X-ray of mastoid bones, fewer than 3 views per side

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

HC XR MASTOIDS 3 VW

Payers reporting CPT 70120

Payer pricing summary

Low

$29

Average

$173

Median

$144

High

$460

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +33 other terms	636	$155	$156	$171	110%	—	$1 – $4.2k
2	Aetna fee schedule · outpatient · +31 other terms	599	$107	$182	$420	231%	—	$1 – $8.4k
3	Cigna fee schedule · outpatient · +25 other terms	459	$136	$181	$147	81%	—	$9 – $1.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	423	$141	$178	$151	85%	—	$1 – $1.6k
5	Humana fee schedule · outpatient · +27 other terms	364	$103	$111	$135	122%	—	$1 – $3.0k
6	Molina fee schedule · outpatient · +27 other terms	231	$100	$86	$64	74%	—	$1 – $487
7	Anthem fee schedule · outpatient · +25 other terms	163	$105	$79	$94	118%	—	$2 – $765
8	WellCare fee schedule · outpatient · +19 other terms	145	$107	$113	$48	43%	—	$9 – $316
9	Kaiser fee schedule · outpatient · +19 other terms	89	$139	$162	$148	91%	—	$9 – $841
10	Ambetter fee schedule · outpatient · +16 other terms	87	$160	$143	$82	57%	—	$23 – $341
11	Aetna Better Health fee schedule · outpatient · +13 other terms	72	$42	$45	$13	29%	—	$28 – $104
12	Devoted fee schedule · outpatient · +13 other terms	70	$107	$99	$25	25%	—	$30 – $118
13	MultiPlan fee schedule · outpatient · +17 other terms	65	$272	$236	$192	82%	—	$12 – $1.0k
14	Oscar fee schedule · outpatient · +15 other terms	53	$199	$136	$94	69%	—	$1 – $299
15	Tricare fee schedule · outpatient · +18 other terms	46	$102	$107	$36	34%	—	$59 – $320
16	Optum fee schedule · outpatient · +15 other terms	44	$98	$112	$82	73%	—	$10 – $386
17	First Health fee schedule · outpatient · +17 other terms	41	$109	$109	$154	140%	—	$11 – $835
18	Caresource facility · fee schedule · outpatient · +16 other terms	38	$161	$359	$1.3k	356%	—	$10 – $7.9k
19	Bcbs Tx fee schedule · outpatient · +2 other terms	33	$343	$373	$174	47%	—	$100 – $817
20	Cigna Healthspring fee schedule · outpatient · +8 other terms	30	$65	$79	$31	39%	—	$38 – $112
21	Clover fee schedule · outpatient · +9 other terms	28	$117	$113	$9	8%	—	$94 – $126
22	Medicaid fee schedule · outpatient · +11 other terms	27	$32	$62	$194	311%	—	$1 – $1.3k
23	Regence professional · fee schedule · outpatient · +16 other terms	26	$25	$43	$31	73%	—	$9 – $122
24	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$133	$132	$26	20%	—	$100 – $174
25	Medicare fee schedule · outpatient · +15 other terms	25	$30	$51	$38	73%	—	$25 – $134

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