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See a sample rate comparisonCPT 73130 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.
Radiologic Exam Hand; Minimum Of 3 Views, Radiologic Examination Hand; Minimum Of 3 Views
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 73130 |
| Medicaid Fee Schedule | View Medicaid rates for 73130 |
National average reimbursement for CPT 73130 by major payers:
$50.95
$38.48
$44.19
$48.00
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CPT 73130
5 of 25 sample ratesHigher to lower in this preview
Luke Falesch
Lakeshore Medical Clinic, Ltd.
$146.46Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$46.25Published rateAlan Muraki
Bayhealth Radiologists LLC
$34.81Published rateRiley Smyth
Radiology Chartered
$29.50Published rateChad Muntzinger
Town Center Orthopaedic Associates, P.C.
$9.94Published rate
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See a sample payer proposalCPT 73130 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 73130 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 73130 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73130 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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