CPT code 72081: Spine X-ray, entire spine, one view2026 Medicare rate & RVUs in Utah

Reports a one-view radiographic study covering the entire spine, commonly obtained to assess scoliosis or overall spinal alignment.

CMS RVU26DEffective Oct 1, 2026One payment locality8.1K Medicare services in 2024

In Utah, Medicare pays $41.90 for 72081 in the office.

$41.90Office (non-facility)
Not available in this settingHospital or facility
−5.0%vs the national office rate ($44.09)

Check a contract rate as a % of Medicare · 72081 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 72081 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 72081 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 72081 covers

This service covers a single radiographic projection that includes the entire spine, rather than a study limited to one spinal region. It is commonly ordered to evaluate scoliosis or overall spinal alignment. A radiologic technologist acquires the image in an office imaging department or hospital, and a radiologist or other qualified physician interprets it and documents the findings.

Select the code when the order, image, and report support one view of the entire spine. The record should identify the study coverage and projection, with an interpretation addressing the clinical question. Modifier 26 identifies the physician’s interpretation and report; modifier TC identifies the equipment and staff used to acquire the image. Billing without either modifier represents the global service, including both portions.

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 Utah compares for 72081

Across 109 of 109 payment localities, the office rate for 72081 runs from $38.71 in Arkansas to $59.90 in San Benito County, CA. Utah pays $41.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

72081 in Utah vs other payment areas
  1. Utah · this page$41.90
  2. Los Angeles, CA · California$50.45+$8.55
  3. Washington, DC area · District of Columbia$50.84+$8.94
  4. Miami, FL · Florida$47.05+$5.15
  5. Chicago, IL · Illinois$45.62+$3.72
  6. Manhattan, NY · New York$50.84+$8.94
  7. Alaska · Alaska$50.07+$8.17

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

Every other payment area

72081 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$39.31—
ArkansasArkansas$38.71—
ArizonaArizona$42.87—
Bakersfield, CACalifornia$47.19—
Chico, CACalifornia$47.10—
El Centro, CACalifornia$47.11—
Fresno, CACalifornia$47.10—
Hanford, CACalifornia$47.10—

72081 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.

$38.71

$53.50

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

View every state and territory as a table
72081 office rate range by state
State / territoryOffice rate rangeLocalities
AK$50.071
AL$39.311
AR$38.711
AZ$42.871
CA$47.10–$59.9029
CO$46.191
CT$47.141
DC$50.841
DE$43.611
FL$43.06–$47.053
GA$40.53–$44.872
GU$48.431
HI$48.431
IA$40.531
ID$40.781
IL$41.63–$45.864
IN$41.041
KS$40.261
KY$40.151
LA$40.05–$42.182
MA$45.86–$51.062
MD$44.51–$50.843
ME$40.93–$43.412
MI$41.20–$43.562
MN$44.391
MO$39.27–$42.423
MS$39.001
MT$44.091
NC$41.401
ND$43.491
NE$40.791
NH$45.391
NJ$47.72–$50.242
NM$41.411
NV$43.961
NY$42.05–$52.055
OH$41.081
OK$40.151
OR$43.65–$47.822
PA$41.19–$45.862
PR$44.461
RI$45.291
SC$41.301
SD$43.421
TN$40.461
TX$40.89–$46.018
UT$41.901
VA$43.20–$50.842
VI$44.461
VT$43.251
WA$45.80–$52.212
WI$41.941
WV$39.971
WY$43.831

See 72081 in every payment locality

How the 72081 rate is calculated

Each of 72081’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 · 72081

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.25

0.25 RVUs× 1.000 GPCI

Practice expense1.04

1.04 RVUs× 1.000 GPCI

Malpractice0.03

0.03 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 Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,961

Code
72081
Physician work
0.25
Practice expense
1.04
Malpractice
0.03

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 72081 in Utah
ComponentRVULocality factorAdjusted
Physician work0.25× 1.0000.2500
Practice expense1.04× 0.9400.9776
Malpractice0.03× 0.8980.0269
Total RVUs1.2545
Conversion factor× 33.4009

Office rate, Utah$41.90

Office: (0.25 × 1 + 1.04 × 0.94 + 0.03 × 0.898) × $33.4009 = $41.90

Open 72081 in the RVU calculator

Payment rules and modifiers for 72081

The CMS indicators that decide how 72081 is paid alongside other services.

CMS payment indicators · 72081

Spine X-ray, entire spine, one view

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

72081 without 26 · national office

$44.09

Spine X-ray, entire spine, one view

72081-26 · Professional component

$12.69

Pays only the interpretation and report.

