CPT code 72125: Cervical spine CT, without contrast2026 Medicare rate & RVUs in South Dakota
Noncontrast computed tomography of the cervical spine is reported to evaluate suspected fracture after neck trauma or assess bony narrowing and spinal hardware.
In South Dakota, Medicare pays $129.05 for 72125 in the office.
Check a contract rate as a % of Medicare · 72125 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 72125 covers
Noncontrast cervical spine CT images the cervical vertebrae and surrounding bony structures with thin axial sections and routine sagittal and coronal reformats. Radiologists interpret these studies, commonly obtained in emergency departments after falls or motor vehicle collisions to assess acute fracture or alignment. Outpatient imaging centers also perform the exam to characterize bony canal or foraminal narrowing, evaluate a known fracture, or assess spinal fusion and hardware. The study is performed without IV contrast or intrathecal contrast in the spinal fluid.
Report 72125 for a noncontrast cervical spine CT; document the indication, scanned region, technique, and signed interpretation. Routine two-dimensional reformats are included. Modifier 26 identifies the professional interpretation; modifier TC identifies the scanner and technologist. An unmodified claim represents both components. For hospital and emergency department exams, the radiologist generally reports modifier 26 while the hospital bills its technical service; a freestanding center bills globally only if it furnishes both components. The diagnostic imaging multiple procedure reduction can affect both components when additional qualifying imaging services are furnished to the same patient on the same date.
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 South Dakota compares for 72125
Across 109 of 109 payment localities, the office rate for 72125 runs from $115.99 in Arkansas to $175.34 in San Benito County, CA. South Dakota pays $129.05. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$129.05
- Los Angeles, CA · California$148.64+$19.59
- Washington, DC area · District of Columbia$149.63+$20.58
- Miami, FL · Florida$138.09+$9.04
- Chicago, IL · Illinois$134.33+$5.28
- Manhattan, NY · New York$149.54+$20.49
- Alaska · Alaska$152.12+$23.07
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $117.64 | — |
| ArkansasArkansas | $115.99 | — |
| ArizonaArizona | $127.30 | — |
| Bakersfield, CACalifornia | $139.48 | — |
| Chico, CACalifornia | $139.24 | — |
| El Centro, CACalifornia | $139.25 | — |
| Fresno, CACalifornia | $139.24 | — |
| Hanford, CACalifornia | $139.24 | — |
| Madera, CACalifornia | $139.24 | — |
| Merced, CACalifornia | $139.24 | — |
| Modesto, CACalifornia | $139.24 | — |
| Napa, CACalifornia | $161.89 | — |
| Oxnard, CACalifornia | $148.02 | — |
| Redding, CACalifornia | $139.24 | — |
| Rest of CaliforniaCalifornia | $139.24 | — |
| Riverside, CACalifornia | $140.01 | — |
| Sacramento, CACalifornia | $146.26 | — |
| Salinas, CACalifornia | $145.72 | — |
| San Diego, CACalifornia | $149.23 | — |
| Marin County, CACalifornia | $171.61 | — |
| San Francisco, CACalifornia | $171.53 | — |
| San Benito County, CACalifornia | $175.34 | — |
| Santa Clara County, CACalifornia | $175.01 | — |
| San Luis Obispo, CACalifornia | $143.35 | — |
