Rate Benchmarking
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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 72074 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 | $44.09 national non-facility rate (2026) · View Medicare rates for 72074 |
| Medicaid Fee Schedule | $35.545 median of the 8 states in the free preview · View Medicaid rates for 72074 |
National average reimbursement for CPT 72074 by major payers:

$53.79
BCBS / Anthem

$50.44
UnitedHealthcare

$55.36
Aetna

$63.45
Cigna
Choose a payer to see a sample of rates for CPT 72074.
Omar Wani
Northern Arizona Healthcare Corporation
Christopher Eicher
Northern Arizona Healthcare Corporation
Linda Liu
Northern Arizona Healthcare Corporation
Rajeev Fernando
Northern Arizona Healthcare Corporation
James Hayes
Northern Arizona Healthcare Corporation
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 72074 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 72074. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 72070-CPT | Low | X-Ray Spine; Thoracic, Ap And Lat |
| 72072-CPT | Low | Radiologic Examination Spine, Radiologic Examination Spine Thoracic Anteroposterior Andlateral Including Swimmers View Of Thecervicothoracic Junction |
| 72074-CPT | Low | X-Ray Spine;Thorac,Cmplt,Min.4 Vws |
| 72080-CPT | Low | X Ray Exam Thoracolmb 2 Vw, Radiologic Examination Spine Thoracolumbar Junction Minimum Of 2 Views |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72074. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72074 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.
Bring your top codes (like CPT 72074) and we'll show you how you compare in 15 minutes or less.