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See a sample rate comparisonCPT 72220 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.
X-Ray Sacrum & Coccyx, Min.Of 2 Vws
| 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 | Low |
| Medicare Fee Schedule | View Medicare rates for 72220 |
| Medicaid Fee Schedule | View Medicaid rates for 72220 |
National average reimbursement for CPT 72220 by major payers:
$40.87
$35.52
$40.36
$45.34
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CPT 72220
5 of 25 sample ratesHigher to lower in this preview
Charles Coffman
Northern Arizona Healthcare Corporation
$48.59Published rateSanya Kayani
Northern Arizona Healthcare Corporation
$34.18Published rateStephen Tann
Northern Arizona Healthcare Corporation
$31.76Published rateNavjot Singh
Northern Arizona Healthcare Corporation
$14.40Published rateDanielle Woo
Northern Arizona Healthcare Corporation
$8.65Published rate
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See a sample payer proposalCPT 72220 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72220 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 72220 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 |
| 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 72220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72220 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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