| Santa Cruz, CACalifornia | $150.74 | — |
| Santa Maria, CACalifornia | $146.29 | — |
| Santa Rosa, CACalifornia | $152.27 | — |
| Stockton, CACalifornia | $139.24 | — |
| Vallejo, CACalifornia | $161.77 | — |
| Visalia, CACalifornia | $139.24 | — |
| Yuba City, CACalifornia | $139.24 | — |
| ColoradoColorado | $136.59 | — |
| ConnecticutConnecticut | $139.10 | — |
| DelawareDelaware | $129.38 | — |
| Fort Lauderdale, FLFlorida | $133.73 | — |
| Rest of FloridaFlorida | $127.57 | — |
| Atlanta, GAGeorgia | $132.69 | — |
| Rest of GeorgiaGeorgia | $120.73 | — |
| Hawaii, Guam, HIHawaii | $142.70 | — |
| IowaIowa | $121.07 | — |
| IdahoIdaho | $121.72 | — |
| East St. Louis, ILIllinois | $125.33 | — |
| Rest of IllinoisIllinois | $123.60 | — |
| Suburban Chicago, ILIllinois | $135.21 | — |
| IndianaIndiana | $122.42 | — |
| KansasKansas | $120.27 | — |
| KentuckyKentucky | $119.80 | — |
| New Orleans, LALouisiana | $125.28 | — |
| Rest of LouisianaLouisiana | $119.51 | — |
| Metropolitan Boston, MAMassachusetts | $150.21 | — |
| Rest of MassachusettsMassachusetts | $135.71 | — |
| Baltimore area, MDMaryland | $138.65 | — |
| Rest of MarylandMaryland | $131.88 | — |
| Rest of MaineMaine | $122.07 | — |
| Southern Maine, MEMaine | $128.88 | — |
| Detroit, MIMichigan | $128.86 | — |
| Rest of MichiganMichigan | $122.59 | — |
| MinnesotaMinnesota | $131.72 | — |
| Metropolitan Kansas City, MOMissouri | $124.72 | — |
| Metropolitan St. Louis, MOMissouri | $126.02 | — |
| Rest of MissouriMissouri | $117.35 | — |
| MississippiMississippi | $116.71 | — |
| MontanaMontana | $130.59 | — |
| North CarolinaNorth Carolina | $123.35 | — |
| North DakotaNorth Dakota | $129.21 | — |
| NebraskaNebraska | $121.79 | — |
| New HampshireNew Hampshire | $134.22 | — |
| Northern New JerseyNew Jersey | $148.10 | — |
| Rest of New JerseyNew Jersey | $140.92 | — |
| New MexicoNew Mexico | $123.14 | — |
| NevadaNevada | $130.30 | — |
| NYC suburbs and Long Island, NYNew York | $152.75 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $141.64 | — |
| Queens, NYNew York | $151.11 | — |
| Rest of New YorkNew York | $125.13 | — |
| OhioOhio | $122.31 | — |
| OklahomaOklahoma | $119.85 | — |
| Portland, OROregon | $141.13 | — |
| Rest of OregonOregon | $129.52 | — |
| Metropolitan Philadelphia, PAPennsylvania | $135.55 | — |
| Rest of PennsylvaniaPennsylvania | $122.64 | — |
| Puerto RicoPuerto Rico | $131.61 | — |
| Rhode IslandRhode Island | $134.12 | — |
| South CarolinaSouth Carolina | $122.99 | — |
| TennesseeTennessee | $120.82 | — |
| Austin, TXTexas | $135.94 | — |
| Beaumont, TXTexas | $121.83 | — |
| Brazoria, TXTexas | $129.49 | — |
| Dallas, TXTexas | $130.18 | — |
| Fort Worth, TXTexas | $129.25 | — |
| Galveston, TXTexas | $129.79 | — |
| Houston, TXTexas | $131.07 | — |
| Rest of TexasTexas | $125.50 | — |
| UtahUtah | $124.63 | — |
| VirginiaVirginia | $128.29 | — |
| Virgin Islands, VIUnited States Virgin Islands | $131.61 | — |
| VermontVermont | $128.49 | — |
| Rest of WashingtonWashington | $135.53 | — |
| King County, WAWashington | $153.49 | — |
| WisconsinWisconsin | $124.97 | — |
| West VirginiaWest Virginia | $119.09 | — |
| WyomingWyoming | $129.99 | — |
72125 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.
