Billing code 70355: Panoramic jaw x-rayMedicare rate & RVUs
Reports a panoramic x-ray survey of the upper and lower jaws, commonly used to assess dentition, jaw structures, or a broad oral concern.
Medicare pays $19.37 for 70355 nationally in the office. Local office rates run $17.35–$25.11.
Medicare rate · 70355
Panoramic jaw x-ray
- Work RVUs
- 0.2
- Total RVUs
- 0.58
- Global days
- XXX
National rate · 2026
$19.37
Office setting, before claim adjustments.
See every locality for 70355 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 70355 covers
This service produces a broad panoramic image of the upper and lower jaws in a single survey. Dental practices, oral and maxillofacial surgery offices, and imaging facilities commonly obtain it when a clinician needs an overview of the dentition and jaw structures, such as when evaluating a possible impacted tooth or a jaw abnormality. The image is interpreted by a qualified practitioner, with the technical work performed by staff using the imaging equipment.
Choose this code when the documented service is a panoramic jaw study, rather than a set of focused intraoral tooth images or a dedicated jaw-joint examination. The record should support the clinical reason for imaging and identify the study performed; the interpretation should be documented when billed separately. Report the global service without a component modifier, or report modifier 26 for the professional interpretation or TC for the technical service when billing only that portion.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 70355 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$17.35 to $25.11
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $17.58 | Unavailable |
| Alaska* | $23.19 | Unavailable |
| Arizona | $18.90 | Unavailable |
| Arkansas | $17.35 | Unavailable |
| Atlanta | $19.72 | Unavailable |
| Austin | $20.01 | Unavailable |
| Bakersfield | $20.39 | Unavailable |
| Baltimore/Surr. Cntys | $20.52 | Unavailable |
| Beaumont | $18.24 | Unavailable |
| Brazoria | $19.17 | Unavailable |
| Chicago | $20.34 | Unavailable |
| Chico | $20.33 | Unavailable |
| Colorado | $20.08 | Unavailable |
| Connecticut | $20.57 | Unavailable |
| Dallas | $19.29 | Unavailable |
| Dc + Md/Va Suburbs | $21.95 | Unavailable |
| Delaware | $19.19 | Unavailable |
| Detroit | $19.41 | Unavailable |
| East St. Louis | $19.09 | Unavailable |
| El Centro | $20.33 | Unavailable |
| Fort Lauderdale | $20.07 | Unavailable |
| Fort Worth | $19.18 | Unavailable |
| Fresno | $20.33 | Unavailable |
| Galveston | $19.23 | Unavailable |
| Hanford-Corcoran | $20.33 | Unavailable |
| Hawaii, Guam | $20.74 | Unavailable |
| Houston | $19.59 | Unavailable |
| Idaho | $18.06 | Unavailable |
| Indiana | $18.15 | Unavailable |
| Iowa | $17.95 | Unavailable |
| Kansas | $17.89 | Unavailable |
| Kentucky | $17.98 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $21.62 | Unavailable |
| Madera | $20.33 | Unavailable |
| Manhattan | $22.14 | Unavailable |
| Merced | $20.33 | Unavailable |
| Metropolitan Boston | $21.91 | Unavailable |
| Metropolitan Kansas City | $18.62 | Unavailable |
| Metropolitan Philadelphia | $20.11 | Unavailable |
| Metropolitan St. Louis | $18.80 | Unavailable |
| Miami | $20.89 | Unavailable |
| Minnesota | $19.25 | Unavailable |
| Mississippi | $17.53 | Unavailable |
| Modesto | $20.33 | Unavailable |
| Montana** | $19.37 | Unavailable |
| Napa | $23.29 | Unavailable |
| Nebraska | $18.03 | Unavailable |
| Nevada** | $19.27 | Unavailable |
| New Hampshire | $19.78 | Unavailable |
| New Mexico | $18.51 | Unavailable |
| New Orleans | $18.75 | Unavailable |
| North Carolina | $18.33 | Unavailable |
| North Dakota** | $18.98 | Unavailable |
| Northern Nj | $21.76 | Unavailable |
| Nyc Suburbs/Long Island | $22.65 | Unavailable |
| Ohio | $18.33 | Unavailable |
| Oklahoma | $17.94 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $21.50 | Unavailable |
| Portland | $20.64 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $20.96 | Unavailable |
| Puerto Rico | $19.49 | Unavailable |
| Queens | $22.28 | Unavailable |
| Redding | $20.33 | Unavailable |
| Rest Of California | $20.33 | Unavailable |
| Rest Of Florida | $19.18 | Unavailable |
| Rest Of Georgia | $18.20 | Unavailable |
| Rest Of Illinois | $18.70 | Unavailable |
| Rest Of Louisiana | $17.96 | Unavailable |
| Rest Of Maine | $18.16 | Unavailable |
| Rest Of Maryland | $19.53 | Unavailable |
| Rest Of Massachusetts | $19.98 | Unavailable |
| Rest Of Michigan | $18.41 | Unavailable |
| Rest Of Missouri | $17.70 | Unavailable |
| Rest Of New Jersey | $20.81 | Unavailable |
| Rest Of New York | $18.57 | Unavailable |
| Rest Of Oregon | $19.13 | Unavailable |
| Rest Of Pennsylvania | $18.35 | Unavailable |
| Rest Of Texas | $18.69 | Unavailable |
| Rest Of Washington | $19.94 | Unavailable |
| Rhode Island | $19.82 | Unavailable |
| Riverside-San Bernardino-Ontario | $20.55 | Unavailable |
