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See a sample rate comparisonCPT 72080 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 Exam Thoracolmb 2 Vw, Radiologic Examination Spine Thoracolumbar Junction Minimum Of 2 Views
| 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 72080 |
| Medicaid Fee Schedule | View Medicaid rates for 72080 |
National average reimbursement for CPT 72080 by major payers:
$43.72
$40.34
$44.93
$50.30
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CPT 72080
5 of 25 sample ratesHigher to lower in this preview
Megan Rayman
Northern Arizona Healthcare Corporation
$58.18Published rateRobert Mcleroy
Northern Arizona Healthcare Corporation
$39.59Published rateJeremy Kelley
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$32.91Published rateKristopher Day
Northern Arizona Healthcare Corporation
$18.60Published rateRobert Tiballi
Northern Arizona Healthcare Corporation
$11.18Published rate
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See a sample payer proposalCPT 72080 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72080 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 72080 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 |
|---|---|---|
| 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 72080. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72080 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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