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See a sample rate comparisonCPT 72120 Fee Schedule
Medicare rates as of October 2026
CPT 72120 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
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 | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $42.09 national non-facility rate (2026) · View Medicare rates for 72120 |
| Medicaid Fee Schedule | $33.905 median of the 8 states in the free preview · View Medicaid rates for 72120 |
National average reimbursement for CPT 72120 by major payers:
$50.87
BCBS / Anthem
$49.09
UnitedHealthcare
$55.12
Aetna
$60.89
Cigna
Compare published rates across providers.
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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
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Payer Contract Negotiation
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See a sample payer proposalCPT 72120 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 72120. Select one to see its fee schedule.
| 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.
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