CPT code 72100: Lumbar spine X-ray, two or three views2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $39.99 for 72100 in the office.

Check a contract rate as a % of Medicare · 72100 nationwide

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

What 72100 covers

This study images the lumbar vertebrae and lumbosacral junction with two or three plain radiographic views. A common set is an AP and a lateral, sometimes with a coned-down lateral spot of L5-S1 as the third view. Primary care, orthopedic, spine, emergency, and pain management clinicians may order it for back pain, suspected fracture, spondylolisthesis, degenerative change, or hardware position after fusion. A radiologic technologist acquires the images in an office, imaging center, emergency department, or hospital outpatient department; a radiologist or treating physician interprets them.

Code selection depends on the views actually obtained. A standard series with four or more views is reported with 72110; a complete study including bending views requires at least six views for 72114, while bending views alone are reported with 72120. Modifier 26 identifies the professional interpretation and signed report; modifier TC identifies the equipment, supplies, and technologist portion. When the same billing entity provides both portions, it reports the global service without either modifier. For hospital films, the reading physician typically reports modifier 26, while the hospital bills for image acquisition. The report should identify the views and findings.

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 Delaware compares for 72100

Across 109 of 109 payment localities, the office rate for 72100 runs from $35.48 in Arkansas to $55.34 in San Benito County, CA. Delaware pays $39.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

72100 rates by state

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

See 72100 in every payment locality

How the 72100 rate is calculated

Each of 72100’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.

Payment rules and modifiers for 72100

The CMS indicators that decide how 72100 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 72100

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 72100 has changed in Delaware

Price 72100 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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

Open CMS sourceHow we calculate rates