CPT code 72074: Thoracic spine X-ray, four or more views2026 Medicare rate & RVUs in Napa, CA
Reports a thoracic spine X-ray with at least four views, commonly obtained to assess thoracic back pain, deformity, or suspected vertebral injury.
In Napa, CA, Medicare pays $55.52 for 72074 in the office.
Check a contract rate as a % of Medicare · 72074 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 72074 covers
This examination uses multiple X-ray projections to evaluate the thoracic vertebrae, alignment, and related bony structures. It may be ordered for thoracic back pain, suspected compression fracture, or a spinal deformity such as kyphosis. A radiologic technologist acquires the images in an office or outpatient imaging department; a physician, commonly a radiologist, interprets them and documents the findings.
Report 72074 when the documented study covers the thoracic spine and includes four or more views. The order, image record, and report should support the body region examined, the views obtained, and the clinical reason for imaging. CMS recognizes a professional component for interpretation and a technical component for equipment and staff: report modifier 26 for the professional service, modifier TC for the technical service, or neither modifier when billing the global service.
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 Napa, CA compares for 72074
Across 109 of 109 payment localities, the office rate for 72074 runs from $38.77 in Arkansas to $60.31 in San Benito County, CA. Napa, CA pays $55.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Napa, CA · this page$55.52
- Bakersfield, CA · California$47.38−$8.14
- Chico, CA · California$47.31−$8.21
- El Centro, CA · California$47.32−$8.20
- Fresno, CA · California$47.31−$8.21
- Hanford, CA · California$47.31−$8.21
- Los Angeles, CA · California$50.67−$4.85
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $47.31 | — |
| Merced, CACalifornia | $47.31 | — |
| Modesto, CACalifornia | $47.31 | — |
| Oxnard, CACalifornia | $50.51 | — |
| Redding, CACalifornia | $47.31 | — |
| Rest of CaliforniaCalifornia | $47.31 | — |
| Riverside, CACalifornia | $47.53 | — |
| Sacramento, CACalifornia | $49.84 | — |
| Salinas, CACalifornia | $49.66 | — |
| San Diego, CACalifornia | $50.96 | — |
| Marin County, CACalifornia | $59.01 | — |
| San Francisco, CACalifornia | $58.98 | — |
| San Benito County, CACalifornia | $60.31 | — |
| Santa Clara County, CACalifornia | $60.22 | — |
| San Luis Obispo, CACalifornia | $48.84 | — |
| Santa Cruz, CACalifornia | $51.56 | — |
| Santa Maria, CACalifornia | $49.88 | — |
| Santa Rosa, CACalifornia | $52.09 | — |
| Stockton, CACalifornia | $47.31 | — |
| Vallejo, CACalifornia | $55.49 | — |
| Visalia, CACalifornia | $47.31 | — |
| Yuba City, CACalifornia | $47.31 | — |
| Washington, DC areaDistrict of Columbia | $50.90 | — |
| Miami, FLFlorida | $46.56 | — |
| Chicago, ILIllinois | $45.19 | — |
| Manhattan, NYNew York | $50.73 | — |
| AlaskaAlaska | $50.10 | — |
| AlabamaAlabama | $39.37 | — |
