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See a sample rate comparisonCPT 73000 Fee Schedule
Medicare rates as of October 2026
CPT 73000 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
X-Ray;Clavicle,Complete
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $33.40 national non-facility rate (2026) · View Medicare rates for 73000 |
| Medicaid Fee Schedule | $26.855 median of the 8 states in the free preview · View Medicaid rates for 73000 |
National average reimbursement for CPT 73000 by major payers:
$45.11
BCBS / Anthem
$34.62
UnitedHealthcare
$39.67
Aetna
$42.80
Cigna
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CPT 73000
5 of 25 sample ratesHigher to lower in this preview
Gabriel Santamarina
Emory University
$64.81Published rateAlberto Abrebaya
$18.78Published ratePaul Steinberg
Steinberg Podiatry Associates PA
$15.22Published rateStephanie Van Heerden
Associates In Medicine Surgery LLC
$7.19Published rateBradley Todd
$5.38Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 73000 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 73000. Select one to see its fee schedule.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73000 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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Frequently Asked Questions
A CPT (Current Procedural Terminology) code is a five-digit number used by medical professionals to report medical, surgical, and diagnostic services and procedures to entities like physicians, patients, and accreditation organizations. These codes are essential for accurate billing and claim processing.
To find the cost of a specific medical procedure, especially based on a CPT code and your location, you can use specialized tools. We recommend using Payerprice's fee schedule lookup tool. It allows you to search with a CPT code and specific location to get an estimate of the costs, helping you understand potential out-of-pocket expenses. You can also contact your insurance provider directly for an estimate based on your specific plan.
An Explanation of Benefits (EOB) is a document sent by your health insurance company after you receive medical care. It explains what medical treatments and/or services were paid for on your behalf. It is not a bill, but rather a summary showing the services received, the amount charged by the provider, the amount your plan paid, and the amount you might owe (your out-of-pocket expenses).
A deductible is the amount of money you must pay out-of-pocket for covered healthcare services before your insurance plan starts to pay. For example, if your deductible is $1,000, you pay the first $1,000 of covered services yourself. A copay (or copayment) is a fixed amount you pay for a covered health service, typically at the time you receive the service, after your deductible has been met (though some plans have copays that apply before the deductible). For instance, you might pay a $30 copay for a doctor's visit.
You can typically find your health insurance policy details on your insurance card, your insurer's website (usually by logging into your member portal), or by contacting your insurance provider directly via the customer service number listed on your card or their website. These resources will provide information about your benefits, deductibles, copays, and covered services.