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See a sample rate comparisonCPT 73090 Fee Schedule
Medicare rates as of October 2026
CPT 73090 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Radiologic Examination Forear, Radiologic Examination Forearm Anteroposterior And Lateralviews Radiologic Examination Forearm Anteroposterior And Lateral
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | 26 - Professional component LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $29.06 national non-facility rate (2026) · View Medicare rates for 73090 |
| Medicaid Fee Schedule | $23.355 median of the 8 states in the free preview · View Medicaid rates for 73090 |
National average reimbursement for CPT 73090 by major payers:
$40.54
BCBS / Anthem
$32.65
UnitedHealthcare
$37.06
Aetna
$40.16
Cigna
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CPT 73090
5 of 25 sample ratesHigher to lower in this preview
Jonathan Yawman
Emory University
$79.54Published rateGulf Coast Podiatry, PA
Gulf Coast Podiatry, P.A.
$19.79Published rateFranco And Company LLC, Franco & Co
Franco And Company LLC
$11.77Published rateApril Chin
Unity Health Care Inc
$7.67Published rateKristopher Jerry
$5.40Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 73090 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 73090. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 73070-CPT | Low | X-Ray Elbow; Ap & Lateral Views |
| 73080-CPT | Low | X-Ray Elbow,Complete,Minimum Of 3 Views |
| 73085-CPT | Low | X-Rays Of Elbow Joint Movement, A Study Of The Elbow Joint Using A Fluoroscope. Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
| 73090-CPT | Low | Radiologic Examination Forear, Radiologic Examination Forearm Anteroposterior And Lateralviews Radiologic Examination Forearm Anteroposterior And Lateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73090. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73090 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
CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, healthcare professionals, and payers to describe medical, surgical, and diagnostic services. They are crucial for consistent communication and billing processes within the healthcare system.
The cost of a medical procedure can vary significantly based on your insurance plan, location, healthcare provider, and the specific services rendered. To get an estimate, you can contact your healthcare provider directly, check your insurance company's website for price transparency tools, or use specialized online tools. For specific pricing details based on CPT codes and location, you might need a dedicated lookup tool.
Medical costs vary due to numerous factors, including the type of facility (e.g., hospital vs. outpatient clinic), geographical location, the specific health plan you have, whether the provider is in-network or out-of-network, and the complexity of the procedure itself. Market forces, negotiations between providers and insurers, and varying operational costs also contribute to price differences.
A fee schedule is a comprehensive list of fees used by health plans to pay doctors or other providers for specific services. It specifies the maximum dollar amount that an insurance plan will reimburse for particular medical services, procedures, or supplies. Providers often have their own fee schedules, and insurance companies negotiate their specific rates.
To find specific procedure prices based on a CPT code and your location, it's highly recommended to use a specialized fee schedule lookup tool. Platforms like Payerprice offer a fee schedule lookup tool that allows users to search with CPT codes and specific locations to retrieve relevant pricing information. This can help you understand potential costs before receiving care.