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See a sample rate comparisonCPT 72200 Fee Schedule
Medicare rates as of October 2026
CPT 72200 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
X-Ray Of Spine Pelvis Joint, X-Ray Showing One Or More Views Of The Joint Where The Spine Meets The Pelvis (Sacroiliac Joint).
| 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 | Low |
| Medicare Fee Schedule | $33.74 national non-facility rate (2026) · View Medicare rates for 72200 |
| Medicaid Fee Schedule | $27.135 median of the 8 states in the free preview · View Medicaid rates for 72200 |
National average reimbursement for CPT 72200 by major payers:
$42.40
BCBS / Anthem
$35.65
UnitedHealthcare
$39.95
Aetna
$45.63
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 72200.
CPT 72200
5 of 25 sample ratesHigher to lower in this preview
Southeast Hospital, Mercy Hospital Southeast
Southeast Hospital
$611.79Published rateBiloxi Hma LLC, Merit Health Biloxi
$224.16Published rateClara Maass Medical Center
$143.22Published rateVhs Of Arrowhead, Inc., Abrazo Surprise Hospital
$108.97Published rateOpen Mri & Imaging Center Of Elkton,LLC
Open Mri Imaging Center Of Elktonllc
$12.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 72200 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 72200. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 72170-CPT | Low | Radiologic Examination Pelvis, Radiologic Examination Pelvis Anteroposterior On Ly |
| 72200-CPT | Low | X-Ray Of Spine Pelvis Joint, X-Ray Showing One Or More Views Of The Joint Where The Spine Meets The Pelvis (Sacroiliac Joint). |
| 72202-CPT | Low | X-Ray Of Spine Pelvis Joint, X-Ray Showing One Or More Views Of The Joint Where The Spine Meets The Pelvis (Sacroiliac Joint). |
| 72220-CPT | Low | X-Ray Sacrum & Coccyx, Min.Of 2 Vws |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72200 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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