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See a sample rate comparisonCPT 76100 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 Of Body Section, X-Ray Of Structures Within A Section Of One Or Two Sides Of The Body. Images Above And Below The Study Area Are Blurred.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76100 |
| Medicaid Fee Schedule | View Medicaid rates for 76100 |
National average reimbursement for CPT 76100 by major payers:
$113.34
$116.08
$105.46
$136.08
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CPT 76100
5 of 25 sample ratesHigher to lower in this preview
Charles Duvall
Radiology Associates Of North Texas, PA
$234.58Published rateJillian Peart
Northern Arizona Healthcare Corporation
$172.19Published rateGregory Duhon
Northern Arizona Healthcare Corporation
$99.25Published rateMagdy Hanna
Northern Arizona Healthcare Corporation
$49.20Published rateBrian Honekamp
Radiology Associates Of North Texas, PA
$27.00Published rate
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See a sample payer proposalCPT 76100 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76100 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 76100 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 |
|---|---|---|
| 76000-CPT | Low | Fluoroscopy (Separate Procedur, Fluoroscopy (Separate Procedure) Up To 1 Hour Physician Or Other Qualified Health Care Professionaltime Other Than 71023 Or 71034 (Eg Cardiac Fluo Roscopy) |
| 76010-CPT | Low | X-Ray Of Child To Find Object, X-Rays Taken Of A Childs Digestive Tract From Nose To Rectum. The Images Are Taken To Find A Foreign Object. |
| 76098-CPT | Low | X-Ray Breast Surgical Specimen |
| 76100-CPT | Low | X-Ray Of Body Section, X-Ray Of Structures Within A Section Of One Or Two Sides Of The Body. Images Above And Below The Study Area Are Blurred. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76100 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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