Orthodontic skull X-ray (cephalogram)

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

PR CEPHALOGRAM

Payers reporting CPT 70350

Payer pricing summary

Low

$16

Average

$104

Median

$86

High

$870

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +29 other terms	563	$104	$105	$95	90%	—	$1 – $2.6k
2	Aetna fee schedule · outpatient · +25 other terms	532	$83	$116	$429	369%	—	$1 – $8.4k
3	Cigna fee schedule · outpatient · +20 other terms	400	$88	$105	$97	93%	—	$8 – $450
4	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	376	$109	$127	$114	89%	—	$1 – $666
5	Humana fee schedule · outpatient · +24 other terms	321	$85	$65	$50	76%	—	$8 – $660
6	Molina fee schedule · outpatient · +20 other terms	205	$83	$60	$53	87%	—	$7 – $348
7	WellCare fee schedule · outpatient · +15 other terms	138	$88	$91	$41	45%	—	$8 – $206
8	Anthem fee schedule · outpatient · +15 other terms	135	$49	$47	$70	151%	—	$8 – $637
9	Ambetter fee schedule · outpatient · +8 other terms	83	$114	$99	$74	75%	—	$10 – $284
10	Aetna Better Health fee schedule · outpatient · +13 other terms	69	$18	$21	$13	63%	—	$15 – $83
11	Devoted fee schedule · outpatient · +8 other terms	69	$89	$81	$26	32%	—	$9 – $98
12	Kaiser fee schedule · outpatient · +11 other terms	62	$126	$151	$122	81%	—	$8 – $683
13	Oscar fee schedule · outpatient · +13 other terms	51	$167	$115	$82	71%	—	$1 – $248
14	Tricare fee schedule · outpatient · +13 other terms	38	$81	$82	$25	31%	—	$59 – $212
15	Optum fee schedule · outpatient · +10 other terms	36	$80	$93	$79	85%	—	$9 – $321
16	MultiPlan fee schedule · outpatient · +16 other terms	34	$146	$106	$75	70%	—	$13 – $250
17	Bcbs Tx fee schedule · outpatient · +2 other terms	33	$248	$268	$120	45%	—	$83 – $582
18	Caresource fee schedule · outpatient · +8 other terms	33	$91	$92	$34	36%	—	$8 – $149
19	First Health fee schedule · outpatient · +11 other terms	29	$91	$51	$98	194%	—	$16 – $750
20	Cigna Healthspring fee schedule · outpatient · +6 other terms	28	$18	$52	$35	68%	—	$17 – $92
21	Clover fee schedule · outpatient · +9 other terms	28	$97	$94	$7	8%	—	$79 – $105
22	Medicare fee schedule · outpatient · +10 other terms	22	$9	$27	$35	132%	—	$8 – $112
23	Highmark fee schedule · outpatient · +10 other terms	21	$36	$34	$46	134%	—	$6 – $255
24	Regence professional · fee schedule · outpatient · +6 other terms	21	$8	$10	$7	69%	—	$8 – $41
25	Medical Mutual facility · fee schedule · outpatient · +4 other terms	15	$83	$413	$1.3k	317%	—	$45 – $6.0k

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