| ArkansasArkansas | $38.77 | — |
| ArizonaArizona | $42.90 | — |
| ColoradoColorado | $46.31 | — |
| ConnecticutConnecticut | $47.12 | — |
| DelawareDelaware | $43.64 | — |
| Fort Lauderdale, FLFlorida | $45.09 | — |
| Rest of FloridaFlorida | $42.87 | — |
| Atlanta, GAGeorgia | $44.81 | — |
| Rest of GeorgiaGeorgia | $40.39 | — |
| Hawaii, Guam, HIHawaii | $48.66 | — |
| IowaIowa | $40.68 | — |
| IdahoIdaho | $40.90 | — |
| East St. Louis, ILIllinois | $41.93 | — |
| Rest of IllinoisIllinois | $41.39 | — |
| Suburban Chicago, ILIllinois | $45.62 | — |
| IndianaIndiana | $41.16 | — |
| KansasKansas | $40.36 | — |
| KentuckyKentucky | $40.10 | — |
| New Orleans, LALouisiana | $42.09 | — |
| Rest of LouisianaLouisiana | $39.99 | — |
| Metropolitan Boston, MAMassachusetts | $51.21 | — |
| Rest of MassachusettsMassachusetts | $45.96 | — |
| Baltimore area, MDMaryland | $46.96 | — |
| Rest of MarylandMaryland | $44.54 | — |
| Rest of MaineMaine | $41.00 | — |
| Southern Maine, MEMaine | $43.52 | — |
| Detroit, MIMichigan | $43.31 | — |
| Rest of MichiganMichigan | $41.10 | — |
| MinnesotaMinnesota | $44.65 | — |
| Metropolitan Kansas City, MOMissouri | $41.91 | — |
| Metropolitan St. Louis, MOMissouri | $42.39 | — |
| Rest of MissouriMissouri | $39.19 | — |
| MississippiMississippi | $38.99 | — |
| MontanaMontana | $44.09 | — |
| North CarolinaNorth Carolina | $41.48 | — |
| North DakotaNorth Dakota | $43.69 | — |
| NebraskaNebraska | $40.95 | — |
| New HampshireNew Hampshire | $45.46 | — |
| Northern New JerseyNew Jersey | $50.30 | — |
| Rest of New JerseyNew Jersey | $47.73 | — |
| New MexicoNew Mexico | $41.28 | — |
| NevadaNevada | $44.01 | — |
| NYC suburbs and Long Island, NYNew York | $51.87 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $47.95 | — |
| Queens, NYNew York | $51.34 | — |
| Rest of New YorkNew York | $42.12 | — |
| OhioOhio | $41.01 | — |
| OklahomaOklahoma | $40.15 | — |
| Portland, OROregon | $47.98 | — |
| Rest of OregonOregon | $43.75 | — |
| Metropolitan Philadelphia, PAPennsylvania | $45.81 | — |
| Rest of PennsylvaniaPennsylvania | $41.15 | — |
| Puerto RicoPuerto Rico | $44.47 | — |
| Rhode IslandRhode Island | $45.34 | — |
| South CarolinaSouth Carolina | $41.30 | — |
| South DakotaSouth Dakota | $43.65 | — |
| TennesseeTennessee | $40.56 | — |
| Austin, TXTexas | $46.08 | — |
| Beaumont, TXTexas | $40.86 | — |
| Brazoria, TXTexas | $43.69 | — |
| Dallas, TXTexas | $43.92 | — |
| Fort Worth, TXTexas | $43.58 | — |
| Galveston, TXTexas | $43.79 | — |
| Houston, TXTexas | $44.16 | — |
| Rest of TexasTexas | $42.22 | — |
| UtahUtah | $41.90 | — |
| VirginiaVirginia | $43.29 | — |
| Virgin Islands, VIUnited States Virgin Islands | $44.47 | — |
| VermontVermont | $43.41 | — |
| Rest of WashingtonWashington | $45.91 | — |
| King County, WAWashington | $52.40 | — |
| WisconsinWisconsin | $42.14 | — |
| West VirginiaWest Virginia | $39.74 | — |
| WyomingWyoming | $43.92 | — |
72074 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.
