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See a sample rate comparisonCPT 72191 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 Of Blood Vessels In Pelvis, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In The Pelvis. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight A Specific Area.
| 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 | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 72191 |
| Medicaid Fee Schedule | View Medicaid rates for 72191 |
National average reimbursement for CPT 72191 by major payers:
$381.32
$436.09
$402.28
$513.84
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CPT 72191
5 of 25 sample ratesHigher to lower in this preview
Caryn Epperson
Northern Arizona Healthcare Corporation
$832.19Published rateJames Jones
Northern Arizona Healthcare Corporation
$677.98Published rateAnas Elkheder
Northern Arizona Healthcare Corporation
$278.54Published rateMatthew Troester
Northern Arizona Healthcare Corporation
$154.19Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$54.93Published rate
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See a sample payer proposalCPT 72191 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72191 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 72191 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 |
|---|---|---|
| 72170-CPT | Low | Radiologic Examination Pelvis, Radiologic Examination Pelvis Anteroposterior On Ly |
| 72190-CPT | Low | X-Ray Pelvis;Complete Minimum Of 3 Views |
| 72191-CPT | Moderate | Ct Of Blood Vessels In Pelvis, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In The Pelvis. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight A Specific Area. |
| 72192-CPT | Low | Ct Scan Of Pelvis, Ct (Computed Tomography) Of The Pelvis. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Dye May Be Injected To Make The Area Easier To See. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72191. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72191 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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