When to use modifier 26

How 72081 has changed in Utah

72081 · Office / nonfacility

$41.90

Effective 2026-10-01

The base rate is $2.41 higher than on 2025-10-01, moving from $39.49 to $41.90 (6.1%).

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

    $39.49changed to$41.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.26 changed to 0.25
    • Practice expense RVU 1.01 changed to 1.04
    • Malpractice RVU 0.02 changed to 0.03
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $40.33changed to$39.49

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.00 changed to 1.01

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $39.67changed to$40.33

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $40.78changed to$39.67

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930
  5. January 1, 2023

    RVU23A

    $41.04changed to$40.78

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.99 changed to 1.00
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $40.09changed to$41.04

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.95 changed to 0.99

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $39.74changed to$40.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.89 changed to 0.95
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $39.03changed to$39.74

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.85 changed to 0.89
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $37.32changed to$39.03

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.80 changed to 0.85

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $37.48changed to$37.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.81 changed to 0.80
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $36.97changed to$37.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.80 changed to 0.81
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$36.97

    Held through RVU16B, RVU16C, RVU16D.

  13. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$41.90Not available in this settingRVU26D
2026-07-01$41.90Not available in this settingRVU26C
2026-04-01$41.90Not available in this settingRVU26B
2026-01-01$41.90Not available in this settingRVU26A
2025-10-01$39.49Not available in this settingRVU25D
2025-07-01$39.49Not available in this settingRVU25C
2025-04-01$39.49Not available in this settingRVU25B
2025-01-01$39.49Not available in this settingRVU25A
2024-10-01$40.33Not available in this settingRVU24D
2024-07-01$40.33Not available in this settingRVU24C
2024-04-01$40.33Not available in this settingRVU24B
2024-03-09$40.33Not available in this settingRVU24AR
2024-01-01$39.67Not available in this settingRVU24A
2023-10-01$40.78Not available in this settingRVU23D
2023-07-01$40.78Not available in this settingRVU23C
2023-04-01$40.78Not available in this settingRVU23B
2023-01-01$40.78Not available in this settingRVU23A
2022-10-01$41.04Not available in this settingRVU22D
2022-07-01$41.04Not available in this settingRVU22C
2022-04-01$41.04Not available in this settingRVU22B
2022-01-01$41.04Not available in this settingRVU22A
2021-10-01$40.09Not available in this settingRVU21D
2021-07-01$40.09Not available in this settingRVU21C
2021-04-01$40.09Not available in this settingRVU21B
2021-01-01$40.09Not available in this settingRVU21A
2020-10-01$39.74Not available in this settingRVU20D
2020-07-01$39.74Not available in this settingRVU20C
2020-04-01$39.74Not available in this settingRVU20B
2020-01-01$39.74Not available in this settingRVU20A
2019-10-01$39.03Not available in this settingRVU19D
2019-07-01$39.03Not available in this settingRVU19C
2019-04-01$39.03Not available in this settingRVU19B
2019-01-01$39.03Not available in this settingRVU19A
2018-10-01$37.32Not available in this settingRVU18D
2018-07-01$37.32Not available in this settingRVU18C
2018-04-01$37.32Not available in this settingRVU18B
2018-01-01$37.32Not available in this settingRVU18AR1
2017-10-01$37.48Not available in this settingRVU17D
2017-07-01$37.48Not available in this settingRVU17C
2017-04-01$37.48Not available in this settingRVU17B
2017-01-01$37.48Not available in this settingRVU17A
2016-10-01$36.97Not available in this settingRVU16D
2016-07-01$36.97Not available in this settingRVU16C
2016-04-01$36.97Not available in this settingRVU16B
2016-01-01$36.97Not available in this settingRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 72081 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

72081 billing questions

When should this code be chosen over 72082?

Use this code for one view of the entire spine. Code 72082 represents an entire-spine study with two or three views.

Does a scoliosis diagnosis automatically support this code?

No. The documented study must cover the entire spine and consist of one view; the diagnosis alone does not determine the code.

Can the interpretation be billed separately?

Yes. Modifier 26 identifies the professional interpretation and report. Without a modifier, the code represents the global service.

What does modifier TC represent?

Modifier TC identifies the technical portion, including the equipment and staff used to acquire the radiograph.

Are the cervical, thoracic, and lumbar regions separate units?

No. This code describes one view of the entire spine, not separate units for each spinal region included in that image.

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 72081PPRRVU2026_Oct_nonQPP.csv, line 7,961 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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