CPT code 72114: Spine X-ray, six or more views2026 Medicare rate & RVUs

Medicare pays $61.79 for 72114 nationally in the office. Local office rates run $54.10–$84.98.

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

What 72114 covers

This study uses multiple X-ray views of the lumbar and sacral spine, including bending views that show alignment in different positions. It is commonly ordered when a clinician evaluating back pain or suspected spinal instability needs to assess movement-related changes, such as with suspected spondylolisthesis. A radiologic technologist acquires the images, and a physician interprets them in an office, imaging center, or hospital setting.

Report 72114 when the documented examination includes at least six views and bending views; select the code based on the study performed, not simply the diagnosis or order wording. The record should support the lumbosacral anatomy examined, the views obtained, the clinical reason, and the interpretation. Medicare recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff service, and an unmodified claim represents 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.

Where 72114 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

72114 rates by state

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

How the 72114 rate is calculated

Each of 72114’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 72114

The CMS indicators that decide how 72114 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

72114 compared with similar codes

How to choose

72110Lumbar spine X-rayMinimum of four views

Use 72114 when the study includes at least six views and bending views. Use 72110 for a four-or-more-view lumbosacral study that does not meet those criteria.

72120Lumbar X-rayBending views only

72120 covers bending views alone. 72114 represents a complete study that includes bending views and at least six total views.

72100Lumbar spine X-rayTwo or three views

72100 is for a two- or three-view lumbosacral study, not the six-or-more-view bending study represented by 72114.

Codes related to 72114

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

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