CPT code 72074: Thoracic spine X-ray, four or more views2026 Medicare rate & RVUs in Miami, FL

Reports a thoracic spine X-ray with at least four views, commonly obtained to assess thoracic back pain, deformity, or suspected vertebral injury.

CMS RVU26DEffective Oct 1, 2026One payment locality11.3K Medicare services in 2024

In Miami, FL, Medicare pays $46.56 for 72074 in the office.

$46.56Office (non-facility)
Not available in this settingHospital or facility
+5.6%vs the national office rate ($44.09)

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.

We’ll open 72074 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 72074 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 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 Miami, FL 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. Miami, FL pays $46.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

72074 in Miami, FL vs other payment areas
  1. Miami, FL · this page$46.56
  2. Fort Lauderdale, FL · Florida$45.09−$1.47
  3. Rest of Florida · Florida$42.87−$3.69
  4. Los Angeles, CA · California$50.67+$4.11
  5. Washington, DC area · District of Columbia$50.90+$4.34
  6. Chicago, IL · Illinois$45.19−$1.37
  7. Manhattan, NY · New York$50.73+$4.17

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

Every other payment area

72074 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$50.10—
AlabamaAlabama$39.37—
ArkansasArkansas$38.77—
ArizonaArizona$42.90—
Bakersfield, CACalifornia$47.38—
Chico, CACalifornia$47.31—
El Centro, CACalifornia$47.32—
Fresno, CACalifornia$47.31—

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
72074 office rate range by state
State / territoryOffice rate rangeLocalities
AK$50.101
AL$39.371
AR$38.771
AZ$42.901
CA$47.31–$60.3129
CO$46.311
CT$47.121
DC$50.901
DE$43.641
FL$42.87–$46.563
GA$40.39–$44.812
GU$48.661
HI$48.661
IA$40.681
ID$40.901
IL$41.39–$45.624
IN$41.161
KS$40.361
KY$40.101
LA$39.99–$42.092
MA$45.96–$51.212
MD$44.54–$50.903
ME$41.00–$43.522
MI$41.10–$43.312
MN$44.651
MO$39.19–$42.393
MS$38.991
MT$44.091
NC$41.481
ND$43.691
NE$40.951
NH$45.461
NJ$47.73–$50.302
NM$41.281
NV$44.011
NY$42.12–$51.875
OH$41.011
OK$40.151
OR$43.75–$47.982
PA$41.15–$45.812
PR$44.471
RI$45.341
SC$41.301
SD$43.651
TN$40.561
TX$40.86–$46.088
UT$41.901
VA$43.29–$50.902
VI$44.471
VT$43.411
WA$45.91–$52.402
WI$42.141
WV$39.741
WY$43.921

See 72074 in every payment locality

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

Office or facility?

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 Miami, FL 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

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 72074 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work0.24× 1.0000.2400
Practice expense1.06× 1.0411.1035
Malpractice0.02× 2.5290.0506
Total RVUs1.3940
Conversion factor× 33.4009

Office rate, Miami, FL$46.56

Office: (0.24 × 1 + 1.06 × 1.041 + 0.02 × 2.529) × $33.4009 = $46.56

Open 72074 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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

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.

When to use modifier 26

How 72074 has changed in Miami, FL

72074 · Office / nonfacility

$46.56

Effective 2026-10-01

The base rate is $1.31 higher than on 2025-10-01, moving from $45.25 to $46.56 (2.9%).

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

    $45.25changed to$46.56

    • 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
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $46.57changed to$45.25

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $45.81changed to$46.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $47.03changed to$45.81

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.06 changed to 1.07
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500
  5. January 1, 2023

    RVU23A

    $48.00changed to$47.03

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $47.32changed to$48.00

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.03 changed to 1.06

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $45.70changed to$47.32

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.94 changed to 1.03
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $42.41changed to$45.70

    • 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
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $41.62changed to$42.41

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.86 changed to 0.88

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $41.53changed to$41.62

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $41.47changed to$41.53

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $41.25changed to$41.47

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.85 changed to 0.86

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $41.04changed to$41.25

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $48.30changed to$41.04

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.03 changed to 0.85
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $48.85changed to$48.30

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.10 changed to 1.03
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $48.85

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$46.56Not available in this settingRVU26D
2026-07-01$46.56Not available in this settingRVU26C
2026-04-01$46.56Not available in this settingRVU26B
2026-01-01$46.56Not available in this settingRVU26A
2025-10-01$45.25Not available in this settingRVU25D
2025-07-01$45.25Not available in this settingRVU25C
2025-04-01$45.25Not available in this settingRVU25B
2025-01-01$45.25Not available in this settingRVU25A
2024-10-01$46.57Not available in this settingRVU24D
2024-07-01$46.57Not available in this settingRVU24C
2024-04-01$46.57Not available in this settingRVU24B
2024-03-09$46.57Not available in this settingRVU24AR
2024-01-01$45.81Not available in this settingRVU24A
2023-10-01$47.03Not available in this settingRVU23D
2023-07-01$47.03Not available in this settingRVU23C
2023-04-01$47.03Not available in this settingRVU23B
2023-01-01$47.03Not available in this settingRVU23A
2022-10-01$48.00Not available in this settingRVU22D
2022-07-01$48.00Not available in this settingRVU22C
2022-04-01$48.00Not available in this settingRVU22B
2022-01-01$48.00Not available in this settingRVU22A
2021-10-01$47.32Not available in this settingRVU21D
2021-07-01$47.32Not available in this settingRVU21C
2021-04-01$47.32Not available in this settingRVU21B
2021-01-01$47.32Not available in this settingRVU21A
2020-10-01$45.70Not available in this settingRVU20D
2020-07-01$45.70Not available in this settingRVU20C
2020-04-01$45.70Not available in this settingRVU20B
2020-01-01$45.70Not available in this settingRVU20A
2019-10-01$42.41Not available in this settingRVU19D
2019-07-01$42.41Not available in this settingRVU19C
2019-04-01$42.41Not available in this settingRVU19B
2019-01-01$42.41Not available in this settingRVU19A
2018-10-01$41.62Not available in this settingRVU18D
2018-07-01$41.62Not available in this settingRVU18C
2018-04-01$41.62Not available in this settingRVU18B
2018-01-01$41.62Not available in this settingRVU18AR1
2017-10-01$41.53Not available in this settingRVU17D
2017-07-01$41.53Not available in this settingRVU17C
2017-04-01$41.53Not available in this settingRVU17B
2017-01-01$41.53Not available in this settingRVU17A
2016-10-01$41.47Not available in this settingRVU16D
2016-07-01$41.47Not available in this settingRVU16C
2016-04-01$41.47Not available in this settingRVU16B
2016-01-01$41.47Not available in this settingRVU16A
2015-10-01$41.25Not available in this settingRVU15D
2015-07-01$41.25Not available in this settingRVU15C
2015-04-01$41.04Not available in this settingRVU15B
2015-01-01$41.04Not available in this settingRVU15A
2014-10-01$48.30Not available in this settingRVU14D
2014-07-01$48.30Not available in this settingRVU14C
2014-04-01$48.30Not available in this settingRVU14B
2014-01-01$48.30Not available in this settingRVU14A
2013-10-01$48.85Not available in this settingRVU13D
2013-07-01$48.85Not available in this settingRVU13C
2013-04-01$48.85Not available in this settingRVU13B
2013-01-01$48.85Not available in this settingRVU13AR

Price 72074 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

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
RVUs for 72074PPRRVU2026_Oct_nonQPP.csv, line 7,955 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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