Video X-ray imaging, billed separately

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 Cineradiography

Payers reporting CPT 76120

Payer pricing summary

Low

$50

Average

$209

Median

$176

High

$675

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +29 other terms	581	$157	$175	$208	119%	1–10	$12 – $5.0k
2	Cigna fee schedule · outpatient · +22 other terms	415	$262	$303	$171	56%	1–10	$29 – $1.9k
3	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	389	$199	$228	$154	67%	1–10	$1 – $806
4	Aetna fee schedule · outpatient · +27 other terms	554	$162	$364	$615	169%	—	$1 – $10.9k
5	Humana fee schedule · outpatient · +25 other terms	335	$117	$210	$274	131%	—	$18 – $3.6k
6	Molina fee schedule · outpatient · +25 other terms	217	$116	$123	$56	45%	—	$10 – $540
7	Anthem fee schedule · outpatient · +20 other terms	146	$191	$183	$188	103%	—	$18 – $1.1k
8	WellCare fee schedule · outpatient · +17 other terms	144	$107	$122	$59	48%	—	$12 – $448
9	Ambetter fee schedule · outpatient · +18 other terms	81	$181	$182	$81	45%	—	$51 – $359
10	Aetna Better Health fee schedule · outpatient · +15 other terms	69	$113	$113	$12	11%	—	$62 – $132
11	Devoted fee schedule · outpatient · +13 other terms	69	$107	$106	$8	8%	—	$91 – $117
12	Kaiser fee schedule · outpatient · +21 other terms	69	$151	$198	$134	68%	—	$61 – $841
13	Oscar fee schedule · outpatient · +17 other terms	51	$204	$163	$81	50%	—	$1 – $299
14	MultiPlan fee schedule · outpatient · +19 other terms	46	$176	$298	$575	193%	—	$83 – $4.9k
15	Optum fee schedule · outpatient · +15 other terms	43	$97	$142	$121	85%	—	$59 – $819
16	Tricare fee schedule · outpatient · +15 other terms	37	$97	$108	$15	14%	—	$93 – $134
17	Caresource fee schedule · outpatient · +16 other terms	34	$124	$118	$33	28%	—	$51 – $179
18	First Health fee schedule · outpatient · +18 other terms	34	$109	$148	$164	111%	—	$70 – $1.2k
19	Bcbs Tx fee schedule · outpatient · +5 other terms	33	$343	$373	$174	47%	—	$100 – $817
20	Cigna Healthspring fee schedule · outpatient · +7 other terms	28	$110	$108	$2	2%	—	$105 – $112
21	Clover fee schedule · outpatient · +10 other terms	27	$116	$113	$9	8%	—	$94 – $126
22	Highmark fee schedule · outpatient · +15 other terms	21	$112	$111	$45	41%	—	$12 – $324
23	Regence professional · fee schedule · outpatient · +14 other terms	21	$56	$69	$58	84%	—	$19 – $292
24	Medicare fee schedule · outpatient · +15 other terms	19	$91	$87	$6	7%	—	$78 – $104
25	Medica fee schedule · outpatient · +15 other terms	16	$322	$328	$396	121%	—	$18 – $3.6k

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