How much does Medicare pay for CPT 73565?

Medicare allowed an average of $34.99 per service and paid $25.50 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $111.32, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 73565?

X-ray of both knees while standing. It was billed 60,779 times to 55,133 Medicare beneficiaries by 1,191 providers in 2024.

Does 73565 pay differently in an office than a hospital?

Yes. The allowed amount averaged $36.45 in an office setting and $7.97 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 73565 most?

Orthopedic Surgery, with 41,139 services from 588 clinicians. Next are Diagnostic Radiology, Physician Assistant, Nurse Practitioner.

CPT 73565

X-ray of both knees while standing

$34.99Medicare-allowed amount per service, averaged across 60,779 services

Providers submitted

$111.32

Asking price, not received

Medicare allowed

$34.99

The fee schedule figure

Medicare paid

$25.50

Balance is patient coinsurance

Providers submitted an average of $111.32 for this code and Medicare allowed $34.99 — 3.2× 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 $25.50 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $36.45
Hospital / facility: $7.97

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. 57,665 services were billed in an office setting and 3,114 in a facility.

Services: 60,779
Beneficiaries: 55,133
Providers billing it: 1,191
Total allowed: $2,126,657

What Medicare pays for CPT 73565

Across 60,779 services billed by 1,191 providers to 55,133 beneficiaries, Medicare allowed an average of $34.99 per service. 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 73565

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	41,139	36,303	$37.43	588
Diagnostic Radiology	7,085	6,768	$24.56	239
Physician Assistant	4,793	4,532	$29.62	131
Nurse Practitioner	1,867	1,816	$29.40	47
Sports Medicine	1,727	1,665	$40.37	35
Rheumatology	1,169	1,164	$35.29	40
Family Practice	1,066	1,042	$35.22	44
Independent Diagnostic Testing Facility (IDTF)	376	367	$36.02	19
Internal Medicine	302	277	$31.78	10
Interventional Radiology	282	280	$39.83	7
Portable X-Ray Supplier	277	227	$30.75	7
Physical Medicine and Rehabilitation	174	174	$40.07	9
General Practice	148	148	$35.14	2
Undefined Physician type	84	83	$54.16	1
Emergency Medicine	73	73	$33.02	3

73565 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	9,989	$41.88	$25.41	179
Florida	6,496	$35.79	$26.97	86
Texas	5,491	$35.62	$26.59	114
New York	3,181	$38.22	$24.92	61
Illinois	2,383	$34.39	$25.38	38
Pennsylvania	2,153	$34.40	$26.82	46
Ohio	2,125	$29.09	$22.13	44
Alabama	2,027	$32.52	$28.54	38
Virginia	1,998	$36.42	$26.89	31
New Jersey	1,954	$41.72	$27.88	29
Louisiana	1,770	$34.16	$29.36	24
Tennessee	1,766	$32.55	$26.82	33
Michigan	1,482	$33.32	$25.23	35
Maryland	1,434	$35.58	$24.35	28
Massachusetts	1,398	$36.47	$23.52	33
Mississippi	1,159	$21.54	$18.36	13
Arkansas	1,090	$26.38	$22.87	24
West Virginia	966	$33.64	$28.46	4
Delaware	958	$27.78	$20.09	17
Kansas	946	$32.51	$24.86	29
Indiana	934	$29.78	$24.99	21
Missouri	773	$26.85	$20.65	19
Arizona	734	$34.06	$26.34	20
North Carolina	673	$29.60	$22.20	24
Georgia	632	$34.83	$27.31	16
South Carolina	604	$31.65	$25.99	22
Oklahoma	560	$27.28	$21.88	19
Washington	539	$35.14	$25.14	16
Oregon	491	$30.37	$21.09	13
New Mexico	489	$27.26	$20.43	18
Minnesota	474	$30.85	$21.79	9
Colorado	471	$39.70	$28.74	5
Connecticut	440	$38.52	$25.30	13
Rhode Island	358	$19.66	$13.71	8
Kentucky	315	$33.91	$27.19	13
North Dakota	291	$25.79	$18.50	7
South Dakota	252	$32.75	$23.42	6
Alaska	203	$38.21	$26.49	3
Maine	168	$18.14	$13.01	7
Nevada	141	$37.03	$28.43	4
Nebraska	113	$16.32	$11.78	7
Wisconsin	87	$38.52	$27.44	4
Iowa	85	$20.68	$16.70	4
Montana	68	$26.23	$20.31	3
District of Columbia	61	$8.62	$5.72	1
Puerto Rico	46	$37.99	$28.56	2
Vermont	11	$7.13	$5.30	1

Related codes

73502X-ray of hip, 2-3 views$26.38
73562X-ray of knee$27.47
73564X-ray of knee$34.42
73560X-ray of knee$18.48
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
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.