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CPT 73020 Fee Schedule

Last Verified: February 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 Shoulder;1 View
Key FactDetail
Service Type

Radiology Procedures

Diagnostic Radiology (Diagnostic Imaging) Procedures

Common Place of Service

11 - Office

22 - On Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

26 - Professional component

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 73020

National average reimbursement for CPT 73020 by major payers:

bcbs

$31.09

uhc

$26.41

aetna

$29.08

cigna

$33.30

Preview provider-level rates for...
For billing codeCPT 73020
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 73020

United
73020$38.401053563965 - RAYMOND LIEBER742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZPhysician Assistant (363A00000X)
United
73020$38.401396132239 - JORGE CHAVEZ742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONALFamily Medicine Physician (207Q00000X)
United
73020$21.641982969846 - PAUL LANIER742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONCAOrthopaedic Surgery Physician (207X00000X)
United
73020$7.941952350001 - LORI MCNEAL742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZObstetrics & Gynecology Physician (207V00000X)
United
73020$38.401780930172 - RAM NARAYAN742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZNeurology Physician (2084N0400X)
United
73020$12.601518645563 - DANIELLE SWEETS742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZOccupational Therapist (225X00000X)
United
73020$25.791487632535 - TAMMY PENHOLLOW742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZAnesthesiology Physician (207L00000X)
United
73020$12.601669649075 - MICHAEL SARKEES742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZInterventional Cardiology Physician (207RI0011X)
United
73020$7.941710418959 - JERRIS-STEPHANIE OKONKWO742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONIANeurology Physician (2084N0400X)
United
73020$38.401215384466 - PATRICK BURKE742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONNYNeurology Physician (2084N0400X)
United
73020$25.791316461296 - SONDRA WILLIAMS742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZPhysician Assistant (363A00000X)
United
73020$24.111457345910 - BRADLEY SMITH561079264 - EMERGEORTHO, P.A.NCOrthopaedic Surgery Physician (207X00000X)
United
73020$7.941558679233 - LEIGH MCGLINN742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONTXCritical Care Neonatal Nurse Practitioner (363LN0005X)
United
73020$38.401184912867 - NICOLAUS HAWBAKER742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZEmergency Medicine Physician (207P00000X)
United
73020$12.601013546340 - ZACHARY HINGER742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATIONAZPhysician Assistant (363A00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 73020 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The CPT 73020 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 73020 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.

CodeComplexityDescription
73010-CPTLowX-Ray; Scapula, Complete
73020-CPTLowX-Ray Shoulder;1 View
73030-CPTLowX-Ray Shoulder;Complete,Minimum Of 2 Vie
73040-CPTLowRad Exam Shoulder Arthrography S&I

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 73020 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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