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See a sample rate comparisonCPT 72127 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.
Ct Scan Of The Back, A Ct (Computed Tomography) Scan Of The Upper Middle Or Lower Back. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. After One Set Of Images A Second Set Is Taken With Contrast Dye To Highlight Areas.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 72127 |
| Medicaid Fee Schedule | View Medicaid rates for 72127 |
National average reimbursement for CPT 72127 by major payers:
$271.42
$332.67
$339.11
$381.63
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CPT 72127
5 of 25 sample ratesHigher to lower in this preview
Health Imaging Partners, LLC
$899.61Published rateMargaret Kobe
Northern Arizona Healthcare Corporation
$584.40Published ratePatrick Martin
Northern Arizona Healthcare Corporation
$143.55Published rateRenzo Cataldo
Northern Arizona Healthcare Corporation
$107.40Published rateMegan Alatorre
Northern Arizona Healthcare Corporation
$54.88Published rate
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See a sample payer proposalCPT 72127 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72127 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 72127 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 |
|---|---|---|
| 72125-CPT | Low | Ct Scan Of Upper Spine, A Ct Scanner Circles The Body Taking X-Rays Of The Upper (Cervical) Spine And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 72126-CPT | Moderate | Ct Scan Of Upper Spine, A Ct Scanner Circles The Body Taking X-Rays Of The Upper (Cervical) Spine And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 72127-CPT | Moderate | Ct Scan Of The Back, A Ct (Computed Tomography) Scan Of The Upper Middle Or Lower Back. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. After One Set Of Images A Second Set Is Taken With Contrast Dye To Highlight Areas. |
| 72141-CPT | Moderate | Mri Inner Spine (Canal), An Mri (Magnetic Resonance Imaging) Of The Interior Of The Upper Spine (Spinal Canal). A Contrast Agent May Be Given To Enhance The Images. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72127. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72127 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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