| Sacramento-Roseville-Folsom | $21.26 | Unavailable |
| Salinas | $21.18 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $21.62 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $24.58 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $24.55 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $25.11 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $25.02 | Unavailable |
| San Luis Obispo-Paso Robles | $20.85 | Unavailable |
| Santa Cruz-Watsonville | $21.79 | Unavailable |
| Santa Maria-Santa Barbara | $21.25 | Unavailable |
| Santa Rosa-Petaluma | $22.00 | Unavailable |
| Seattle (King Cnty) | $22.31 | Unavailable |
| South Carolina | $18.36 | Unavailable |
| South Dakota** | $18.93 | Unavailable |
| Southern Maine | $19.02 | Unavailable |
| Stockton | $20.33 | Unavailable |
| Suburban Chicago | $20.26 | Unavailable |
| Tennessee | $17.97 | Unavailable |
| Utah | $18.58 | Unavailable |
| Vallejo | $23.26 | Unavailable |
| Vermont | $18.92 | Unavailable |
| Virgin Islands | $19.49 | Unavailable |
| Virginia | $18.97 | Unavailable |
| Visalia | $20.33 | Unavailable |
| West Virginia | $18.09 | Unavailable |
| Wisconsin | $18.41 | Unavailable |
| Wyoming** | $19.20 | Unavailable |
| Yuba City | $20.33 | Unavailable |
70355 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$17.35
$23.19
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $23.19 | 1 |
| AL | $17.58 | 1 |
| AR | $17.35 | 1 |
| AZ | $18.90 | 1 |
| CA | $20.33–$25.11 | 29 |
| CO | $20.08 | 1 |
| CT | $20.57 | 1 |
| DC | $21.95 | 1 |
| DE | $19.19 | 1 |
| FL | $19.18–$20.89 | 3 |
| GA | $18.20–$19.72 | 2 |
| GU | $20.74 | 1 |
| HI | $20.74 | 1 |
| IA | $17.95 | 1 |
| ID | $18.06 | 1 |
| IL | $18.70–$20.34 | 4 |
| IN | $18.15 | 1 |
| KS | $17.89 | 1 |
| KY | $17.98 | 1 |
| LA | $17.96–$18.75 | 2 |
| MA | $19.98–$21.91 | 2 |
| MD | $19.53–$21.95 | 3 |
| ME | $18.16–$19.02 | 2 |
| MI | $18.41–$19.41 | 2 |
| MN | $19.25 | 1 |
| MO | $17.70–$18.80 | 3 |
| MS | $17.53 | 1 |
| MT | $19.37 | 1 |
| NC | $18.33 | 1 |
| ND | $18.98 | 1 |
| NE | $18.03 | 1 |
| NH | $19.78 | 1 |
| NJ | $20.81–$21.76 | 2 |
| NM | $18.51 | 1 |
| NV | $19.27 | 1 |
| NY | $18.57–$22.65 | 5 |
| OH | $18.33 | 1 |
| OK | $17.94 | 1 |
| OR | $19.13–$20.64 | 2 |
| PA | $18.35–$20.11 | 2 |
| PR | $19.49 | 1 |
| RI | $19.82 | 1 |
| SC | $18.36 | 1 |
| SD | $18.93 | 1 |
| TN | $17.97 | 1 |
| TX | $18.24–$20.01 | 8 |
| UT | $18.58 | 1 |
| VA | $18.97–$21.95 | 2 |
| VI | $19.49 | 1 |
| VT | $18.92 | 1 |
| WA | $19.94–$22.31 | 2 |
| WI | $18.41 | 1 |
| WV | $18.09 | 1 |
| WY | $19.20 | 1 |
How the 70355 rate is calculated
Each of 70355’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 70355
RVUs × geographic indexes × conversion factor
Work0.20
0.20 RVUs× 1.000 GPCI
Practice expense0.36
0.36 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.5800
Conversion factor
$33.4009
Medicare rate
$19.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 70355
The CMS indicators that decide how 70355 is paid alongside other services.
CMS payment indicators · 70355
Panoramic jaw x-ray
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
70355 without 26 · national office
$19.37
Panoramic jaw x-ray
70355-26 · Professional component
$10.02
Pays only the interpretation and report.
70355 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 70320Dental X-ray
- 70355 is a panoramic survey of the jaws; 70320 is used for a full-mouth series of intraoral dental images.
- 70300Dental X-ray
- Choose 70355 for the broad panoramic jaw study. 70300 represents a focused dental x-ray, not the panoramic survey.
- 70328Jaw joint X-ray
- 70355 surveys the jaws broadly. 70328 is for imaging focused on a jaw joint.
70355 billing questions
When should this be reported instead of a full-mouth dental x-ray?
Use 70355 for a panoramic survey of the jaws. A full-mouth dental x-ray code applies when the service consists of an intraoral series of dental images.
How are the professional and technical portions reported?
Report modifier 26 for the professional interpretation and TC for the technical service. Billing without either modifier represents the global service.
Can the interpretation be billed separately from the image acquisition?
Yes. The professional component may be reported with modifier 26 when the interpretation is separately furnished and documented; the technical component is reported with TC.
Is this the right code for a focused jaw-joint x-ray?
No. 70355 describes a panoramic survey of the jaws. A dedicated jaw-joint examination is represented by a joint-specific imaging code, such as 70328.
What documentation supports reporting this study?
Document the clinical reason for the panoramic study and the imaging performed. Include the interpretation when billing the professional component.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 70355 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →