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See a sample rate comparisonCPT 72195 Fee Schedule
Medicare rates as of October 2026
CPT 72195 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Mri Of The Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent May Be Introduced To Highlight An Area. Multiple Images May Be Taken.
| 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 | $227.46 national non-facility rate (2026) · View Medicare rates for 72195 |
| Medicaid Fee Schedule | $188.27 median of the 8 states in the free preview · View Medicaid rates for 72195 |
National average reimbursement for CPT 72195 by major payers:
$310.29
BCBS / Anthem
$415.27
UnitedHealthcare
$485.12
Aetna
$457.77
Cigna
Compare published rates across providers.
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CPT 72195
5 of 25 sample ratesHigher to lower in this preview
Leann Shannon
Ths Physician Partners Inc
$1,265.45Published rateColumbia Medical Center Of Las Colinas Inc, Medical City Las Colinas
Columbia Medical Center Of Las Colinas Inc
$313.61Published rateHillary Holden
Slocum Dickson Medical Group PLLC
$222.80Published rateKimberly Hurley
Slocum Dickson Medical Group PLLC
$105.95Published rateTimothy Kendrick
Slocum Dickson Medical Group PLLC
$82.30Published rate
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See a sample payer proposalCPT 72195 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 72195. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 72193-CPT | Moderate | 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. |
| 72194-CPT | Moderate | 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. Additional Pictures Taken After Injecting Dye To Make The Area Easier To See. |
| 72195-CPT | Moderate | Mri Of The Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent May Be Introduced To Highlight An Area. Multiple Images May Be Taken. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72195. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72195 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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