$38.77
$53.81
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $50.10 | 1 |
| AL | $39.37 | 1 |
| AR | $38.77 | 1 |
| AZ | $42.90 | 1 |
| CA | $47.31–$60.31 | 29 |
| CO | $46.31 | 1 |
| CT | $47.12 | 1 |
| DC | $50.90 | 1 |
| DE | $43.64 | 1 |
| FL | $42.87–$46.56 | 3 |
| GA | $40.39–$44.81 | 2 |
| GU | $48.66 | 1 |
| HI | $48.66 | 1 |
| IA | $40.68 | 1 |
| ID | $40.90 | 1 |
| IL | $41.39–$45.62 | 4 |
| IN | $41.16 | 1 |
| KS | $40.36 | 1 |
| KY | $40.10 | 1 |
| LA | $39.99–$42.09 | 2 |
| MA | $45.96–$51.21 | 2 |
| MD | $44.54–$50.90 | 3 |
| ME | $41.00–$43.52 | 2 |
| MI | $41.10–$43.31 | 2 |
| MN | $44.65 | 1 |
| MO | $39.19–$42.39 | 3 |
| MS | $38.99 | 1 |
| MT | $44.09 | 1 |
| NC | $41.48 | 1 |
| ND | $43.69 | 1 |
| NE | $40.95 | 1 |
| NH | $45.46 | 1 |
| NJ | $47.73–$50.30 | 2 |
| NM | $41.28 | 1 |
| NV | $44.01 | 1 |
| NY | $42.12–$51.87 | 5 |
| OH | $41.01 | 1 |
| OK | $40.15 | 1 |
| OR | $43.75–$47.98 | 2 |
| PA | $41.15–$45.81 | 2 |
| PR | $44.47 | 1 |
| RI | $45.34 | 1 |
| SC | $41.30 | 1 |
| SD | $43.65 | 1 |
| TN | $40.56 | 1 |
| TX | $40.86–$46.08 | 8 |
| UT | $41.90 | 1 |
| VA | $43.29–$50.90 | 2 |
| VI | $44.47 | 1 |
| VT | $43.41 | 1 |
| WA | $45.91–$52.40 | 2 |
| WI | $42.14 | 1 |
| WV | $39.74 | 1 |
| WY | $43.92 | 1 |
How the 72074 rate is calculated
Each of 72074’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 · 72074
RVUs × geographic indexes × conversion factor
Work0.24
0.24 RVUs× 1.000 GPCI
Practice expense1.06
1.06 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.3200
Conversion factor
$33.4009
Medicare rate
$44.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Napa, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,955
- Code
- 72074
- Physician work
- 0.24
- Practice expense
- 1.06
- Malpractice
- 0.02
GPCI2026.csv
17
- Locality
- Napa, CA
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.508
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.24 | × 1.063 | 0.2551 |
| Practice expense | 1.06 | × 1.318 | 1.3971 |
| Malpractice | 0.02 | × 0.508 | 0.0102 |
| Total RVUs | 1.6624 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Napa, CA$55.52
Office: (0.24 × 1.063 + 1.06 × 1.318 + 0.02 × 0.508) × $33.4009 = $55.52
Payment rules and modifiers for 72074
The CMS indicators that decide how 72074 is paid alongside other services.
CMS payment indicators · 72074
Thoracic spine X-ray, four or more views
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
72074 without 26 · national office
$44.09
Thoracic spine X-ray, four or more views
72074-26 · Professional component
$11.36
Pays only the interpretation and report.
How 72074 has changed in Napa, CA
72074 · Office / nonfacility
$55.52
Effective 2026-10-01
The base rate is $1.29 higher than on 2025-10-01, moving from $54.23 to $55.52 (2.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$54.23changed to$55.52
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.25 changed to 0.24
- Practice expense RVU 1.07 changed to 1.06
- Work GPCI 1.058 changed to 1.063
- Practice expense GPCI 1.310 changed to 1.318
- Malpractice GPCI 0.521 changed to 0.508
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$55.81changed to$54.23
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$54.90changed to$55.81
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$54.69changed to$54.90
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.06 changed to 1.07
- Work GPCI 1.051 changed to 1.058
- Practice expense GPCI 1.265 changed to 1.310
- Malpractice GPCI 0.513 changed to 0.521
January 1, 2023
RVU23A
$54.13changed to$54.69
- Conversion factor 34.6062 changed to 33.8872
- Work GPCI 1.044 changed to 1.051
- Practice expense GPCI 1.220 changed to 1.265
- Malpractice GPCI 0.504 changed to 0.513
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$53.31changed to$54.13
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.03 changed to 1.06
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$51.82changed to$53.31
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.94 changed to 1.03
- Work GPCI 1.049 changed to 1.044
- Practice expense GPCI 1.238 changed to 1.220
- Malpractice GPCI 0.496 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$48.53changed to$51.82
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 0.22 changed to 0.25
- Practice expense RVU 0.88 changed to 0.94
- Work GPCI 1.055 changed to 1.049
- Practice expense GPCI 1.256 changed to 1.238
