CPT code 71111: Rib X-ray, bilateral, with chest view2026 Medicare rate & RVUs in South Dakota

Reports bilateral rib radiography with a chest view when evaluating focal rib pain, suspected fracture, or injury and at least four views are obtained.

CMS RVU26DEffective Oct 1, 2026One payment locality28.7K Medicare services in 2024

In South Dakota, Medicare pays $50.77 for 71111 in the office.

$50.77Office (non-facility)
Not available in this settingHospital or facility
−1.3%vs the national office rate ($51.44)

Check a contract rate as a % of Medicare · 71111 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 71111 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 71111 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 71111 covers

This examination uses X-rays to assess both sides of the rib cage and includes a chest view, with four or more views obtained. It is commonly ordered for focal rib pain or chest-wall injury, including after trauma, when the clinician needs to assess the ribs on both sides. A radiologic technologist performs the imaging, and a radiologist or other qualified physician interprets the images in settings such as an emergency department, outpatient imaging center, or physician office.

Choose this code when the study covers both sides and includes the chest view with at least four views; a unilateral study or a bilateral study with fewer views belongs to a different code. The order and imaging record should support the clinical indication, bilateral examination, and views performed. The global service includes both image acquisition and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service. The code is priced for bilateral imaging, so modifier 50 does not increase payment.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Dakota compares for 71111

Across 109 of 109 payment localities, the office rate for 71111 runs from $45.30 in Arkansas to $69.83 in San Benito County, CA. South Dakota pays $50.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

71111 in South Dakota vs other payment areas
  1. South Dakota · this page$50.77
  2. Los Angeles, CA · California$58.86+$8.09
  3. Washington, DC area · District of Columbia$59.24+$8.47
  4. Miami, FL · Florida$54.61+$3.84
  5. Chicago, IL · Illinois$53.01+$2.24
  6. Manhattan, NY · New York$59.18+$8.41
  7. Alaska · Alaska$58.77+$8.00

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

71111 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$45.99—
ArkansasArkansas$45.30—
ArizonaArizona$50.05—
Bakersfield, CACalifornia$55.09—
Chico, CACalifornia$55.00—
El Centro, CACalifornia$55.00—
Fresno, CACalifornia$55.00—
Hanford, CACalifornia$55.00—

71111 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$45.30

$62.42

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
71111 office rate range by state
State / territoryOffice rate rangeLocalities
AK$58.771
AL$45.991
AR$45.301
AZ$50.051
CA$55.00–$69.8329
CO$53.911
CT$54.941
DC$59.241
DE$50.911
FL$50.18–$54.613
GA$47.30–$52.312
GU$56.511
HI$56.511
IA$47.431
ID$47.701
IL$48.51–$53.374
IN$48.001
KS$47.091
KY$46.901
LA$46.79–$49.212
MA$53.52–$59.532
MD$51.94–$59.243
ME$47.85–$50.712
MI$48.08–$50.722
MN$51.891
MO$45.88–$49.523
MS$45.601
MT$51.441
NC$48.391
ND$50.841
NE$47.731
NH$52.961
NJ$55.64–$58.572
NM$48.311
NV$51.311
NY$49.14–$60.535
OH$47.961
OK$46.931
OR$50.98–$55.802
PA$48.10–$53.462
PR$51.861
RI$52.851
SC$48.241
SD$50.771
TN$47.331
TX$47.76–$53.678
UT$48.931
VA$50.46–$59.242
VI$51.861
VT$50.541
WA$53.46–$60.872
WI$49.061
WV$46.621
WY$51.181

See 71111 in every payment locality

How the 71111 rate is calculated

Each of 71111’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 71111

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.31

0.31 RVUs× 1.000 GPCI

Practice expense1.20

1.20 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.5400

Conversion factor

$33.4009

Medicare rate

$51.44

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,901

Code
71111
Physician work
0.31
Practice expense
1.20
Malpractice
0.03

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 71111 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.31× 1.0000.3100
Practice expense1.20× 1.0001.2000
Malpractice0.03× 0.3360.0101
Total RVUs1.5201
Conversion factor× 33.4009

Office rate, South Dakota$50.77

Office: (0.31 × 1 + 1.2 × 1 + 0.03 × 0.336) × $33.4009 = $50.77

Open 71111 in the RVU calculator

Payment rules and modifiers for 71111

The CMS indicators that decide how 71111 is paid alongside other services.

CMS payment indicators · 71111

Rib X-ray, bilateral, with chest view

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

71111 without 26 · national office

$51.44

Rib X-ray, bilateral, with chest view

71111-26 · Professional component

$15.03

Pays only the interpretation and report.

