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See a sample rate comparisonCPT 73564 Fee Schedule
Medicare rates as of October 2026
CPT 73564 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Rad Exam Knee; Complete W/Oblique Tunnel
| 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 | $49.43 national non-facility rate (2026) · View Medicare rates for 73564 |
| Medicaid Fee Schedule | $39.825 median of the 8 states in the free preview · View Medicaid rates for 73564 |
National average reimbursement for CPT 73564 by major payers:
$65.18
BCBS / Anthem
$48.71
UnitedHealthcare
$56.60
Aetna
$63.80
Cigna
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CPT 73564
5 of 25 sample ratesHigher to lower in this preview
Todd Gaddie
$82.37Published rateChristopher Raio
St Joseph Hospital
$52.88Published rateKenneth Mroczek
$36.00Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$21.42Published rateTimothy Beer
$10.23Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 73564 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 73564. 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 73564. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73564 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
The CPT 73564 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 73564 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. For specific details regarding reimbursement rates or fee schedules for CPT 73564 based on your location and specific circumstances, you can utilize Payerprice's fee schedule lookup tool.