Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 72120 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.
Radiologic Exam Spine Lumbosacral; Bending Views Only 2 Or 3, Radiologic Examination Spine Lumbosacral; Bending Views Only 2 Or 3
| 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 72120 |
| Medicaid Fee Schedule | View Medicaid rates for 72120 |
National average reimbursement for CPT 72120 by major payers:
$50.87
$49.09
$55.12
$60.89
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 72120.
CPT 72120
5 of 25 sample ratesHigher to lower in this preview
Titus County Hospital District, Titus Regional Medical Center
$250.17Published rateColumbia Medical Center Of Las Colinas Inc, Medical City Las Colinas
Columbia Medical Center Of Las Colinas Inc
$154.52Published rateHcn Ep Horizon City, LLC, The Hospitals Of Providence Emergency Room Montwood
Hcn Ep Horizon City LLC
$108.97Published rateBellville Hospital District, Bellville General Hospital
$37.90Published rateGonzales Healthcare Systems
$10.22Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 72120 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72120 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 72120 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 |
|---|---|---|
| 72100-CPT | Low | X-Ray Spine,Lumbosacral;Anteroposterior/ |
| 72110-CPT | Low | X-Ray Spine,Lumbosacral;Cmplt,Obliq |
| 72114-CPT | Low | X Ray Exam L S Spine Bending, Radiologic Examination Spine Lumbosacral Complete Including Bending Views Minimum Of 6 Views |
| 72120-CPT | Low | Radiologic Exam Spine Lumbosacral; Bending Views Only 2 Or 3, Radiologic Examination Spine Lumbosacral; Bending Views Only 2 Or 3 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72120 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 72120) and we'll show you how you compare in 15 minutes or less.