- Malpractice GPCI 0.458 changed to 0.496
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$47.57changed to$48.53
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.86 changed to 0.88
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$47.92changed to$47.57
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.057 changed to 1.055
- Practice expense GPCI 1.271 changed to 1.256
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$47.92
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $55.52 | Not available in this setting | RVU26D |
| 2026-07-01 | $55.52 | Not available in this setting | RVU26C |
| 2026-04-01 | $55.52 | Not available in this setting | RVU26B |
| 2026-01-01 | $55.52 | Not available in this setting | RVU26A |
| 2025-10-01 | $54.23 | Not available in this setting | RVU25D |
| 2025-07-01 | $54.23 | Not available in this setting | RVU25C |
| 2025-04-01 | $54.23 | Not available in this setting | RVU25B |
| 2025-01-01 | $54.23 | Not available in this setting | RVU25A |
| 2024-10-01 | $55.81 | Not available in this setting | RVU24D |
| 2024-07-01 | $55.81 | Not available in this setting | RVU24C |
| 2024-04-01 | $55.81 | Not available in this setting | RVU24B |
| 2024-03-09 | $55.81 | Not available in this setting | RVU24AR |
| 2024-01-01 | $54.90 | Not available in this setting | RVU24A |
| 2023-10-01 | $54.69 | Not available in this setting | RVU23D |
| 2023-07-01 | $54.69 | Not available in this setting | RVU23C |
| 2023-04-01 | $54.69 | Not available in this setting | RVU23B |
| 2023-01-01 | $54.69 | Not available in this setting | RVU23A |
| 2022-10-01 | $54.13 | Not available in this setting | RVU22D |
| 2022-07-01 | $54.13 | Not available in this setting | RVU22C |
| 2022-04-01 | $54.13 | Not available in this setting | RVU22B |
| 2022-01-01 | $54.13 | Not available in this setting | RVU22A |
| 2021-10-01 | $53.31 | Not available in this setting | RVU21D |
| 2021-07-01 | $53.31 | Not available in this setting | RVU21C |
| 2021-04-01 | $53.31 | Not available in this setting | RVU21B |
| 2021-01-01 | $53.31 | Not available in this setting | RVU21A |
| 2020-10-01 | $51.82 | Not available in this setting | RVU20D |
| 2020-07-01 | $51.82 | Not available in this setting | RVU20C |
| 2020-04-01 | $51.82 | Not available in this setting | RVU20B |
| 2020-01-01 | $51.82 | Not available in this setting | RVU20A |
| 2019-10-01 | $48.53 | Not available in this setting | RVU19D |
| 2019-07-01 | $48.53 | Not available in this setting | RVU19C |
| 2019-04-01 | $48.53 | Not available in this setting | RVU19B |
| 2019-01-01 | $48.53 | Not available in this setting | RVU19A |
| 2018-10-01 | $47.57 | Not available in this setting | RVU18D |
| 2018-07-01 | $47.57 | Not available in this setting | RVU18C |
| 2018-04-01 | $47.57 | Not available in this setting | RVU18B |
| 2018-01-01 | $47.57 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $47.92 | Not available in this setting | RVU17D |
| 2017-07-01 | $47.92 | Not available in this setting | RVU17C |
| 2017-04-01 | $47.92 | Not available in this setting | RVU17B |
| 2017-01-01 | $47.92 | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Napa, CA rate applies
Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Napa
- American Canyon
- Angwin
- Calistoga
- Deer Park
- Moskowite Corner
- Oakville
- Rutherford
72074 billing questions
How does 72074 differ from 72072?
72074 is for a thoracic spine study with four or more views; 72072 is for three views. Select the code that matches the views actually obtained and documented.
Do four views mean four vertebral levels?
No. The view count refers to imaging projections of the thoracic spine, not the number of vertebral levels examined.
Which modifiers identify the components?
Use modifier 26 for the physician interpretation or modifier TC for the technical service. Billing without either modifier represents the global service.
What documentation supports 72074?
The record should identify the thoracic spine as the imaged region, document at least four views, and include the clinical indication and interpretation.
Should 72074 be used for imaging that includes the thoracolumbar junction?
Choose based on the documented anatomic extent. A study of the thoracolumbar region may be represented by 72080 rather than a thoracic-only examination.
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
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