When to use modifier 26

How 71111 has changed in South Dakota

71111 · Office / nonfacility

$50.77

Effective 2026-10-01

The base rate is $0.59 higher than on 2025-10-01, moving from $50.18 to $50.77 (1.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $50.18changed to$50.77

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.32 changed to 0.31
    • Practice expense RVU 1.22 changed to 1.20
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $51.98changed to$50.18

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.23 changed to 1.22

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $51.13changed to$51.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $52.90changed to$51.13

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $53.88changed to$52.90

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.02 changed to 0.03
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $52.93changed to$53.88

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.19 changed to 1.23

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $51.51changed to$52.93

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.10 changed to 1.19
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $49.07changed to$51.51

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.03 changed to 1.10
    • Malpractice RVU 0.03 changed to 0.02
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $47.22changed to$49.07

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.98 changed to 1.03

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $48.16changed to$47.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.01 changed to 0.98
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $47.33changed to$48.16

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.99 changed to 1.01
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $47.00changed to$47.33

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.98 changed to 0.99
    • Malpractice RVU 0.02 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $46.77changed to$47.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $54.39changed to$46.77

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.19 changed to 0.98
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $54.39changed to$54.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.27 changed to 1.19
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $54.39

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$50.77Not available in this settingRVU26D
2026-07-01$50.77Not available in this settingRVU26C
2026-04-01$50.77Not available in this settingRVU26B
2026-01-01$50.77Not available in this settingRVU26A
2025-10-01$50.18Not available in this settingRVU25D
2025-07-01$50.18Not available in this settingRVU25C
2025-04-01$50.18Not available in this settingRVU25B
2025-01-01$50.18Not available in this settingRVU25A
2024-10-01$51.98Not available in this settingRVU24D
2024-07-01$51.98Not available in this settingRVU24C
2024-04-01$51.98Not available in this settingRVU24B
2024-03-09$51.98Not available in this settingRVU24AR
2024-01-01$51.13Not available in this settingRVU24A
2023-10-01$52.90Not available in this settingRVU23D
2023-07-01$52.90Not available in this settingRVU23C
2023-04-01$52.90Not available in this settingRVU23B
2023-01-01$52.90Not available in this settingRVU23A
2022-10-01$53.88Not available in this settingRVU22D
2022-07-01$53.88Not available in this settingRVU22C
2022-04-01$53.88Not available in this settingRVU22B
2022-01-01$53.88Not available in this settingRVU22A
2021-10-01$52.93Not available in this settingRVU21D
2021-07-01$52.93Not available in this settingRVU21C
2021-04-01$52.93Not available in this settingRVU21B
2021-01-01$52.93Not available in this settingRVU21A
2020-10-01$51.51Not available in this settingRVU20D
2020-07-01$51.51Not available in this settingRVU20C
2020-04-01$51.51Not available in this settingRVU20B
2020-01-01$51.51Not available in this settingRVU20A
2019-10-01$49.07Not available in this settingRVU19D
2019-07-01$49.07Not available in this settingRVU19C
2019-04-01$49.07Not available in this settingRVU19B
2019-01-01$49.07Not available in this settingRVU19A
2018-10-01$47.22Not available in this settingRVU18D
2018-07-01$47.22Not available in this settingRVU18C
2018-04-01$47.22Not available in this settingRVU18B
2018-01-01$47.22Not available in this settingRVU18AR1
2017-10-01$48.16Not available in this settingRVU17D
2017-07-01$48.16Not available in this settingRVU17C
2017-04-01$48.16Not available in this settingRVU17B
2017-01-01$48.16Not available in this settingRVU17A
2016-10-01$47.33Not available in this settingRVU16D
2016-07-01$47.33Not available in this settingRVU16C
2016-04-01$47.33Not available in this settingRVU16B
2016-01-01$47.33Not available in this settingRVU16A
2015-10-01$47.00Not available in this settingRVU15D
2015-07-01$47.00Not available in this settingRVU15C
2015-04-01$46.77Not available in this settingRVU15B
2015-01-01$46.77Not available in this settingRVU15A
2014-10-01$54.39Not available in this settingRVU14D
2014-07-01$54.39Not available in this settingRVU14C
2014-04-01$54.39Not available in this settingRVU14B
2014-01-01$54.39Not available in this settingRVU14A
2013-10-01$54.39Not available in this settingRVU13D
2013-07-01$54.39Not available in this settingRVU13C
2013-04-01$54.39Not available in this settingRVU13B
2013-01-01$54.39Not available in this settingRVU13AR

Price 71111 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

71111 billing questions

When is this code preferable to 71110?

Use this code for bilateral rib imaging that includes a chest view and has at least four views. Code 71110 describes a bilateral rib study with fewer views.

Can a separate chest X-ray be billed for the included chest view?

The chest view is part of this rib examination. Do not report a separate chest study for the same view; a separately performed study must represent distinct imaging.

Which modifiers identify the professional and technical services?

Use modifier 26 for the physician's interpretation and modifier TC for the equipment and staff service. Without either modifier, the claim represents the global service.

Should modifier 50 be appended?

The code is already priced for bilateral imaging, and modifier 50 does not increase payment.

What documentation supports selecting this code?

The record should show the clinical reason for imaging, examination of both sides, inclusion of the chest view, and the number of views obtained.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 71111PPRRVU2026_Oct_nonQPP.csv, line 7,901 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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