$34.40–$38.26
71120 is for radiographs focused on the sternum. Choose 71130 when the sternoclavicular joints are the target and three or more views are obtained.
On this page
CMS RVU26D · Effective 2026-10-01
71130 Joint X-ray Medicare reimbursement rates in Massachusetts
Reports targeted radiographs of the sternoclavicular joints when three or more views are obtained to evaluate the joints and adjacent anatomy. Compare 71130 office and facility rates across CMS payment localities in Massachusetts.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 71130 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$43.18–$48.18
2 of 2 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Radiology
About 71130: Sternoclavicular joint radiographic examination
Reports targeted radiographs of the sternoclavicular joints when three or more views are obtained to evaluate the joints and adjacent anatomy.
This study uses X-rays to image the sternoclavicular joints, where the collarbones meet the breastbone, with three or more views. It may be ordered for pain, trauma, swelling, or suspected joint abnormality. A radiologic technologist obtains the images, and a radiologist or other qualified physician interprets them. The study is performed in settings with diagnostic X-ray equipment, including hospitals and imaging centers.
Report 71130 for the sternoclavicular joint examination when the documented study includes at least three views; select a different code when the requested anatomy or examination does not match. The order, imaging record, and interpretation should support the body site, views obtained, and clinical reason for the study. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and billing without either modifier represents the global service.
CMS billing rules for 71130
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU0.21 · 17%
- Practice expense (office) RVU1.01 · 81%
- Malpractice RVU0.02 · 2%
1.9K
Medicare services in 2024 · #2516 by national volume
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.
71130 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$34.80–$38.86
73000 examines the clavicle. Use 71130 for a study directed to the sternoclavicular joints rather than the clavicle as a whole.
$37.24–$41.55
73030 covers shoulder radiographs. It is not the code for a targeted sternoclavicular joint examination.
Compare 71130 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$48.18
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$43.18
Facility
Unavailable
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71130 billing questions
When should 71130 be selected instead of a clavicle X-ray?
Use 71130 when the examination is directed to the sternoclavicular joints and includes three or more views. A clavicle study is selected when the clavicle itself is the target anatomy.
What do modifiers 26 and TC represent?
Modifier 26 reports the professional interpretation, while modifier TC reports the technical portion, including equipment and staff. Without either modifier, the claim represents the global service.
Does each image count as a separate unit?
The code describes the examination with three or more views, rather than separate reporting for each image. Documentation should show the views obtained and the anatomy examined.
What documentation supports reporting 71130?
The record should identify the sternoclavicular joints as the imaged anatomy, show that at least three views were obtained, and include the clinical indication and physician interpretation.
Can the professional interpretation be billed separately?
Yes. Modifier 26 identifies the professional component when the interpreting clinician bills separately; modifier TC identifies the technical component when billed separately.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,90471120,,X-ray exam breastbone 2/>vws,A,,0.20,0.77,,0.77,NA,0.02,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.05
7,90571120,26,X-ray exam breastbone 2/>vws,A,,0.20,0.07,,0.07,,0.01,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,90671120,TC,X-ray exam breastbone 2/>vws,A,,0.00,0.70,,0.70,NA,0.01,0.71,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
7,90771130,,X-ray strenoclavic jt 3/>vws,A,,0.21,1.01,,1.01,NA,0.02,1.24,1.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.72,2.72,0.04
7,90871130,26,X-ray strenoclavic jt 3/>vws,A,,0.21,0.09,,0.09,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,90971130,TC,X-ray strenoclavic jt 3/>vws,A,,0.00,0.92,,0.92,NA,0.01,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
7,91071250,,Ct thorax dx c-,A,,1.05,2.85,,2.85,NA,0.07,3.97,3.97,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,3.55,3.55,0.07