X-ray of jaw, fewer than four views

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Radiologic examination, mandible; partial, less than 4 views

Payers reporting CPT 70100

Payer pricing summary

Low

$28

Average

$168

Median

$145

High

$458

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Anthem fee schedule · outpatient · +28 other terms	192	$109	$76	$88	116%	5–50	$2 – $869
2	UnitedHealthcare fee schedule · outpatient · +41 other terms	724	$128	$132	$120	91%	4–40	$1 – $2.6k
3	Aetna fee schedule · outpatient · +37 other terms	646	$96	$175	$322	184%	3–30	$1 – $8.4k
4	Molina fee schedule · outpatient · +33 other terms	251	$83	$72	$43	60%	3–30	$1 – $256
5	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	503	$116	$143	$117	82%	2–20	$1 – $1.9k
6	Cigna fee schedule · outpatient · +32 other terms	481	$131	$169	$135	80%	1–10	$7 – $1.4k
7	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$202	$202	—	—	1–10	$202 – $202
8	Humana fee schedule · outpatient · +32 other terms	386	$88	$109	$107	99%	—	$1 – $846
9	WellCare fee schedule · outpatient · +26 other terms	154	$94	$98	$38	39%	—	$7 – $234
10	MultiPlan fee schedule · outpatient · +24 other terms	113	$272	$320	$294	92%	—	$12 – $1.1k
11	Kaiser fee schedule · outpatient · +26 other terms	106	$126	$169	$177	105%	—	$1 – $922
12	Ambetter fee schedule · outpatient · +24 other terms	99	$151	$139	$108	78%	—	$4 – $558
13	Devoted facility · fee schedule · outpatient · +19 other terms	95	$88	$124	$406	328%	—	$5 – $4.9k
14	Aetna Better Health fee schedule · outpatient · +18 other terms	83	$42	$48	$26	54%	—	$17 – $310
15	Tricare facility · fee schedule · outpatient · +21 other terms	74	$87	$140	$527	377%	—	$4 – $5.7k
16	Oscar facility · fee schedule · outpatient · +21 other terms	70	$127	$124	$46	37%	—	$47 – $351
17	Caresource fee schedule · outpatient · +20 other terms	63	$88	$94	$49	53%	—	$1 – $308
18	Medica fee schedule · outpatient · +23 other terms	62	$135	$958	$1.8k	188%	—	$7 – $4.9k
19	First Health fee schedule · outpatient · +20 other terms	61	$124	$222	$294	132%	—	$11 – $1.0k
20	Highmark facility · fee schedule · outpatient · +21 other terms	58	$108	$111	$78	70%	—	$6 – $399
21	Optum fee schedule · outpatient · +21 other terms	58	$81	$210	$263	126%	—	$10 – $1.1k
22	Medicaid facility · fee schedule · outpatient · +17 other terms	57	$39	$56	$38	68%	—	$16 – $143
23	Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms	50	$39	$60	$48	80%	—	$18 – $354
24	Medicare facility · fee schedule · outpatient · +19 other terms	41	$90	$188	$629	335%	—	$34 – $4.8k
25	Cigna Healthspring fee schedule · outpatient · +10 other terms	39	$85	$75	$20	27%	—	$39 – $93

Page 1 of 3 · 71 payers