CPT code 73130: Hand X-ray, minimum of three views2026 Medicare rate & RVUs in Delaware

Plain radiographic exam of the hand with at least three views, typically PA, oblique, and lateral, reported for suspected fracture, dislocation, arthritis, or foreign body.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3M Medicare services in 2024

In Delaware, Medicare pays $37.66 for 73130 in the office.

$37.66Office (non-facility)
Not available in this settingHospital or facility
−1.1%vs the national office rate ($38.08)

Check a contract rate as a % of Medicare · 73130 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 73130 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 73130 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 73130 covers

This study images the hand, including the metacarpals and phalanges, with a minimum of three projections. A standard series uses posteroanterior, oblique, and lateral views. It may be ordered after a fall, punch, or crush injury, or to evaluate suspected boxer's fracture, arthritis, bone lesions, or retained foreign bodies. A radiologic technologist obtains the images in physician offices, orthopedic and hand surgery clinics, urgent care centers, emergency departments, or hospital outpatient departments. A radiologist or treating physician interprets them.

Report 73130 when three or more hand views are obtained; use 73120 for a two-view hand exam or 73140 when imaging is limited to the fingers. The report should document the views, findings, and impression. Modifier 26 identifies interpretation alone; modifier TC identifies separately billed equipment and staff services. Bill the global service without either modifier when one entity provides both components. When both hands are imaged, Medicare pays each side separately at 100%; identify each hand with its laterality modifier.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 73130

Across 109 of 109 payment localities, the office rate for 73130 runs from $33.28 in Arkansas to $52.42 in San Benito County, CA. Delaware pays $37.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

73130 in Delaware vs other payment areas
  1. Delaware · this page$37.66
  2. Los Angeles, CA · California$43.89+$6.23
  3. Washington, DC area · District of Columbia$44.11+$6.45
  4. Miami, FL · Florida$40.40+$2.74
  5. Chicago, IL · Illinois$39.14+$1.48
  6. Manhattan, NY · New York$43.97+$6.31
  7. Alaska · Alaska$42.68+$5.02

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

73130 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$33.82—
ArkansasArkansas$33.28—
ArizonaArizona$37.00—
Bakersfield, CACalifornia$40.97—
Chico, CACalifornia$40.91—
El Centro, CACalifornia$40.91—
Fresno, CACalifornia$40.91—
Hanford, CACalifornia$40.91—

73130 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$33.28

$46.67

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
73130 office rate range by state
State / territoryOffice rate rangeLocalities
AK$42.681
AL$33.821
AR$33.281
AZ$37.001
CA$40.91–$52.4229
CO$40.031
CT$40.771
DC$44.111
DE$37.661
FL$37.02–$40.403
GA$34.78–$38.742
GU$42.141
HI$42.141
IA$34.981
ID$35.191
IL$35.69–$39.494
IN$35.421
KS$34.701
KY$34.501
LA$34.40–$36.302
MA$39.71–$44.392
MD$38.46–$44.113
ME$35.29–$37.542
MI$35.40–$37.422
MN$38.531
MO$33.68–$36.563
MS$33.491
MT$38.081
NC$35.711
ND$37.681
NE$35.221
NH$39.291
NJ$41.29–$43.562
NM$35.581
NV$38.001
NY$36.29–$45.015
OH$35.321
OK$34.531
OR$37.75–$41.522
PA$35.44–$39.612
PR$38.421
RI$39.161
SC$35.571
SD$37.631
TN$34.881
TX$35.17–$39.858
UT$36.111
VA$37.34–$44.112
VI$38.421
VT$37.431
WA$39.67–$45.442
WI$36.281
WV$34.211
WY$37.901

See 73130 in every payment locality

How the 73130 rate is calculated

Each of 73130’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 73130

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.95

0.95 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.1400

Conversion factor

$33.4009

Medicare rate

$38.08

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,147

Code
73130
Physician work
0.17
Practice expense
0.95
Malpractice
0.02

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 73130 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0050.1709
Practice expense0.95× 0.9880.9386
Malpractice0.02× 0.8990.0180
Total RVUs1.1274
Conversion factor× 33.4009

Office rate, Delaware$37.66

Office: (0.17 × 1.005 + 0.95 × 0.988 + 0.02 × 0.899) × $33.4009 = $37.66

Open 73130 in the RVU calculator

Payment rules and modifiers for 73130

The CMS indicators that decide how 73130 is paid alongside other services.

CMS payment indicators · 73130

Hand X-ray, minimum of three views

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)3Each side paid at 100% (no 150% cap).
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

73130 without 26 · national office

$38.08

Hand X-ray, minimum of three views

73130-26 · Professional component

$8.68

Pays only the interpretation and report.

