How much does Medicare pay for CPT 70355?

Medicare allowed an average of $14.94 per service and paid $11.12 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $102.13, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 70355?

X-ray of lower jaws, upper jaws and teeth. It was billed 18,106 times to 17,255 Medicare beneficiaries by 483 providers in 2024.

Does 70355 pay differently in an office than a hospital?

Yes. The allowed amount averaged $17.28 in an office setting and $9.59 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 70355 most?

Oral Surgery (Dentist only), with 8,272 services from 183 clinicians. Next are Maxillofacial Surgery, Diagnostic Radiology, Dentist.

CPT 70355

X-ray of lower jaws, upper jaws and teeth

$14.94Medicare-allowed amount per service, averaged across 18,106 services

Providers submitted

$102.13

Asking price, not received

Medicare allowed

$14.94

The fee schedule figure

Medicare paid

$11.12

Balance is patient coinsurance

Providers submitted an average of $102.13 for this code and Medicare allowed $14.94 — 6.8× 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 $11.12 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $17.28
Hospital / facility: $9.59

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. 12,605 services were billed in an office setting and 5,501 in a facility.

Services: 18,106
Beneficiaries: 17,255
Providers billing it: 483
Total allowed: $270,504

What Medicare pays for CPT 70355

Across 18,106 services billed by 483 providers to 17,255 beneficiaries, Medicare allowed an average of $14.94 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 70355

Specialty	Services	Beneficiaries	Avg allowed	Providers
Oral Surgery (Dentist only)	8,272	7,838	$15.35	183
Maxillofacial Surgery	4,483	4,190	$16.34	107
Diagnostic Radiology	2,412	2,389	$9.84	114
Dentist	2,270	2,230	$16.20	58
Nurse Practitioner	87	70	$13.38	3
Plastic and Reconstructive Surgery	72	61	$17.03	1
Orofacial Pain	71	70	$15.94	3
Pain Management	68	68	$15.53	1
General Surgery	64	59	$14.42	2
Oral and Maxillofacial Radiology	57	57	$14.35	1
Undefined Physician type	54	54	$9.80	1
Physician Assistant	41	24	$15.16	1
Prosthodontics	34	31	$9.44	2
Otolaryngology	31	24	$19.02	1
Unknown Supplier/Provider Specialty	29	29	$17.76	1

70355 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	2,273	$12.43	$9.33	44
Pennsylvania	1,937	$15.78	$11.19	41
California	1,769	$16.33	$11.01	48
Arizona	1,209	$16.50	$13.33	24
Illinois	1,084	$15.99	$12.39	22
Massachusetts	792	$16.62	$11.38	29
Minnesota	751	$17.67	$12.31	21
Ohio	676	$11.82	$9.19	22
Florida	666	$16.51	$12.19	27
Mississippi	660	$15.46	$12.91	5
New Jersey	654	$17.61	$11.36	14
New York	610	$19.44	$12.55	17
Michigan	546	$14.22	$10.82	15
Missouri	484	$9.72	$7.61	16
Tennessee	357	$9.63	$7.51	13
Georgia	329	$17.28	$13.31	8
Virginia	311	$15.49	$12.06	15
Maryland	279	$17.33	$12.21	10
Alabama	273	$12.35	$10.30	11
Nevada	259	$17.15	$13.39	5
Nebraska	257	$13.50	$11.63	7
Louisiana	241	$10.58	$8.07	6
Washington	211	$13.58	$9.20	9
South Carolina	200	$13.52	$10.86	6
Kentucky	184	$15.51	$12.57	9
Kansas	120	$12.18	$9.29	4
Idaho	116	$14.14	$11.76	2
Colorado	108	$15.55	$11.74	3
North Carolina	97	$11.96	$9.39	5
Oregon	95	$9.91	$7.23	3
Iowa	91	$9.06	$6.99	4
Oklahoma	89	$9.30	$7.48	2
Delaware	78	$9.40	$7.49	3
Utah	55	$11.26	$8.17	2
District of Columbia	54	$10.40	$6.99	2
Connecticut	49	$14.61	$10.71	2
West Virginia	46	$12.11	$9.60	2
New Mexico	40	$17.20	$10.94	1
New Hampshire	28	$9.55	$6.21	2
Maine	17	$9.40	$7.55	1
Indiana	11	$16.79	$14.31	1

Related codes

70360X-ray of soft tissue of neck$16.40
70350Imaging of jaws and skull$16.48
70371Imaging of voice box$98.59
70330X-ray of jaw joints on both sides of mouth$48.64

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.