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See a sample rate comparisonCPT 72020 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
X-Ray Spine,Single View, Specify Level
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 72020 |
| Medicaid Fee Schedule | View Medicaid rates for 72020 |
National average reimbursement for CPT 72020 by major payers:
$31.14
$27.67
$31.18
$34.56
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CPT 72020
5 of 25 sample ratesHigher to lower in this preview
Chca Conroe Lp, Conroe Regional Medical Center
Chca Conroe Lp
$153.71Published rateEmerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Overlook
Emerus Bhs Sa Thousand Oaks LLC
$80.90Published rateProgressive Emergency Physicians PLLC
$27.85Published rateTitus County Hospital District, Titus Regional Medical Center
$12.89Published rateLynn County Hospital District
$7.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 72020 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72020 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 72020 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 72020-CPT | Low | X-Ray Spine,Single View, Specify Level |
| 72040-CPT | Low | X-Ray Of Upper Spine (Neck), X-Ray Showing Two Or Three Views Of The Back Of Neck (Cervical Spine). |
| 72050-CPT | Low | X-Ray Of Upper Spine (Neck), X-Ray Showing Four Or Five Views Of The Back Of Neck (Cervical Spine). |
| 72052-CPT | Low | Radiologic Examination Spine, Radiologic Examination Spine Cervical Completeincludingoblique And Flexion Andor Extension Stu Dies |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72020 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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