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 72142 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 72142 |
| Medicaid Fee Schedule | View Medicaid rates for 72142 |
National average reimbursement for CPT 72142 by major payers:
$351.19
$474.25
$519.81
$529.23
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 72142.
CPT 72142
5 of 25 sample ratesHigher to lower in this preview
Hospital Service District No. 1 Of Caldwell Parish, Citizens Medical Center
Citizens Medical Center
$828.27Published rateUniversity Healthcare System, L.C., Tulane Lakeside Hospital
$618.40Published ratePalo Pinto County Hospital District, Palo Pinto General Hospital
$558.20Published rateVhs Harlingen Hospital Company, LLC, Valley Baptist Micro-Hospital Weslaco
$368.11Published rateSmithville Hospital Authority, Smithville Regional Hospital
$78.26Published 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 72142 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72142 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 72142 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. |
| 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. |
| 72142-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. |
| 72156-CPT | Moderate | Mri Neck Spine W O W Dye, Magnetic Resonance Eg Proton Imaging Spinal Canal And Contents Without Contrast Material Followed By Contrast Material S And Further Sequences Cervical |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72142. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72142 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 72142) and we'll show you how you compare in 15 minutes or less.