How much does Medicare pay for CPT 70100?

Medicare allowed an average of $22.35 per service and paid $17.85 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $65.11, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 70100?

X-ray of part of lower jaw, 1-4 views. It was billed 14,678 times to 14,327 Medicare beneficiaries by 62 providers in 2024.

Does 70100 pay differently in an office than a hospital?

Yes. The allowed amount averaged $23.95 in an office setting and $8.54 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 70100 most?

Family Practice, with 3,833 services from 13 clinicians. Next are Obstetrics & Gynecology, Internal Medicine, Diagnostic Radiology.

CPT 70100

X-ray of part of lower jaw, 1-4 views

$22.35Medicare-allowed amount per service, averaged across 14,678 services

Providers submitted

$65.11

Asking price, not received

Medicare allowed

$22.35

The fee schedule figure

Medicare paid

$17.85

Balance is patient coinsurance

Providers submitted an average of $65.11 for this code and Medicare allowed $22.35 — 2.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $17.85 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $23.95
Hospital / facility: $8.54

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 13,154 services were billed in an office setting and 1,524 in a facility.

Services: 14,678
Beneficiaries: 14,327
Providers billing it: 62
Total allowed: $328,053

What Medicare pays for CPT 70100

Across 14,678 services billed by 62 providers to 14,327 beneficiaries, Medicare allowed an average of $22.35 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 70100

Specialty	Services	Beneficiaries	Avg allowed	Providers
Family Practice	3,833	3,789	$21.24	13
Obstetrics & Gynecology	2,041	2,019	$18.72	6
Internal Medicine	1,883	1,844	$24.92	7
Diagnostic Radiology	1,162	1,160	$24.42	4
General Practice	1,159	1,150	$22.04	3
Emergency Medicine	853	852	$23.63	2
Ophthalmology	630	628	$21.07	1
Pediatric Medicine	592	592	$24.46	2
Physical Medicine and Rehabilitation	558	558	$24.46	2
Addiction Medicine	544	542	$20.26	1
Portable X-Ray Supplier	459	282	$20.15	11
Undersea and Hyperbaric Medicine	384	360	$22.35	1
Plastic and Reconstructive Surgery	179	178	$22.63	1
Anesthesiology	155	152	$26.35	1
Oral Surgery (Dentist only)	99	83	$43.31	4

70100 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Texas	7,811	$22.56	$17.99	22
Indiana	2,221	$19.00	$15.64	6
Ohio	1,384	$21.67	$18.11	4
Louisiana	1,326	$23.54	$20.60	6
Mississippi	483	$24.16	$19.40	1
California	396	$22.56	$17.35	3
Oklahoma	211	$33.39	$29.33	1
Maryland	187	$19.20	$14.76	2
Arizona	181	$26.66	$21.51	2
New York	156	$27.13	$18.56	5
Florida	105	$25.95	$21.25	2
Washington	49	$31.93	$24.57	2
Pennsylvania	43	$40.22	$28.35	1
Missouri	41	$16.83	$14.20	1
Arkansas	31	$16.54	$13.50	1
New Jersey	22	$20.83	$14.81	1
North Carolina	20	$17.46	$15.22	1
Illinois	11	$8.69	$6.78	1

Related codes

70140X-ray of face bones$23.11
70150X-ray of face bones$33.79
70110X-ray of lower jaw$40.06

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.