Billing code 73521: Hip X-rayMedicare rate & RVUs

Reports a two-view X-ray examination of both hips, commonly ordered to evaluate bilateral hip pain or suspected degenerative changes.

CMS RVU26DEffective Oct 1, 2026109 payment localities155.3K Medicare services in 2024

Medicare pays $41.75 for 73521 nationally in the office. Local office rates run $36.62–$57.27.

Medicare rate · 73521

Hip X-ray

Swap in your local Medicare rate.

Work RVUs
0.21
Total RVUs
1.25
Global days
XXX

National rate · 2026

$41.75

Office setting, before claim adjustments.

See every locality for 73521 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 73521 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 73521 covers

This service is a plain-film examination of both hip joints, with a pelvic image included when obtained as part of the exam. It is commonly ordered for bilateral hip pain, suspected osteoarthritis, or assessment of the hip joints after injury. A radiologic technologist obtains the images in an outpatient imaging center or hospital department, and a physician or other qualified interpreting professional reviews them and reports the findings.

Select the code when the documented examination covers both hips and includes two views. The order, image record, and interpretation should support the bilateral scope and view count. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service.

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.

Where 73521 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$36.62 to $57.27

$36.62$46.95$57.27
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

73521 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$37.20Unavailable
Alaska*$47.17Unavailable
Arizona$40.60Unavailable
Arkansas$36.62Unavailable
Atlanta$42.45Unavailable
Austin$43.66Unavailable
Bakersfield$44.89Unavailable
Baltimore/Surr. Cntys$44.51Unavailable
Beaumont$38.64Unavailable
Brazoria$41.35Unavailable

73521 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.

$36.62

$51.05

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

View every state and territory as a table
73521 office rate range by state
State / territoryOffice rate rangeLocalities
AK$47.171
AL$37.201
AR$36.621
AZ$40.601
CA$44.83–$57.2729
CO$43.871
CT$44.651
DC$48.271
DE$41.311
FL$40.59–$44.173
GA$38.20–$42.452
GU$46.141
HI$46.141
IA$38.451
ID$38.671
IL$39.16–$43.244
IN$38.921
KS$38.151
KY$37.911
LA$37.81–$39.832
MA$43.53–$48.572
MD$42.18–$48.273
ME$38.77–$41.202
MI$38.87–$41.022
MN$42.271
MO$37.03–$40.123
MS$36.841
MT$41.751
NC$39.231
ND$41.351
NE$38.711
NH$43.061
NJ$45.23–$47.692
NM$39.061
NV$41.671
NY$39.85–$49.215
OH$38.791
OK$37.961
OR$41.42–$45.472
PA$38.92–$43.402
PR$42.121
RI$42.941
SC$39.061
SD$41.311
TN$38.341
TX$38.64–$43.668
UT$39.641
VA$40.98–$48.272
VI$42.121
VT$41.081
WA$43.49–$49.712
WI$39.861
WV$37.581
WY$41.581

How the 73521 rate is calculated

Each of 73521’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 · 73521

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.21Practice expense 1.02Malpractice 0.02

1.2500 adjusted RVUs×$33.4009 conversion factor=$41.75

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 73521

The CMS indicators that decide how 73521 is paid alongside other services.

CMS payment indicators · 73521

Hip X-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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

73521 without 26 · national office

$41.75

Hip X-ray

73521-26 · Professional component

$10.69

Pays only the interpretation and report.

When to use modifier 26

73521 compared with similar codes

Compare codes

73521 vs 73502 vs 73522 vs 73523 vs 73525: national Medicare rates

Swap in your local Medicare rate.

  • 73521
    Hip X-ray · 0.21 wRVU
    $41.75
  • 73502
    Hip X-ray · 0.21 wRVU
    $48.77+$7.02
  • 73522
    Hip X-ray · 0.28 wRVU
    $54.44+$12.69
  • 73523
    Hip X-ray · 0.3 wRVU
    $61.46+$19.71
  • 73525
    Hip arthrography · 0.53 wRVU
    $133.27+$91.52

How to choose

73502Hip X-ray
73502 covers one hip with two or three views; 73521 covers both hips with two views.
73522Hip X-ray
Both codes describe bilateral hip imaging. Choose 73521 for two views and 73522 for three or four.
73523Hip X-ray
73523 is for a bilateral examination with five or more views; 73521 is for two views.
73525Hip arthrography
73525 describes contrast imaging of the hip, unlike the standard bilateral hip radiographs reported with 73521.

73521 billing questions

How does this differ from 73502?

73521 describes a two-view examination of both hips. Code 73502 is for a unilateral hip examination with two or three views.

When should 73522 be selected instead?

Use 73522 when the bilateral hip examination includes three or four views rather than two.

Can the professional and technical services be reported separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.

Does an image of the pelvis change the code selection?

The examination may include a pelvic image when performed. Select the code based on the documented bilateral hip exam and its view count.

Should the code be reported once for each hip?

The code describes an examination of both hips, not a separate unilateral service for each side. The record should support that both hips were examined.

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 73521PPRRVU2026_Oct_nonQPP.csv, line 8,195 (RVU26D)

Open CMS sourceHow we calculate rates

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