CPT 72114 Fee Schedule
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.
| 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 |
National average reimbursement for CPT 72114 by major payers:
$78.60
$72.81
$81.99
$93.33
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 72114 | ||||||
United | 72114 | $48.08 | 1619944311 - SIVASUPIRAMANIAM SRIHARAN | 591680273 - FLORIDA CLINICAL PRACTICE ASSOCIATION INC | FL | Neurological Surgery Physician (207T00000X) |
United | 72114 | $13.86 | 1023013679 - PAMELA DOLBER | 542164865 - (FL) PAMELA S DOLBER DPM PA | FL | Podiatrist (213E00000X) |
United | 72114 | $99.09 | 1467687434 - JAYSON SACK | 462021581 - (FL) FLORIDA HOSPITAL PHYSICIAN GROUP INC | FL | Neurological Surgery Physician (207T00000X) |
United | 72114 | $57.91 | 1205902442 - DANIEL FASSETT | 852855795 | FL | Neurological Surgery Physician (207T00000X) |
United | 72114 | $80.51 | 1851320733 - ALEXANDER POISIK | 30485325 - (FL) BROWARD NEUROSURGEONS LLC | FL | Neurological Surgery Physician (207T00000X) |
United | 72114 | $56.79 | 1902019771 - ROBERT HIRSCHL | 593259553 - ORLANDO HEALTH MEDICAL GROUP INC | FL | Neurological Surgery Physician (207T00000X) |
United | 72114 | $67.76 | 1578947172 - KATHRYN METCALF | 592929608 - (FL) MUSCULOSKELETAL INSTITUTE INC. FLORIDA ORTHOPAEDIC INSTITUTE | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | 72114 | $29.09 | 1235477555 - JENNY ADAMS, PA, ADAMS FOOT AND ANKLE | 461755982 - (FL) JENNY ADAMS PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 72114 | $27.75 | 1144450321 - VICTOR NWOSU | 590634434 - SACRED HEART HEALTH SYSTEM INC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 72114 | $12.67 | 1558748962 - MATTHEW WOLFSON | 205194878 - (FL) PREFERRED ORTHOPEDICS OF THE PALM BEACHES, P.A. | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 72114 | $54.24 | 1477756625 - JEREMY RUSH | 900120192 - (TX) SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 72114 | $12.35 | 1629290564 - SAGUN TULI | 770710314 | FL | Neurological Surgery Physician (207T00000X) |
United | 72114 | $57.25 | 1427432384 - ANDREW THOMPSON | 871656899 - (MI) ANDREW THOMPSON DPM FOOT AND ANKLE PLLC | MI | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 72114 | $78.04 | 1285808063 - STEPHEN PARKER | 592292041 - ST VINCENTS AMBULATORY CARE INC | FL | Neurological Surgery Physician (207T00000X) |
United | 72114 | $29.06 | 1376906735 - HUGHEY CARTER | 271081647 - TRIANGLE PHYSICIAN NETWORK LLC | NC | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 72114 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72114 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 72114 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 |
| 72082-CPT | Low | Radiologic Examination, Spine, Entire Thoracic And Lumbar, Including Skull, Cervical And Sacral Spine If Performed (Eg, Scoliosis Evaluation); 2 Or 3 Views |
| 72100-CPT | Low | X-Ray Spine,Lumbosacral;Anteroposterior/ |
| 72114-CPT | Low | Radiologic Examination, Spine, Lumbosacral; Complete, Including Bending Views, Minimum Of 6 Views |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72114. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72114 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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