How much does Medicare pay for CPT 73560?

Medicare allowed an average of $18.48 per service and paid $13.61 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $72.22, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 73560?

X-ray of knee, 1-2 views. It was billed 1,177,932 times to 924,111 Medicare beneficiaries by 19,636 providers in 2024.

Does 73560 pay differently in an office than a hospital?

Yes. The allowed amount averaged $27.24 in an office setting and $8.03 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 73560 most?

Diagnostic Radiology, with 625,618 services from 12,328 clinicians. Next are Orthopedic Surgery, Portable X-Ray Supplier, Physician Assistant.

CPT 73560

X-ray of knee, 1-2 views

$18.48Medicare-allowed amount per service, averaged across 1,177,932 services

Providers submitted

$72.22

Asking price, not received

Medicare allowed

$18.48

The fee schedule figure

Medicare paid

$13.61

Balance is patient coinsurance

Providers submitted an average of $72.22 for this code and Medicare allowed $18.48 — 3.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $13.61 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $27.24
Hospital / facility: $8.03

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 640,872 services were billed in an office setting and 537,060 in a facility.

Services: 1,177,932
Beneficiaries: 924,111
Providers billing it: 19,636
Total allowed: $21,768,183

What Medicare pays for CPT 73560

Across 1,177,932 services billed by 19,636 providers to 924,111 beneficiaries, Medicare allowed an average of $18.48 per service. That is 1.3 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 73560

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	625,618	544,765	$10.64	12,328
Orthopedic Surgery	302,838	209,772	$31.59	3,811
Portable X-Ray Supplier	109,820	62,451	$18.98	192
Physician Assistant	52,575	40,688	$24.52	1,113
Nurse Practitioner	18,306	13,341	$25.88	405
Interventional Radiology	17,819	16,015	$10.15	486
Family Practice	9,452	7,828	$28.71	389
Independent Diagnostic Testing Facility (IDTF)	9,272	6,592	$30.81	203
Rheumatology	9,195	5,296	$32.09	165
Sports Medicine	8,782	6,367	$33.43	145
Internal Medicine	3,933	3,072	$27.13	146
Physical Medicine and Rehabilitation	2,012	1,519	$34.03	56
Radiation Oncology	1,392	1,048	$11.76	12
Nuclear Medicine	1,125	976	$11.68	17
General Practice	1,050	757	$30.67	25

73560 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	106,633	$22.00	$14.23	1,678
Texas	88,058	$18.56	$15.58	1,510
Florida	82,280	$23.02	$17.37	1,290
New York	68,641	$20.32	$13.79	882
Maryland	59,452	$18.70	$13.91	441
Pennsylvania	50,429	$17.13	$13.84	885
Illinois	49,528	$15.41	$11.41	797
Ohio	47,245	$15.12	$11.65	786
New Jersey	35,223	$24.35	$19.00	585
Missouri	32,259	$15.08	$11.84	526
North Carolina	30,689	$16.00	$13.96	689
Tennessee	30,251	$17.46	$14.91	534
Virginia	30,237	$20.43	$15.54	485
Massachusetts	28,178	$15.83	$10.89	451
Georgia	27,838	$20.53	$17.24	574
Minnesota	24,731	$13.71	$9.91	507
Mississippi	24,582	$19.06	$18.10	282
Michigan	24,361	$18.48	$14.05	548
Indiana	22,281	$17.18	$13.70	403
Alabama	22,051	$21.22	$18.55	415
Louisiana	21,589	$18.05	$16.36	338
Washington	21,339	$13.29	$9.39	344
Arkansas	21,121	$16.63	$14.82	316
South Carolina	20,100	$18.92	$16.08	379
Kentucky	17,535	$19.13	$15.45	302
Wisconsin	17,443	$12.82	$9.63	355
Arizona	16,691	$21.40	$16.26	319
Colorado	16,642	$17.94	$13.48	329
Oklahoma	16,032	$17.90	$16.31	279
Kansas	13,619	$17.49	$13.99	235
Iowa	11,365	$15.10	$12.41	187
Connecticut	10,892	$18.79	$13.16	234
Nebraska	8,722	$11.69	$9.48	161
Oregon	8,695	$15.63	$11.39	219
New Hampshire	6,993	$19.28	$14.01	111
Delaware	6,314	$19.13	$14.99	74
Rhode Island	6,280	$16.74	$12.40	107
Nevada	5,966	$17.51	$13.34	130
West Virginia	5,543	$13.99	$12.31	114
Idaho	5,253	$13.75	$10.98	114
Hawaii	4,203	$18.97	$12.69	50
South Dakota	4,061	$12.06	$8.86	65
Utah	3,571	$18.84	$14.89	105
New Mexico	3,494	$17.82	$14.14	78
North Dakota	3,301	$18.28	$13.54	54
District of Columbia	2,855	$18.19	$13.73	41
Maine	2,634	$12.46	$9.57	80
Montana	2,516	$10.59	$7.90	63
Wyoming	2,461	$16.94	$12.67	48
Alaska	1,889	$15.19	$9.51	45
Vermont	1,799	$8.59	$6.04	30
Puerto Rico	1,737	$25.57	$17.16	52
AA	108	$11.30	$9.50	2
AP	100	$11.62	$8.85	3
Guam	62	$17.96	$12.68	2
U.S. Virgin Islands	46	$33.43	$22.57	2

Related codes

73502X-ray of hip, 2-3 views$26.38
73562X-ray of knee$27.47
73564X-ray of knee$34.42
73552X-ray of thigh bone$12.92
73590X-ray of lower leg$10.75
73501X-ray of hip, 1 view$20.45
73522X-ray of both hips$35.14
73521X-ray of both hips$25.89
73565X-ray of both knees while standing$34.99
73523X-ray of both hips$33.99
73503X-ray of hip, minimum of 4 views$47.13
73551X-ray of thigh bone$16.13

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.