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See a sample rate comparisonCPT 72052 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
| 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 | $62.79 national non-facility rate (2026) · View Medicare rates for 72052 |
| Medicaid Fee Schedule | $50.565 median of the 8 states in the free preview · View Medicaid rates for 72052 |
National average reimbursement for CPT 72052 by major payers:

$75.43
BCBS / Anthem

$70.96
UnitedHealthcare

$80.20
Aetna

$89.70
Cigna
Choose a payer to see a sample of rates for CPT 72052.
Balint Otvos
Partners Physician Group
Bernard Guiot
Neurospine Florida, PA
Thomas Arena
Johnathan Thompson
Elliott Lampert
Associates LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 72052 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 72052. 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 72052. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72052 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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