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See a sample rate comparisonCPT 73562 Fee Schedule
Medicare rates as of October 2026
CPT 73562 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
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 | RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $42.42 national non-facility rate (2026) · View Medicare rates for 73562 |
| Medicaid Fee Schedule | $34.145 median of the 8 states in the free preview · View Medicaid rates for 73562 |
National average reimbursement for CPT 73562 by major payers:
$56.58
BCBS / Anthem
$43.13
UnitedHealthcare
$49.44
Aetna
$53.20
Cigna
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CPT 73562
5 of 25 sample ratesHigher to lower in this preview
Mark Veldman
$120.65Published rateJoy Foster
$50.63Published rateKelly Ridges
Allergy & Asthma Of Dupage, S.C.
$41.21Published rateMarissa Liveris
Allergy & Asthma Of Dupage, S.C.
$13.43Published rateTiffany Vuong
Town Center Orthopaedic Associates, P.C.
$11.23Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 73562 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 73562. 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 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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Frequently Asked Questions
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.
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.
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.
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.
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.