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CMS RVU26D · Effective 2026-10-01

70355 Panoramic jaw x-ray Medicare reimbursement rates in California

Reports a panoramic x-ray survey of the upper and lower jaws, commonly used to assess dentition, jaw structures, or a broad oral concern. Compare 70355 office and facility rates across CMS payment localities in California.

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

What does Medicare pay for 70355 in California?

California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.

Office / nonfacility

$20.33–$25.11

29 of 29 localities have a supported rate.

Lowest: Chico

Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

A spread of $4.78 per service.

Facility setting

No supported rate

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 70355 in your payment locality →

Where 70355 pays more and less in California

29 payment localities

$20.33 to $25.11

$20.33$22.72$25.11
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Radiology

About 70355: Panoramic radiograph of the jaws

Reports a panoramic x-ray survey of the upper and lower jaws, commonly used to assess dentition, jaw structures, or a broad oral concern.

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.

CMS billing rules for 70355

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.20 · 34%
  • Practice expense (office) RVU0.36 · 62%
  • Malpractice RVU0.02 · 3%

25.5K

Medicare services in 2024 · #1042 by national volume

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.

70355 compared with similar codes

Office rates for California, from the same CMS release.

70320

Dental X-ray

Complete mouth survey

$61.12–$78.64

70355 is a panoramic survey of the jaws; 70320 is used for a full-mouth series of intraoral dental images.

70300

Dental X-ray

Single view

$15.10–$19.00

Choose 70355 for the broad panoramic jaw study. 70300 represents a focused dental x-ray, not the panoramic survey.

70328

Jaw joint X-ray

One side, open and closed mouth

$36.49–$46.53

70355 surveys the jaws broadly. 70328 is for imaging focused on a jaw joint.

Compare 70355 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

29 of 29 payment localities

70355 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield

Office

$20.39

Facility

Unavailable
Chico

Office

$20.33

Facility

Unavailable
El Centro

Office

$20.33

Facility

Unavailable
Fresno

Office

$20.33

Facility

Unavailable
Hanford-Corcoran

Office

$20.33

Facility

Unavailable
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

Office

$21.62

Facility

Unavailable
Madera

Office

$20.33

Facility

Unavailable
Merced

Office

$20.33

Facility

Unavailable
Modesto

Office

$20.33

Facility

Unavailable
Napa

Office

$23.29

Facility

Unavailable
Oxnard-Thousand Oaks-Ventura

Office

$21.50

Facility

Unavailable
Redding

Office

$20.33

Facility

Unavailable
Rest Of California

Office

$20.33

Facility

Unavailable
Riverside-San Bernardino-Ontario

Office

$20.55

Facility

Unavailable
Sacramento-Roseville-Folsom

Office

$21.26

Facility

Unavailable
Salinas

Office

$21.18

Facility

Unavailable
San Diego-Chula Vista-Carlsbad

Office

$21.62

Facility

Unavailable
San Francisco-Oakland-Berkeley (Marin Cnty)

Office

$24.58

Facility

Unavailable
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

Office

$24.55

Facility

Unavailable
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

Office

$25.11

Facility

Unavailable
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

Office

$25.02

Facility

Unavailable
San Luis Obispo-Paso Robles

Office

$20.85

Facility

Unavailable
Santa Cruz-Watsonville

Office

$21.79

Facility

Unavailable
Santa Maria-Santa Barbara

Office

$21.25

Facility

Unavailable
Santa Rosa-Petaluma

Office

$22.00

Facility

Unavailable
Stockton

Office

$20.33

Facility

Unavailable
Vallejo

Office

$23.26

Facility

Unavailable
Visalia

Office

$20.33

Facility

Unavailable
Yuba City

Office

$20.33

Facility

Unavailable

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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 70355PPRRVU2026_Oct_nonQPP.csv, line 7,760 (RVU26D)