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See a sample rate comparisonCPT 72157 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 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
| 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 72157 |
| Medicaid Fee Schedule | View Medicaid rates for 72157 |
National average reimbursement for CPT 72157 by major payers:
$418.89
$606.84
$616.22
$662.44
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CPT 72157
5 of 25 sample ratesHigher to lower in this preview
Ramesh Cherukuri
Slocum Dickson Medical Group PLLC
$503.92Published rateMichael Jaglal
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$328.58Published rateKaela Bacon
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$279.29Published rateDahui Qin
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$158.22Published rateJulia Bramley
Slocum Dickson Medical Group PLLC
$128.88Published rate
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See a sample payer proposalCPT 72157 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72157 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 72157 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 |
|---|---|---|
| 72146-CPT | Moderate | Mri Inner Spine (Canal), An Mri (Magnetic Resonance Imaging) Of The Interior Of The Middle Spine (Spinal Canal). A Contrast Agent May Be Given To Enhance The Images. |
| 72147-CPT | Moderate | Mri Inner Spine (Canal), An Mri (Magnetic Resonance Imaging) Of The Interior Of The Middle Spine (Spinal Canal). A Contrast Agent May Be Given To Enhance The Images. |
| 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 |
| 72158-CPT | Moderate | Mri Lumbar 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 Lumbar |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72157. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72157 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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