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See a sample rate comparisonCPT 73020 Fee Schedule
Medicare rates as of October 2026
CPT 73020 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
X-Ray Shoulder;1 View
| 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 | RT - Right side of body 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $21.71 national non-facility rate (2026) · View Medicare rates for 73020 |
| Medicaid Fee Schedule | $17.43 median of the 8 states in the free preview · View Medicaid rates for 73020 |
National average reimbursement for CPT 73020 by major payers:
$31.09
BCBS / Anthem
$26.41
UnitedHealthcare
$29.08
Aetna
$32.40
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 73020.
CPT 73020
5 of 25 sample ratesHigher to lower in this preview
Raymond Lieber
Northern Arizona Healthcare Corporation
$38.40Published rateMatthew Bowe
Northern Arizona Healthcare Corporation
$38.40Published rateAdnan Zubair
Northern Arizona Healthcare Corporation
$25.79Published rateMichael Sarkees
Northern Arizona Healthcare Corporation
$12.60Published rateShahid Ahmad
Northern Arizona Healthcare Corporation
$7.94Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 73020 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 73020. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 73020-CPT | Low | X-Ray Shoulder;1 View |
| 73030-CPT | Low | X-Ray Shoulder;Complete,Minimum Of 2 Vie |
| 73040-CPT | Low | X-Ray Of Shoulder Joint Motion, An Exam Of The Shoulder Joint Using A Fluoroscope. Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
| 73050-CPT | Low | Radiologic Exam; Acromioclavicular Joint Bilate W/ Or W/O, Radiologic Examination; Acromioclavicular Joints Bilateral With Or W |
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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