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See a sample rate comparisonCPT 72202 Fee Schedule
Medicare rates as of October 2026
CPT 72202 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 | $38.75 national non-facility rate (2026) · View Medicare rates for 72202 |
| Medicaid Fee Schedule | $31.305 median of the 8 states in the free preview · View Medicaid rates for 72202 |
National average reimbursement for CPT 72202 by major payers:
$47.19
BCBS / Anthem
$42.12
UnitedHealthcare
$47.89
Aetna
$53.92
Cigna
Compare published rates across providers.
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CPT 72202
5 of 25 sample ratesHigher to lower in this preview
Nhi Bui
Radiology Associates Of North Texas, PA
$83.01Published rateShireen Jindani
Northern Arizona Healthcare Corporation
$57.59Published rateHarsh Singh
Northern Arizona Healthcare Corporation
$38.61Published rateMichael Ray
Northern Arizona Healthcare Corporation
$16.20Published rateJessica Courtney
Northern Arizona Healthcare Corporation
$11.90Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 72202 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 72202. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 72190-CPT | Low | X-Ray Pelvis;Complete Minimum Of 3 Views |
| 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 72202. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72202 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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