$33.99
Use 70210 for a limited paranasal sinus study with fewer views. 70220 represents the complete series with at least three views.
On this page
CMS RVU26D · Effective 2026-10-01
70220 Sinus X-ray Medicare reimbursement rates in Colorado
Reports a complete plain-radiograph examination of the paranasal sinuses using at least three views to evaluate a documented sinus imaging need. Compare 70220 office and facility rates across CMS payment localities in Colorado.
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 70220 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$39.60
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
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.
Radiology
About 70220: Complete paranasal sinus radiograph
Reports a complete plain-radiograph examination of the paranasal sinuses using at least three views to evaluate a documented sinus imaging need.
70220 represents a complete plain-radiograph examination of the paranasal sinuses, using at least three views to assess the sinus cavities. The study may be performed in an office imaging suite or hospital radiology department by radiologic technologists, with images interpreted by a radiologist or another qualified physician. The order and report should identify the paranasal sinuses as the imaged anatomy, rather than the orbits, skull, or sellar region.
Select 70220 when the documentation supports a complete sinus series with at least three views, rather than a limited sinus study. Retain the order, images, and interpretation or report to support the service. CMS separately prices the professional and technical components: report modifier 26 for interpretation alone, modifier TC for the equipment and staff portion alone, or no component modifier when billing the global service. When different entities furnish the components, each reports its respective portion.
CMS billing rules for 70220
- 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 RVU0.21 · 19%
- Practice expense (office) RVU0.90 · 80%
- Malpractice RVU0.02 · 2%
35.7K
Medicare services in 2024 · #916 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.
70220 compared with similar codes
Office rates for Colorado, from the same CMS release.
$49.10
70200 examines the eye sockets, not the paranasal sinuses. Choose based on the anatomy actually imaged and documented.
$134.46
70486 is noncontrast maxillofacial CT, a cross-sectional study; 70220 is plain-radiograph imaging of the paranasal sinuses.
Compare 70220 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.
1 of 1 payment localities
Colorado →
Office / nonfacility
$39.60
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 70220 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
7,723
- Code
- 70220
- Physician work
- 0.21
- Practice expense
- 0.90
- Malpractice
- 0.02
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.21 | × 1.012 | 0.2125 |
| Practice expense | 0.90 | × 1.064 | 0.9576 |
| Malpractice | 0.02 | × 0.781 | 0.0156 |
| Total RVUs | 1.1857 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$39.60
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.21 | 1.012 |
| Practice expense | 0.9 | 1.064 |
| Malpractice | 0.02 | 0.781 |
(0.21 × 1.012 + 0.9 × 1.064 + 0.02 × 0.781) × $33.4009 = $39.60
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
70220 billing questions
How does 70220 differ from 70210?
70220 is for a complete sinus series with at least three views. Use 70210 for a limited sinus examination with fewer views.
Which modifiers identify the components?
Use modifier 26 for the professional interpretation and modifier TC for the technical portion. Billing without either component modifier represents the global service.
What documentation supports 70220?
The record should identify a paranasal sinus examination and support a complete series of at least three views. Keep the order, images, and interpretation or report.
Can 70220 be reported for orbital or skull views?
No. The documented target must be the paranasal sinuses; orbital and skull examinations describe different anatomy.
When might CT be selected instead?
A clinician may select maxillofacial CT when cross-sectional imaging is needed for the sinus evaluation. Report the CT code that matches the documented contrast protocol, not 70220 for that CT study.
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.
7,72070210,,X-ray exam of sinuses,A,,0.17,0.78,,0.78,NA,0.02,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.05
7,72170210,26,X-ray exam of sinuses,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,72270210,TC,X-ray exam of sinuses,A,,0.00,0.71,,0.71,NA,0.01,0.72,0.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
7,72370220,,X-ray exam of sinuses,A,,0.21,0.90,,0.90,NA,0.02,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.72,2.72,0.04
7,72470220,26,X-ray exam of sinuses,A,,0.21,0.09,,0.09,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,72570220,TC,X-ray exam of sinuses,A,,0.00,0.81,,0.81,NA,0.01,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
7,72670240,,X-ray exam pituitary saddle,A,,0.19,0.75,,0.75,NA,0.02,0.96,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.05
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899