$35.81–$40.54
Both codes examine the mastoid region. Choose 70130 for a complete study with at least three views; choose 70120 when fewer views are obtained.
On this page
CMS RVU26D · Effective 2026-10-01
70130 Mastoid X-ray Medicare reimbursement rates in Texas
Reports a complete radiographic study of the mastoid region using at least three views, commonly to evaluate suspected mastoid disease. Compare 70130 office and facility rates across CMS payment localities in Texas.
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 70130 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$56.63–$63.88
8 of 8 localities have a supported rate.
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.
Where 70130 pays more and less in Texas
8 payment localities
$56.63 to $63.88
Diagnostic radiology
About 70130: Complete mastoid radiographic examination
Reports a complete radiographic study of the mastoid region using at least three views, commonly to evaluate suspected mastoid disease.
This service is a plain-radiograph examination of the mastoid region, including the mastoid air cells behind the ears, with at least three views. It may be ordered when symptoms or examination findings raise concern for mastoiditis or other mastoid disease. A radiologic technologist typically obtains the images in a hospital imaging department, outpatient radiology center, or office with radiography equipment; a radiologist or other qualified physician interprets them.
Select this code when the documented mastoid examination includes at least three views; the fewer-view mastoid study is a different code. The order and report should identify the mastoid region examined and support the views obtained, including whether one or both sides were imaged. Medicare recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier for the global service. When both sides are performed, CMS pays each side separately at 100%.
CMS billing rules for 70130
- 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.
- Bilateral procedures
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU0.33 · 18%
- Practice expense (office) RVU1.47 · 80%
- Malpractice RVU0.03 · 2%
156
Medicare services in 2024 · #4534 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.
70130 compared with similar codes
Office rates for Texas, from the same CMS release.
70134
$56.63–$63.94Middle-ear X-ray
70130 evaluates the mastoid region, while 70134 is directed to the middle ear. Select based on the anatomy actually examined and documented.
$29.46–$33.10
70140 is for facial-bone imaging, not a mastoid study. Use 70130 when the images and report address the mastoid region.
Compare 70130 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $63.88 | Facility Unavailable |
| Beaumont | Office $56.63 | Facility Unavailable |
| Brazoria | Office $60.55 | Facility Unavailable |
| Dallas | Office $60.88 | Facility Unavailable |
| Fort Worth | Office $60.41 | Facility Unavailable |
| Galveston | Office $60.70 | Facility Unavailable |
| Houston | Office $61.24 | Facility Unavailable |
| Rest Of Texas | Office $58.52 | Facility Unavailable |
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70130 billing questions
How does this differ from 70120?
70130 is for a complete mastoid examination with at least three views. Use 70120 for the mastoid examination with fewer views.
Can the interpretation be billed separately from the imaging?
Yes. Report modifier 26 for the professional interpretation and modifier TC for the technical service; without either modifier, the claim represents the global service.
How should bilateral mastoid imaging be reported?
When both sides are examined, report each side separately according to claim instructions. CMS pays each side at 100% when performed bilaterally.
Does the number of views affect code selection?
Yes. This code requires a complete examination with at least three views; a study with fewer views is represented by 70120.
What documentation supports 70130?
The record should support the clinical reason for the mastoid study, the region and side examined, and the complete examination with at least three views.
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.
7,69270120,,X-ray exam of mastoids,A,,0.18,0.96,,0.96,NA,0.02,1.16,1.16,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,3.23,3.23,0.05
7,69370120,26,X-ray exam of mastoids,A,,0.18,0.07,,0.07,,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,69470120,TC,X-ray exam of mastoids,A,,0.00,0.89,,0.89,NA,0.01,0.90,0.90,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,3.16,3.16,0.04
7,69570130,,X-ray exam of mastoids,A,,0.33,1.47,,1.47,NA,0.03,1.83,1.83,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,3.30,3.30,0.04
7,69670130,26,X-ray exam of mastoids,A,,0.33,0.13,,0.13,,0.02,0.48,0.48,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,69770130,TC,X-ray exam of mastoids,A,,0.00,1.34,,1.34,NA,0.01,1.35,1.35,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.02
7,69870134,,X-ray exam of middle ear,A,,0.33,1.48,,1.48,NA,0.02,1.83,1.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.75,16.75,0.14