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See a sample rate comparisonCPT 72080 Fee Schedule
Medicare rates as of October 2026
CPT 72080 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
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 | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $35.07 national non-facility rate (2026) · View Medicare rates for 72080 |
| Medicaid Fee Schedule | $28.24 median of the 8 states in the free preview · View Medicaid rates for 72080 |
National average reimbursement for CPT 72080 by major payers:
$43.72
BCBS / Anthem
$40.34
UnitedHealthcare
$44.93
Aetna
$50.30
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 72080.
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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Payer Contract Negotiation
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See a sample payer proposalCPT 72080 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 72080. 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 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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