When to use modifier 26

How 73130 has changed in Delaware

73130 · Office / nonfacility

$37.66

Effective 2026-10-01

The base rate is $1.66 higher than on 2025-10-01, moving from $36.00 to $37.66 (4.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $36.00changed to$37.66

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.93 changed to 0.95
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $37.05changed to$36.00

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $36.45changed to$37.05

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $37.83changed to$36.45

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.92 changed to 0.93
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949
  5. January 1, 2023

    RVU23A

    $38.38changed to$37.83

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.90 changed to 0.92
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $37.63changed to$38.38

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.87 changed to 0.90

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $36.02changed to$37.63

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.79 changed to 0.87
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $34.52changed to$36.02

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.75 changed to 0.79
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $33.01changed to$34.52

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.71 changed to 0.75

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $31.97changed to$33.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.68 changed to 0.71
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $31.67changed to$31.97

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.67 changed to 0.68
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $31.41changed to$31.67

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.66 changed to 0.67

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $31.26changed to$31.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $34.68changed to$31.26

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.75 changed to 0.66
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $34.73changed to$34.68

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.80 changed to 0.75
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $34.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$37.66Not available in this settingRVU26D
2026-07-01$37.66Not available in this settingRVU26C
2026-04-01$37.66Not available in this settingRVU26B
2026-01-01$37.66Not available in this settingRVU26A
2025-10-01$36.00Not available in this settingRVU25D
2025-07-01$36.00Not available in this settingRVU25C
2025-04-01$36.00Not available in this settingRVU25B
2025-01-01$36.00Not available in this settingRVU25A
2024-10-01$37.05Not available in this settingRVU24D
2024-07-01$37.05Not available in this settingRVU24C
2024-04-01$37.05Not available in this settingRVU24B
2024-03-09$37.05Not available in this settingRVU24AR
2024-01-01$36.45Not available in this settingRVU24A
2023-10-01$37.83Not available in this settingRVU23D
2023-07-01$37.83Not available in this settingRVU23C
2023-04-01$37.83Not available in this settingRVU23B
2023-01-01$37.83Not available in this settingRVU23A
2022-10-01$38.38Not available in this settingRVU22D
2022-07-01$38.38Not available in this settingRVU22C
2022-04-01$38.38Not available in this settingRVU22B
2022-01-01$38.38Not available in this settingRVU22A
2021-10-01$37.63Not available in this settingRVU21D
2021-07-01$37.63Not available in this settingRVU21C
2021-04-01$37.63Not available in this settingRVU21B
2021-01-01$37.63Not available in this settingRVU21A
2020-10-01$36.02Not available in this settingRVU20D
2020-07-01$36.02Not available in this settingRVU20C
2020-04-01$36.02Not available in this settingRVU20B
2020-01-01$36.02Not available in this settingRVU20A
2019-10-01$34.52Not available in this settingRVU19D
2019-07-01$34.52Not available in this settingRVU19C
2019-04-01$34.52Not available in this settingRVU19B
2019-01-01$34.52Not available in this settingRVU19A
2018-10-01$33.01Not available in this settingRVU18D
2018-07-01$33.01Not available in this settingRVU18C
2018-04-01$33.01Not available in this settingRVU18B
2018-01-01$33.01Not available in this settingRVU18AR1
2017-10-01$31.97Not available in this settingRVU17D
2017-07-01$31.97Not available in this settingRVU17C
2017-04-01$31.97Not available in this settingRVU17B
2017-01-01$31.97Not available in this settingRVU17A
2016-10-01$31.67Not available in this settingRVU16D
2016-07-01$31.67Not available in this settingRVU16C
2016-04-01$31.67Not available in this settingRVU16B
2016-01-01$31.67Not available in this settingRVU16A
2015-10-01$31.41Not available in this settingRVU15D
2015-07-01$31.41Not available in this settingRVU15C
2015-04-01$31.26Not available in this settingRVU15B
2015-01-01$31.26Not available in this settingRVU15A
2014-10-01$34.68Not available in this settingRVU14D
2014-07-01$34.68Not available in this settingRVU14C
2014-04-01$34.68Not available in this settingRVU14B
2014-01-01$34.68Not available in this settingRVU14A
2013-10-01$34.73Not available in this settingRVU13D
2013-07-01$34.73Not available in this settingRVU13C
2013-04-01$34.73Not available in this settingRVU13B
2013-01-01$34.73Not available in this settingRVU13AR

Price 73130 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

73130 billing questions

When should 73130 be chosen instead of 73120?

Use 73130 when at least three views of the hand are obtained. Use 73120 for a two-view hand exam. The documented view count, not the order, controls code selection.

How are bilateral hand X-rays reported?

Report 73130 separately for each hand, using RT and LT to identify the sides. Medicare pays each side separately at 100%.

Which modifier applies when a radiologist only reads a hospital hand film?

Append modifier 26 for the interpretation. The hospital bills its technical services under facility billing rules; modifier TC identifies a separately billed technical component on physician claims.

Can a hand X-ray and a wrist X-ray be billed on the same day?

Yes, when separate wrist views are performed and documented for a distinct concern, such as suspected scaphoid injury. Wrist anatomy visible incidentally on hand views does not support a wrist code.

If only the fingers are imaged, is 73130 correct?

No. When imaging is limited to one or more digits, report the finger radiograph code, 73140, instead of a hand code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 73130PPRRVU2026_Oct_nonQPP.csv, line 8,147 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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