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See a sample rate comparisonCPT 72050 Fee Schedule
Medicare rates as of October 2026
CPT 72050 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
X-Ray Of Upper Spine (Neck), X-Ray Showing Four Or Five Views Of The Back Of Neck (Cervical Spine).
| 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 | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $55.11 national non-facility rate (2026) · View Medicare rates for 72050 |
| Medicaid Fee Schedule | $44.345 median of the 8 states in the free preview · View Medicaid rates for 72050 |
National average reimbursement for CPT 72050 by major payers:
$64.21
BCBS / Anthem
$58.57
UnitedHealthcare
$66.60
Aetna
$74.98
Cigna
Compare published rates across providers.
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CPT 72050
5 of 25 sample ratesHigher to lower in this preview
Mountain Vista Medical Center, Lp
Mountain Vista Medical Center Lp
$190.53Published rateCat Scan Centre
$56.68Published rateAshley Compagni
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$40.54Published rateJonathan Zager
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$18.90Published rateStephanie Mccarrell
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$16.06Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 72050 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 72050. Select one to see its fee schedule.
| 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 72050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72050 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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Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are a standardized set of medical codes developed by the American Medical Association (AMA) used by healthcare providers, payers, and facilities to describe medical, surgical, and diagnostic services. They are crucial for accurate billing, processing of claims, and communicating medical services rendered.
The cost of a medical procedure can vary significantly based on factors like your location, the specific healthcare provider, the facility, and your insurance coverage. To get an estimate for a specific service in your area, you can utilize tools like Payerprice, which offers a fee schedule lookup tool. You can search by CPT code and your specific location to get an understanding of potential costs. It's also advisable to contact your insurance provider and the healthcare facility's billing department for a personalized estimate.
A healthcare fee schedule is a comprehensive list of fees that outlines the maximum reimbursement amount that an insurance company or government program (like Medicare or Medicaid) will pay for specific medical procedures or services. It specifies the allowed amount for each CPT code. Fee schedules can vary greatly depending on the payer, geographic location, and contractual agreements with providers.
Your health insurance plan plays a major role in determining your out-of-pocket costs. It defines key financial terms such as your deductible (the amount you pay before your insurance starts covering costs), copayment (a fixed amount you pay for a service), coinsurance (a percentage of the cost you pay after your deductible is met), and your out-of-pocket maximum (the most you'll pay in a plan year). Always check your specific policy details or contact your insurer directly to understand your coverage.
For transparent pricing information tailored to your specific location and the service you need, Payerprice offers a valuable resource. Their fee schedule lookup tool allows users to search using a CPT code and specific geographic location, providing insights into typical costs. Additionally, many hospitals and insurance companies are increasing their price transparency efforts, and you can often find information on their websites or by contacting their billing departments.