$115.99
$157.29
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 | $152.12 | 1 |
| AL | $117.64 | 1 |
| AR | $115.99 | 1 |
| AZ | $127.30 | 1 |
| CA | $139.24–$175.34 | 29 |
| CO | $136.59 | 1 |
| CT | $139.10 | 1 |
| DC | $149.63 | 1 |
| DE | $129.38 | 1 |
| FL | $127.57–$138.09 | 3 |
| GA | $120.73–$132.69 | 2 |
| GU | $142.70 | 1 |
| HI | $142.70 | 1 |
| IA | $121.07 | 1 |
| ID | $121.72 | 1 |
| IL | $123.60–$135.21 | 4 |
| IN | $122.42 | 1 |
| KS | $120.27 | 1 |
| KY | $119.80 | 1 |
| LA | $119.51–$125.28 | 2 |
| MA | $135.71–$150.21 | 2 |
| MD | $131.88–$149.63 | 3 |
| ME | $122.07–$128.88 | 2 |
| MI | $122.59–$128.86 | 2 |
| MN | $131.72 | 1 |
| MO | $117.35–$126.02 | 3 |
| MS | $116.71 | 1 |
| MT | $130.59 | 1 |
| NC | $123.35 | 1 |
| ND | $129.21 | 1 |
| NE | $121.79 | 1 |
| NH | $134.22 | 1 |
| NJ | $140.92–$148.10 | 2 |
| NM | $123.14 | 1 |
| NV | $130.30 | 1 |
| NY | $125.13–$152.75 | 5 |
| OH | $122.31 | 1 |
| OK | $119.85 | 1 |
| OR | $129.52–$141.13 | 2 |
| PA | $122.64–$135.55 | 2 |
| PR | $131.61 | 1 |
| RI | $134.12 | 1 |
| SC | $122.99 | 1 |
| SD | $129.05 | 1 |
| TN | $120.82 | 1 |
| TX | $121.83–$135.94 | 8 |
| UT | $124.63 | 1 |
| VA | $128.29–$149.63 | 2 |
| VI | $131.61 | 1 |
| VT | $128.49 | 1 |
| WA | $135.53–$153.49 | 2 |
| WI | $124.97 | 1 |
| WV | $119.09 | 1 |
| WY | $129.99 | 1 |
How the 72125 rate is calculated
Each of 72125’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 · 72125
RVUs × geographic indexes × conversion factor
Work0.98
0.98 RVUs× 1.000 GPCI
Practice expense2.86
2.86 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
3.9100
Conversion factor
$33.4009
Medicare rate
$130.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,985
- Code
- 72125
- Physician work
- 0.98
- Practice expense
- 2.86
- Malpractice
- 0.07
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 2.86 | × 1.000 | 2.8600 |
| Malpractice | 0.07 | × 0.336 | 0.0235 |
| Total RVUs | 3.8635 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$129.05
Office: (0.98 × 1 + 2.86 × 1 + 0.07 × 0.336) × $33.4009 = $129.05
Payment rules and modifiers for 72125
The CMS indicators that decide how 72125 is paid alongside other services.
CMS payment indicators · 72125
Cervical spine CT, without contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| 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
72125 without 26 · national office
$130.60
Cervical spine CT, without contrast
72125-26 · Professional component
$46.43
Pays only the interpretation and report.
How 72125 has changed in South Dakota
72125 · Office / nonfacility
$129.05
Effective 2026-10-01
The base rate is $1.96 higher than on 2025-10-01, moving from $127.09 to $129.05 (1.5%).
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
$127.09changed to$129.05
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.00 changed to 0.98
- Practice expense RVU 2.91 changed to 2.86
- Malpractice RVU 0.05 changed to 0.07
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$131.92changed to$127.09
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.94 changed to 2.91
- Malpractice RVU 0.06 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$129.76changed to$131.92
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$135.15changed to$129.76
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.97 changed to 2.94
- Malpractice RVU 0.05 changed to 0.06
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$138.11changed to$135.15
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.06 changed to 0.05
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$141.69changed to$138.11
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.04 changed to 2.97
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$156.70changed to$141.69
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.32 changed to 3.04
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$156.70
Held through RVU20B, RVU20C, RVU20D.
