Panoramic dental X-ray of the jaw

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 ORTHOPANTOGRAM

Payers reporting CPT 70355

Payer pricing summary

Low

$17

Average

$135

Median

$110

High

$431

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Medicare other · both · +14 other terms	32	$86	$96	$15	15%	150–195	$81 – $128
2	Wellmark case rate · outpatient · +14 other terms	13	$83	$89	$23	26%	2–20	$37 – $140
3	UnitedHealthcare fee schedule · outpatient · +36 other terms	614	$115	$114	$118	103%	1–10	$1 – $2.6k
4	Cigna fee schedule · outpatient · +28 other terms	438	$92	$118	$109	92%	1–10	$8 – $1.4k
5	Aetna fee schedule · outpatient · +34 other terms	589	$84	$130	$399	306%	—	$1 – $8.4k
6	Blue Cross Blue Shield fee schedule · outpatient · +33 other terms	394	$111	$132	$115	87%	—	$1 – $666
7	Humana fee schedule · outpatient · +29 other terms	342	$85	$70	$66	95%	—	$1 – $754
8	Molina fee schedule · outpatient · +25 other terms	203	$78	$57	$51	90%	—	$1 – $348
9	WellCare fee schedule · outpatient · +19 other terms	154	$90	$90	$43	48%	—	$9 – $206
10	Anthem fee schedule · outpatient · +24 other terms	135	$53	$49	$69	143%	—	$2 – $637
11	Ambetter fee schedule · outpatient · +17 other terms	94	$146	$105	$73	69%	—	$9 – $284
12	Aetna Better Health fee schedule · outpatient · +18 other terms	73	$20	$28	$21	76%	—	$16 – $97
13	Kaiser fee schedule · outpatient · +22 other terms	71	$104	$142	$122	86%	—	$8 – $683
14	Devoted fee schedule · outpatient · +11 other terms	64	$89	$81	$26	32%	—	$9 – $98
15	Oscar facility · fee schedule · outpatient · +19 other terms	57	$127	$111	$46	42%	—	$16 – $164
16	Caresource fee schedule · outpatient · +17 other terms	54	$90	$78	$60	77%	—	$1 – $228
17	MultiPlan fee schedule · outpatient · +21 other terms	47	$146	$145	$149	103%	—	$13 – $657
18	Optum fee schedule · outpatient · +18 other terms	46	$81	$74	$68	92%	—	$9 – $321
19	Highmark facility · fee schedule · outpatient · +15 other terms	43	$122	$117	$94	80%	—	$7 – $399
20	Tricare fee schedule · outpatient · +18 other terms	38	$85	$78	$15	19%	—	$59 – $103
21	Cigna Healthspring fee schedule · outpatient · +8 other terms	36	$19	$46	$36	79%	—	$17 – $111
22	Clover fee schedule · outpatient · +9 other terms	34	$96	$94	$7	7%	—	$79 – $105
23	First Health fee schedule · outpatient · +18 other terms	34	$77	$57	$115	202%	—	$18 – $750
24	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	32	$26	$48	$32	67%	—	$12 – $120
25	Medicaid facility · fee schedule · outpatient · +13 other terms	27	$41	$50	$33	66%	—	$7 – $83

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