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.

How can I find the cost of a specific medical procedure or service?

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.

What is a healthcare fee schedule?

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.

How does my health insurance affect the cost I will pay for medical services?

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.

Where can I find transparent pricing information for healthcare services in my specific location?

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.

CPT 72050 Fee Schedule

Q: What factors affect fee schedules?

Factors affecting fee schedules include 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), and Provider Type (Hospital providers may have different rates than private practice).

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 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	None 26 - Professional component TC - Technical component
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 72050
Medicaid Fee Schedule	View Medicaid rates for 72050

National average reimbursement for CPT 72050 by major payers:

$64.21

$58.57

$66.60

$74.98

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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
AZGeneral Acute Care HospitalNPI 1467109488Tax ID 20-2066363
$190.53Published rate
Cat Scan Centre
TXRadiology Clinic/CenterNPI 1174528517Tax ID 76-0469796
$56.68Published rate
Ashley Compagni
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLNurse PractitionerNPI 1447870993Tax ID 59-3238640
$40.54Published rate
Jonathan Zager
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLSurgical Oncology PhysicianNPI 1629080304Tax ID 59-3238640
$18.90Published rate
Stephanie Mccarrell
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLCertified Registered Nurse AnesthetistNPI 1679526057Tax ID 59-3238640
$16.06Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 72050 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The CPT 72050 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 72050 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 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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CPT 72050 Fee Schedule

Compare published rates across providers.

Mountain Vista Medical Center, Lp

Cat Scan Centre

Ashley Compagni

Jonathan Zager

Stephanie Mccarrell