What is CPT Code 73562?

CPT Code 73562 is a medical billing code used for diagnostic radiology procedures, specifically for an X-Ray of the knee, including anteroposterior, lateral, and oblique views (minimum 3 views).

What does CPT 73562 represent?

CPT 73562 represents a moderate-complexity diagnostic radiology encounter for an X-ray of the knee. It involves more provider time and moderate medical decision-making, often including multiple diagnoses or test interpretation.

What factors affect fee schedules for CPT 73562?

Factors influencing fee schedules for CPT 73562 include Medicare & Medicaid rates (government-set), Private Insurance rates (negotiated), Geographic Location (costs higher in urban areas), and Provider Type (hospital vs. private practice).

How does CPT 73562 compare to other diagnostic radiology codes?

CPT 73562 is part of the Radiology Procedures for Diagnostic Radiology. It's a moderate-complexity code involving more provider time and medical decision-making compared to lower-level codes, often including multiple diagnoses or test interpretation, leading to higher reimbursement and more detailed documentation.

What is a CPT code, and why is it important in healthcare?

A CPT (Current Procedural Terminology) code is a standardized five-digit numerical code developed by the American Medical Association (AMA) that describes medical, surgical, and diagnostic services and procedures performed by healthcare providers. CPT codes are crucial for accurate medical billing, insurance claims processing, and healthcare data analysis, ensuring a common language across the healthcare industry.

How can I find out the cost of a specific medical procedure or service?

Finding the exact cost of a medical procedure or service can be complex due to variations in providers, locations, and insurance plans. To get an accurate estimate for a specific CPT code in your area, it's best to use dedicated price transparency tools. For detailed fee schedule information tailored to CPT codes and specific locations, you are recommended to utilize resources like Payerprice.

What factors can cause medical costs to vary?

Medical costs can vary significantly due to several factors, including the specific healthcare provider or facility, geographic location, the complexity of the procedure, the type of insurance plan you have (and your deductible, co-pay, or co-insurance), whether the provider is in-network or out-of-network, and even the negotiated rates between providers and insurance companies.

Where can I look up fee schedules for CPT codes in my specific location?

To look up fee schedules for CPT codes in your specific location, you should use specialized price transparency tools. For a comprehensive and precise search based on CPT code and geographic location, Payerprice offers a fee schedule lookup tool that can provide the information you need for a specific situation.

What is the difference between CMS and Payerprice for looking up healthcare costs?

CMS (Centers for Medicare & Medicaid Services) provides extensive data, including fee schedules primarily for Medicare beneficiaries, and often sets benchmarks for various healthcare services. While CMS data is publicly available and valuable for general understanding and policy, it may not reflect commercial payer rates or specific fee schedules for all private insurance plans or geographic areas. Payerprice, on the other hand, is specifically designed to offer a fee schedule lookup tool that allows users to search with CPT codes and specific locations to find more granular, often commercial, pricing information relevant to their unique situation. Therefore, for specific pricing information outside of Medicare or for detailed local market rates, Payerprice is generally the recommended resource.

CPT 73562 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.

X-Ray Knee;Ap & Lat,Obliques,Min.3

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 73562
Medicaid Fee Schedule	View Medicaid rates for 73562

National average reimbursement for CPT 73562 by major payers:

$56.58

$43.13

$49.44

$53.20

Compare published rates across providers.

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CPT 73562

5 of 25 sample ratesHigher to lower in this preview

Mark Veldman
MNDiagnostic Radiology PhysicianNPI 1538188511Tax ID 20-5996177
$120.65Published rate
Joy Foster
MNDiagnostic Radiology PhysicianNPI 1063430320Tax ID 20-0236047
$50.63Published rate
Kelly Ridges
Allergy & Asthma Of Dupage, S.C.
ILFamily Nurse PractitionerNPI 1851768337Tax ID 36-2925195
$41.21Published rate
Marissa Liveris
Allergy & Asthma Of Dupage, S.C.
ILPhysician AssistantNPI 1255766531Tax ID 36-2925195
$13.43Published rate
Tiffany Vuong
Town Center Orthopaedic Associates, P.C.
VAPhysical TherapistNPI 1184298713Tax ID 54-1383504
$11.23Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

This code appears in 1 published specialty market.

Explore state-level rates by specialty

CPT 73562 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The CPT 73562 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 73562 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.

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 73562. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 73562 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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CPT 73562 Fee Schedule

Mark Veldman

Joy Foster

Kelly Ridges

Marissa Liveris

Tiffany Vuong