January 1, 2014
RVU14A
$216.59changed toNo rate
Held through RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
January 1, 2013
RVU13AR
Earliest loaded release: $216.59
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $129.05 | Not available in this setting | RVU26D |
| 2026-07-01 | $129.05 | Not available in this setting | RVU26C |
| 2026-04-01 | $129.05 | Not available in this setting | RVU26B |
| 2026-01-01 | $129.05 | Not available in this setting | RVU26A |
| 2025-10-01 | $127.09 | Not available in this setting | RVU25D |
| 2025-07-01 | $127.09 | Not available in this setting | RVU25C |
| 2025-04-01 | $127.09 | Not available in this setting | RVU25B |
| 2025-01-01 | $127.09 | Not available in this setting | RVU25A |
| 2024-10-01 | $131.92 | Not available in this setting | RVU24D |
| 2024-07-01 | $131.92 | Not available in this setting | RVU24C |
| 2024-04-01 | $131.92 | Not available in this setting | RVU24B |
| 2024-03-09 | $131.92 | Not available in this setting | RVU24AR |
| 2024-01-01 | $129.76 | Not available in this setting | RVU24A |
| 2023-10-01 | $135.15 | Not available in this setting | RVU23D |
| 2023-07-01 | $135.15 | Not available in this setting | RVU23C |
| 2023-04-01 | $135.15 | Not available in this setting | RVU23B |
| 2023-01-01 | $135.15 | Not available in this setting | RVU23A |
| 2022-10-01 | $138.11 | Not available in this setting | RVU22D |
| 2022-07-01 | $138.11 | Not available in this setting | RVU22C |
| 2022-04-01 | $138.11 | Not available in this setting | RVU22B |
| 2022-01-01 | $138.11 | Not available in this setting | RVU22A |
| 2021-10-01 | $141.69 | Not available in this setting | RVU21D |
| 2021-07-01 | $141.69 | Not available in this setting | RVU21C |
| 2021-04-01 | $141.69 | Not available in this setting | RVU21B |
| 2021-01-01 | $141.69 | Not available in this setting | RVU21A |
| 2020-10-01 | $156.70 | Not available in this setting | RVU20D |
| 2020-07-01 | $156.70 | Not available in this setting | RVU20C |
| 2020-04-01 | $156.70 | Not available in this setting | RVU20B |
| 2020-01-01 | $156.70 | Not available in this setting | RVU20A |
| 2019-10-01 | Additional calculation required | Not available in this setting | RVU19D |
| 2019-07-01 | Additional calculation required | Not available in this setting | RVU19C |
| 2019-04-01 | Additional calculation required | Not available in this setting | RVU19B |
| 2019-01-01 | Additional calculation required | Not available in this setting | RVU19A |
| 2018-10-01 | Additional calculation required | Not available in this setting | RVU18D |
| 2018-07-01 | Additional calculation required | Not available in this setting | RVU18C |
| 2018-04-01 | Additional calculation required | Not available in this setting | RVU18B |
| 2018-01-01 | Additional calculation required | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Additional calculation required | Not available in this setting | RVU17D |
| 2017-07-01 | Additional calculation required | Not available in this setting | RVU17C |
| 2017-04-01 | Additional calculation required | Not available in this setting | RVU17B |
| 2017-01-01 | Additional calculation required | Not available in this setting | RVU17A |
| 2016-10-01 | Additional calculation required | Not available in this setting | RVU16D |
| 2016-07-01 | Additional calculation required | Not available in this setting | RVU16C |
| 2016-04-01 | Additional calculation required | Not available in this setting | RVU16B |
| 2016-01-01 | Additional calculation required | Not available in this setting | RVU16A |
| 2015-10-01 | Additional calculation required | Not available in this setting | RVU15D |
| 2015-07-01 | Additional calculation required | Not available in this setting | RVU15C |
| 2015-04-01 | Additional calculation required | Not available in this setting | RVU15B |
| 2015-01-01 | Additional calculation required | Not available in this setting | RVU15A |
| 2014-10-01 | Additional calculation required | Not available in this setting | RVU14D |
| 2014-07-01 | Additional calculation required | Not available in this setting | RVU14C |
| 2014-04-01 | Additional calculation required | Not available in this setting | RVU14B |
| 2014-01-01 | Additional calculation required | Not available in this setting | RVU14A |
| 2013-10-01 | $216.59 | Not available in this setting | RVU13D |
| 2013-07-01 | $216.59 | Not available in this setting | RVU13C |
| 2013-04-01 | $216.59 | Not available in this setting | RVU13B |
| 2013-01-01 | $216.59 | Not available in this setting | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
72125 billing questions
Should a CT myelogram of the cervical spine be reported with this code?
No. Because intrathecal contrast is present during the scan, CT after myelography is reported with the with-contrast code 72126, not 72125.
Can sagittal and coronal reformats be billed separately?
No. Routine two-dimensional multiplanar reformats are included in the cervical spine CT and are not separately reportable.
Which modifier does the radiologist use for a hospital or ED study?
The radiologist appends modifier 26 for the interpretation, and the hospital reports the technical portion on its facility claim. Billing without a modifier represents both components furnished by the same entity.
A trauma patient has CT head and CT cervical spine in the same visit. Are both billable?
Yes, report both when each study is performed and documented. The diagnostic imaging multiple procedure reduction can affect both professional and technical components when its criteria are met.
If the cervical and thoracic spine are both scanned without contrast, what is reported?
Report 72125 for the cervical region and 72128 for the thoracic region, with documentation supporting each study. The diagnostic imaging multiple procedure reduction applies when its criteria are met.
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
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