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CMS RVU26D · Effective 2026-10-01

70370 Throat imaging Medicare reimbursement rates in Pennsylvania

Reports radiographic and fluoroscopic imaging of the pharynx or larynx when the clinical question concerns these throat structures. Compare 70370 office and facility rates across CMS payment localities in Pennsylvania.

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 70370 in Pennsylvania?

Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$92.86–$104.23

2 of 2 localities have a supported rate.

Lowest: Rest Of Pennsylvania

Highest: Metropolitan Philadelphia

A spread of $11.37 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 70370 in your payment locality →

Radiology

About 70370: Pharynx or larynx radiographic exam

Reports radiographic and fluoroscopic imaging of the pharynx or larynx when the clinical question concerns these throat structures.

This examination uses x-ray imaging, with fluoroscopy and possibly magnification, to assess the pharynx or larynx. It may be used to evaluate a structural concern involving the throat; contrast may be used when needed to outline the anatomy. A radiologic technologist typically obtains the images in an imaging department, hospital, or other setting equipped for fluoroscopy, and a physician interprets the study.

Select this code when the documented examination targets the pharynx or larynx, rather than a general soft-tissue neck survey or a dedicated assessment of swallowing function. The record should identify the clinical indication, anatomy imaged, images obtained, and physician interpretation. CMS recognizes separate professional and technical portions: report modifier 26 for the interpretation, TC for the equipment and staff portion, or no modifier when billing the global service that includes both.

CMS billing rules for 70370

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 RVU0.31 · 10%
  • Practice expense (office) RVU2.66 · 89%
  • Malpractice RVU0.03 · 1%

246

Medicare services in 2024 · #4153 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.

70370 compared with similar codes

Office rates for Pennsylvania, from the same CMS release.

70371

Speech imaging

Complex dynamic evaluation

$104.40–$115.41

Both address pharyngeal or laryngeal imaging, but 70371 includes a speech evaluation. Use 70370 when that evaluation is not part of the documented service.

74230

Swallow study

Recorded fluoroscopic evaluation

$111.84–$124.98

Choose 74230 when the examination evaluates swallowing function with cine or video imaging; 70370 targets radiographic evaluation of the pharynx or larynx.

70360

Neck X-ray

Soft tissue

$29.03–$32.30

70360 is a soft-tissue neck examination. 70370 is appropriate when the imaging specifically evaluates the pharynx or larynx.

Compare 70370 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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70370 billing questions

When should 70370 be chosen over 70371?

Use 70370 for radiographic examination of the pharynx or larynx without the speech evaluation described by 70371. The documented service and clinical question should support the choice.

How does 70370 differ from a swallowing-function study?

70370 focuses on radiographic evaluation of the pharynx or larynx. A study specifically evaluating swallowing function with cine or video imaging may be reported with 74230 instead.

Which modifier identifies the interpretation?

Append modifier 26 when billing only the physician's professional interpretation. Modifier TC identifies the technical portion; billing without either modifier represents the global service.

What documentation supports reporting 70370?

Document the reason for the examination, the pharyngeal or laryngeal anatomy evaluated, the imaging performed, and the physician's interpretation.

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 70370PPRRVU2026_Oct_nonQPP.csv, line 7,766 (RVU26D)