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See a sample rate comparisonCPT 71130 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Radiologic Exam; Sternoclavicul Joint Or Joint Minimum Of 3, Radiologic Examination; Sternoclavicular Joint Or Joints Minimum Of 3
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 71130 |
| Medicaid Fee Schedule | View Medicaid rates for 71130 |
National average reimbursement for CPT 71130 by major payers:
$50.32
$44.95
$50.24
$57.43
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CPT 71130
5 of 25 sample ratesHigher to lower in this preview
Envision Imaging Of Frisco
$77.98Published rateJelisa Vick
Northern Arizona Healthcare Corporation
$61.79Published rateJames Kneller
Northern Arizona Healthcare Corporation
$43.20Published rateSamuel Kim
Northern Arizona Healthcare Corporation
$18.60Published rateNiki Popp
Northern Arizona Healthcare Corporation
$11.55Published rate
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See a sample payer proposalCPT 71130 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 71130 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 71130 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 71100-CPT | Low | X-Ray Ribs, Unilateral; 2 Views |
| 71101-CPT | Low | X Ray Exam Unilat Ribs Chest, Radiologic Examination Ribs Unilateral Including Posteroanterior Chest Minimum Of 3 Views |
| 71110-CPT | Low | X-Ray Ribs, Bilateral; 3 Views |
| 71130-CPT | Low | Radiologic Exam; Sternoclavicul Joint Or Joint Minimum Of 3, Radiologic Examination; Sternoclavicular Joint Or Joints Minimum Of 3 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 71130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 71130 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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