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See a sample rate comparisonCPT 73560 Fee Schedule
Medicare rates as of October 2026
CPT 73560 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
X-Ray Knee;Anteroposterior & Lateral Vie
| 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 LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $34.40 national non-facility rate (2026) · View Medicare rates for 73560 |
| Medicaid Fee Schedule | $27.665 median of the 8 states in the free preview · View Medicaid rates for 73560 |
National average reimbursement for CPT 73560 by major payers:
$47.21
BCBS / Anthem
$36.91
UnitedHealthcare
$41.60
Aetna
$47.20
Cigna
Compare published rates across providers.
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CPT 73560
5 of 25 sample ratesHigher to lower in this preview
Andrew Vivas
$120.43Published rateDouglas Cohen
Mcr Health Inc
$33.43Published rateBrian Mason
$20.81Published rateIntegrative Foot And Ankle LLC
$15.42Published rateMario Cala
Perfectfeetcare Inc
$5.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 73560 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 73560. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 73560-CPT | Low | X-Ray Knee;Anteroposterior & Lateral Vie |
| 73562-CPT | Low | X-Ray Knee;Ap & Lat,Obliques,Min.3 |
| 73564-CPT | Low | Rad Exam Knee; Complete W/Oblique Tunnel |
| 73565-CPT | Low | Radiologic Exam Knee Both Knees Standing Anteroposterior, Radiologic Examination Knee; Both Knees Standing Anteroposterior |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73560. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73560 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 73560 reports an X-ray of the knee with 1 or 2 views. Three views use 73562, and 4 or more views use 73564.
Standing views of both knees taken together use 73565. Otherwise each knee is reported separately, often with RT and LT modifiers.
Imaging codes such as CPT 73560 split into a professional component (modifier 26, the physician's interpretation) and a technical component (modifier TC, the equipment, staff and supplies). A global claim covers both. A radiologist reading for a hospital usually bills only the professional component, so compare rates for the same component. Commercial rates also differ between hospital outpatient departments and freestanding imaging centers.
This page lists the rates commercial payers have published for CPT 73560 in their Transparency in Coverage files, so you can compare payers and see where a contract falls. For government benchmarks, PayerPrice also has the Medicare fee schedule lookup and Medicaid fee schedules by state.