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CMS October 2026Physician Fee Schedule · Free lookup

CPT 72197 Medicare Fee Schedule 2026

Medicare's 2026 national payment for CPT 72197 is $334.34 in a non-facility setting ($334.34 in a facility), up 232.4% from $100.60 in 2025.

National rate, October 2026
Non-facility
$334.34
Facility
$334.34
vs. 2025
+232.4%
Commercial national avg.
$607.24

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72197
20262025

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Up to 5 codes · 4 remaining

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Physician Fee Schedule·72197·National·2026, 2025
Current non-facility rate
$334.34▼56.4%
Facility: $334.34
Recent trend
Code description

Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.

CodeDateStateLocalityCarrierNon-Facility FeeFacility FeeDescription
7219710/2026N/A0000000$334.34$334.34Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
7219710/2026N/A0000000$232.80$232.80Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
7219710/2026N/A0000000$101.54$101.54Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721977/2026N/A0000000$101.54$101.54Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721977/2026N/A0000000$334.34$334.34Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721977/2026N/A0000000$232.80$232.80Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721974/2026N/A0000000$232.80$232.80Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721974/2026N/A0000000$334.34$334.34Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721974/2026N/A0000000$101.54$101.54Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721971/2026N/A0000000$101.54$101.54Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721971/2026N/A0000000$232.80$232.80Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721971/2026N/A0000000$334.34$334.34Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
7219710/2025N/A0000000$100.60$100.60Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
7219710/2025N/A0000000$331.23$331.23Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
7219710/2025N/A0000000$230.63$230.63Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721977/2025N/A0000000$100.60$100.60Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721977/2025N/A0000000$331.23$331.23Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721977/2025N/A0000000$230.63$230.63Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721974/2025N/A0000000$331.23$331.23Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721974/2025N/A0000000$230.63$230.63Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721974/2025N/A0000000$100.60$100.60Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721971/2025N/A0000000$100.60$100.60Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721971/2025N/A0000000$230.63$230.63Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.
721971/2025N/A0000000$331.23$331.23Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken.

72197 national rate by year

Each row is the latest CMS file published that year. Change is against the year before.

CMS fileNon-facilityFacilityChange
October 2026$334.34$334.34+232.4%
October 2025$100.60$100.60-1.9%
March 2024$102.53$102.53-59.5%
January 2023$253.14$253.14-3.6%
July 2022$262.66$262.66-

This is the national amount before geographic adjustment. Medicare multiplies each relative value unit by its locality's geographic practice cost index, so a practice's own allowed amount can be higher or lower; pick a state above to see its localities. The facility amount applies when the service is performed in a hospital or other facility setting.

72197: Medicare vs. commercial national average

The commercial national average for 72197, the mean of what BCBS, UnitedHealthcare, Aetna and Cigna publish nationwide, is $607.24, 182% of Medicare's $334.34.

  • BCBS $447.27
  • UnitedHealthcare $644.73
  • Aetna $635.75
  • Cigna $701.21

A national average, not a local rate: each payer's figure averages the unmodified, in-network professional rates it publishes for 72197 across the country in its transparency files. Contracted rates vary widely by market, provider and plan. Medicare's figure is its national non-facility amount before geographic adjustment.

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Medicaid comparison

See what state Medicaid programs pay for 72197

50 state Medicaid agencies publish their own physician fee schedule. The 72197 page shows real published rates for several of them free, with effective dates and official sources.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.