anthem

$277.20
UnitedHealthcare

$315.92
Aetna

$311.12
Cigna
Choose a payer to see a sample of rates for CPT 71260.
Chenue Abongwa
Childrens Hospital Of Orange County
Lav Goyal
Holy Cross Hospital Inc
Charleston Radiologists PA
Charleston Radiologists, P.A.
Patricia Wright
Town Center Orthopaedic Associates, P.C.
Christopher Raio
St Joseph Hospital
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 71260 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 71260. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 71045-CPT | Low | Radiologic Examination Chest, Radiologic Examination Chest Single View Ainage Procedure If Performed With Open Cervical Pharyngogastrostomy Or Esophagogastrostomy (Ie Th |
| 71250-CPT | Low | Ct Scan Of Chest, A Ct Scanner Circles The Body Taking X-Rays Of The Chest And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 71260-CPT | Moderate | Ct Scan Of Chest, A Ct Scanner Circles The Body Taking X-Rays Of The Chest And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 71270-CPT | Moderate | Ct Scan Of Chest, A Ct Scanner Circles The Body Taking X-Rays Of The Chest 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 71260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 71260 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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