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See a sample rate comparisonCPT 72070 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.
X-Ray Spine; Thoracic, Ap And Lat
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 72070 |
| Medicaid Fee Schedule | View Medicaid rates for 72070 |
National average reimbursement for CPT 72070 by major payers:
$40.88
$38.72
$42.66
$48.25
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CPT 72070
5 of 25 sample ratesHigher to lower in this preview
Michael Goodman
St Alexius Medical Center
$68.26Published rateAzuka Olele
Baltimore Medical System Inc
$27.40Published rateDavid Fine
Tarpon Springs Hospital Foundation Inc
$26.57Published rateShaye Moskowitz
North Broward Hospital District
$22.52Published rateTrinh Nguyen
Cortez Foot & Ankle Specialists, P.A.
$7.32Published rate
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See a sample payer proposalCPT 72070 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72070 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 72070 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 |
|---|---|---|
| 72070-CPT | Low | X-Ray Spine; Thoracic, Ap And Lat |
| 72072-CPT | Low | Radiologic Examination Spine, Radiologic Examination Spine Thoracic Anteroposterior Andlateral Including Swimmers View Of Thecervicothoracic Junction |
| 72074-CPT | Low | X-Ray Spine;Thorac,Cmplt,Min.4 Vws |
| 72080-CPT | Low | X Ray Exam Thoracolmb 2 Vw, Radiologic Examination Spine Thoracolumbar Junction Minimum Of 2 Views |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72070. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72070 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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