What's Price Transparency?

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules. We display the raw data directly from insurers' files, giving you the same information they make public.

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.

How can I find the cost of a medical procedure?

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.

What is an Explanation of Benefits (EOB)?

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).

What's the difference between a deductible and a copay?

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.

Where can I find my health insurance policy details?

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.

CPT 73000 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.

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	None LT - Left side of body RT - Right side of body
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 73000
Medicaid Fee Schedule	View Medicaid rates for 73000

National average reimbursement for CPT 73000 by major payers:

$45.11

$34.62

$39.67

$42.80

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 73000.

CPT 73000

5 of 25 sample ratesHigher to lower in this preview

Gabriel Santamarina
Emory University
GAFoot & Ankle Surgery PodiatristNPI 1942667654Tax ID 58-2030692
$64.81Published rate
Alberto Abrebaya
FLFoot & Ankle Surgery PodiatristNPI 1417919242Tax ID 65-0429853
$18.78Published rate
Paul Steinberg
Steinberg Podiatry Associates PA
FLPodiatristNPI 1376545210Tax ID 59-1964197
$15.22Published rate
Stephanie Van Heerden
Associates In Medicine Surgery LLC
FLFoot & Ankle Surgery PodiatristNPI 1437598596Tax ID 65-0895895
$7.19Published rate
Bradley Todd
FLPodiatristNPI 1285631382Tax ID 11-3439479
$5.38Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 73000 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The CPT 73000 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 73000 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
73000-CPT	Low	X-Ray;Clavicle,Complete
73010-CPT	Low	X-Ray; Scapula, Complete
73020-CPT	Low	X-Ray Shoulder;1 View
73030-CPT	Low	X-Ray Shoulder;Complete,Minimum Of 2 Vie

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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CPT 73000 Fee Schedule

Compare published rates across providers.

Gabriel Santamarina

Alberto Abrebaya

Paul Steinberg

Stephanie Van Heerden

Bradley Todd