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See a sample rate comparisonCPT 72196 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 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 | None 26 - Professional component 77 - Repeat procedure by another physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 72196 |
| Medicaid Fee Schedule | View Medicaid rates for 72196 |
National average reimbursement for CPT 72196 by major payers:
$367.17
$475.78
$498.69
$527.08
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CPT 72196
5 of 25 sample ratesHigher to lower in this preview
Thomas Hayes
Radiology Associates Of North Texas, PA
$1,043.93Published rateMichele Idera
Northern Arizona Healthcare Corporation
$891.00Published rateHealth Imaging Partners LLC
$524.01Published rateRadiology Associates Of North Texas PA
Radiology Associates Of North Texas, PA
$223.75Published rateLu Pan
Northern Arizona Healthcare Corporation
$75.47Published rate
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See a sample payer proposalCPT 72196 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72196 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 72196 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 |
|---|---|---|
| 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. |
| 72196-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. |
| 72197-CPT | Moderate | Mri Of Pelvis, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of The Pelvis. A Contrast Agent Is Introduced To Highlight Areas. Multiple Images Are Taken. |
| 72198-CPT | Moderate | Mra Of Blood Vessels In Pelvis, An Mr (Magnetic Resonance) Angiogram Is A Detailed Image Of Blood Flow And Blood Vessels In The Pelvis. A Contrast Agent May Be Injected To Make The Area Easier To See. 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 72196. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72196 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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