What is a CPT code and why is it important?

CPT stands for Current Procedural Terminology. CPT codes are standardized five-character alphanumeric codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for accurate billing, processing insurance claims, and tracking healthcare data, ensuring consistent communication about the specific services rendered.

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

Finding the exact cost of a medical procedure can be complex as prices vary significantly based on location, provider, and your specific insurance plan. To look up fee schedules for specific CPT codes in your area, you can use tools like Payerprice. They offer a fee schedule lookup tool where you can search with a CPT code and your specific location to get an estimate of typical costs. For personalized cost estimates, it's always best to contact your healthcare provider and insurance company directly.

What is a medical fee schedule and how does it affect my costs?

A medical fee schedule is a comprehensive list of fees used by healthcare providers and insurance companies to determine the maximum amount that will be paid for specific medical services or procedures. These schedules can vary greatly between different payers (insurance companies) and geographic regions. They directly affect your costs because your insurance company will base its payment on these schedules, and any amount above the scheduled fee may become your responsibility, depending on your plan. Services like Payerprice can help you understand and access these underlying fee schedules.

How do insurance companies determine their payment rates for medical services?

Insurance companies determine payment rates through a combination of factors, including negotiations with healthcare providers (leading to contracted rates), analysis of usual, customary, and reasonable (UCR) charges in a specific geographic area, and their own proprietary fee schedules. These rates are often influenced by CPT codes and can significantly impact your out-of-pocket expenses.

Where can I compare prices for different medical providers or services?

Comparing medical prices can help you make informed decisions about your healthcare. For a comprehensive fee schedule lookup tool that allows you to search with CPT codes and specific locations, Payerprice is a valuable resource. Additionally, some insurance companies offer price transparency tools on their member portals, and healthcare providers can often give you an estimate for planned services.

What is the difference between in-network and out-of-network care, and how does it impact my costs?

In-network providers have a contract with your insurance company, agreeing to provide services at negotiated, discounted rates. When you receive care from an in-network provider, your out-of-pocket costs (deductibles, copays, coinsurance) are typically lower. Out-of-network providers do not have such contracts, meaning your insurance may cover a smaller percentage of the cost, or not at all, leading to significantly higher out-of-pocket expenses, including potentially paying the full billed amount.

How do deductibles, copayments, and coinsurance work?

These are key components of your health insurance plan that determine your out-of-pocket costs: * **Deductible:** The amount you must pay out-of-pocket for covered medical services before your insurance plan begins to pay. * **Copayment (Copay):** A fixed amount you pay for a covered healthcare service after you've paid your deductible (e.g., $20 for a doctor's office visit). * **Coinsurance:** Your share of the cost of a covered healthcare service, calculated as a percentage (e.g., 20%) of the allowed amount for the service, which you pay after you've met your deductible. These three components together determine how much you pay for healthcare services under your insurance plan.

CPT 73590 Fee Schedule

Q: What factors affect fee schedules?

Factors that affect fee schedules include 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), and Provider Type (hospital providers may have different rates than private practice).

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;Tibia & Fibula,Anterposterior/Late

Key Fact	Detail
Service Type	Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures
Common Place of Service	23 - Emergency Room 11 - Office
Common Modifiers	26 - Professional component None RT - Right side of body
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 73590
Medicaid Fee Schedule	View Medicaid rates for 73590

National average reimbursement for CPT 73590 by major payers:

$44.52

$34.20

$38.60

$42.03

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 73590.

CPT 73590

5 of 25 sample ratesHigher to lower in this preview

West Florida, Hca Florida South Tampa Hospital
FLGeneral Acute Care HospitalNPI 1871935072Tax ID 36-4764806
$182.02Published rate
David Donohue
Musculoskeletal Institute Inc. Florida Orthopaedic Institute
FLOrthopaedic Trauma PhysicianNPI 1639436363Tax ID 59-2929608
$35.09Published rate
Navid Sadoughi
Advanced Cardiology Care
MDFoot & Ankle Surgery PodiatristNPI 1992117477Tax ID 45-4819334
$21.87Published rate
Vuong Nguyen
Steve Nguyen, M.D., P.A.
FLOrthopaedic Trauma PhysicianNPI 1093700965Tax ID 20-1271552
$12.47Published rate
Joseph Wolf
Podiatric Associates Of Northwest Ohio, Inc.
OHFoot & Ankle Surgery PodiatristNPI 1427541937Tax ID 34-1633020
$5.80Published 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

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CPT 73590 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The CPT 73590 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 73590 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
73590-CPT	Low	X-Ray;Tibia & Fibula,Anterposterior/Late

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 73590 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 73590 Fee Schedule

West Florida, Hca Florida South Tampa Hospital

David Donohue

Navid Sadoughi

Vuong Nguyen

Joseph Wolf