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See a sample rate comparisonCPT 72156 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
| 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 | Moderate |
| Medicare Fee Schedule | $317.98 national non-facility rate (2026) · View Medicare rates for 72156 |
| Medicaid Fee Schedule | $261.795 median of the 8 states in the free preview · View Medicaid rates for 72156 |
National average reimbursement for CPT 72156 by major payers:

$420.75
BCBS / Anthem

$616.20
UnitedHealthcare

$615.99
Aetna

$668.98
Cigna
Choose a payer to see a sample of rates for CPT 72156.
Dana Ataya
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Scott Peplinski
Slocum Dickson Medical Group PLLC
Karen Flick
Slocum Dickson Medical Group PLLC
Aliya Qayyum
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Jessica Bremm
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 72156 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 72156. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 72157-CPT | Moderate | Mri Chest 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 Thoracic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72156. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72156 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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