Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 72295 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 Of Spinal Disc, An Exam Of One Or More Spinal Discs Using X-Ray And A Contrast Agent (Discography). A Spinal Disc Is The Soft Cushion Between Each Bone Of The Spine (Vertebra).
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None TC - Technical component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 72295 |
| Medicaid Fee Schedule | View Medicaid rates for 72295 |
National average reimbursement for CPT 72295 by major payers:
$143.12
$164.39
$150.00
$196.06
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 72295.
CPT 72295
5 of 25 sample ratesHigher to lower in this preview
Michael Mccrary
Radiology Associates Of North Texas, PA
$548.23Published rateAaron Shaw
Northern Arizona Healthcare Corporation
$196.17Published rateSteven Belcher
Northern Arizona Healthcare Corporation
$69.01Published rateAnas Elkheder
Northern Arizona Healthcare Corporation
$65.31Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$17.57Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 72295 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72295 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 72295 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 |
|---|---|---|
| 72131-CPT | Low | Ct Scan Of Lower Spine, Ct (Computed Tomography) Of Spine (Low Back). 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. |
| 72133-CPT | Moderate | Ct Scan Of The Back, A Ct (Computed Tomography) Scan Of The Upper Middle Or Lower Back. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. After One Set Of Images A Second Set Is Taken With Contrast Dye To Highlight Areas. |
| 72148-CPT | Moderate | Mri Inner Spine (Canal), An Mri (Magnetic Resonance Imaging) Of The Interior Of The Lower Spine (Spinal Canal). A Contrast Agent May Be Given To Enhance The Images. |
| 72295-CPT | Low | X-Ray Of Spinal Disc, An Exam Of One Or More Spinal Discs Using X-Ray And A Contrast Agent (Discography). A Spinal Disc Is The Soft Cushion Between Each Bone Of The Spine (Vertebra). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72295. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72295 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 72295) and we'll show you how you compare in 15 minutes or less.