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.

CMS RVU26DEffective Oct 1, 2026One payment locality1.5M Medicare services in 2024

In South Dakota, Medicare pays $129.05 for 72125 in the office.

$129.05Office (non-facility)
Not available in this settingHospital or facility
−1.2%vs the national office rate ($130.60)

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.

We’ll open 72125 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 72125 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 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.

72125 in South Dakota vs other payment areas
  1. South Dakota · this page$129.05
  2. Los Angeles, CA · California$148.64+$19.59
  3. Washington, DC area · District of Columbia$149.63+$20.58
  4. Miami, FL · Florida$138.09+$9.04
  5. Chicago, IL · Illinois$134.33+$5.28
  6. Manhattan, NY · New York$149.54+$20.49
  7. Alaska · Alaska$152.12+$23.07

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

Every other payment area

72125 in every other Medicare payment locality
Payment localityOfficeFacility
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—

72125 rates by state

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

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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
72125 office rate range by state
State / territoryOffice rate rangeLocalities
AK$152.121
AL$117.641
AR$115.991
AZ$127.301
CA$139.24–$175.3429
CO$136.591
CT$139.101
DC$149.631
DE$129.381
FL$127.57–$138.093
GA$120.73–$132.692
GU$142.701
HI$142.701
IA$121.071
ID$121.721
IL$123.60–$135.214
IN$122.421
KS$120.271
KY$119.801
LA$119.51–$125.282
MA$135.71–$150.212
MD$131.88–$149.633
ME$122.07–$128.882
MI$122.59–$128.862
MN$131.721
MO$117.35–$126.023
MS$116.711
MT$130.591
NC$123.351
ND$129.211
NE$121.791
NH$134.221
NJ$140.92–$148.102
NM$123.141
NV$130.301
NY$125.13–$152.755
OH$122.311
OK$119.851
OR$129.52–$141.132
PA$122.64–$135.552
PR$131.611
RI$134.121
SC$122.991
SD$129.051
TN$120.821
TX$121.83–$135.948
UT$124.631
VA$128.29–$149.632
VI$131.611
VT$128.491
WA$135.53–$153.492
WI$124.971
WV$119.091
WY$129.991

See 72125 in every payment locality

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

Office or facility?

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
Office calculation for 72125 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0000.9800
Practice expense2.86× 1.0002.8600
Malpractice0.07× 0.3360.0235
Total RVUs3.8635
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

Open 72125 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
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

72125 without 26 · national office

$130.60

Cervical spine CT, without contrast

72125-26 · Professional component

$46.43

Pays only the interpretation and report.

When to use modifier 26

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.

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

    $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.

  2. 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.

  3. March 9, 2024

    RVU24AR

    $129.76changed to$131.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. 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
  5. 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.

  6. 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.

  7. 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.

  8. January 1, 2020

    RVU20A

    No ratechanged to$156.70

    Held through RVU20B, RVU20C, RVU20D.

  9. 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.

  10. January 1, 2013

    RVU13AR

    Earliest loaded release: $216.59

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$129.05Not available in this settingRVU26D
2026-07-01$129.05Not available in this settingRVU26C
2026-04-01$129.05Not available in this settingRVU26B
2026-01-01$129.05Not available in this settingRVU26A
2025-10-01$127.09Not available in this settingRVU25D
2025-07-01$127.09Not available in this settingRVU25C
2025-04-01$127.09Not available in this settingRVU25B
2025-01-01$127.09Not available in this settingRVU25A
2024-10-01$131.92Not available in this settingRVU24D
2024-07-01$131.92Not available in this settingRVU24C
2024-04-01$131.92Not available in this settingRVU24B
2024-03-09$131.92Not available in this settingRVU24AR
2024-01-01$129.76Not available in this settingRVU24A
2023-10-01$135.15Not available in this settingRVU23D
2023-07-01$135.15Not available in this settingRVU23C
2023-04-01$135.15Not available in this settingRVU23B
2023-01-01$135.15Not available in this settingRVU23A
2022-10-01$138.11Not available in this settingRVU22D
2022-07-01$138.11Not available in this settingRVU22C
2022-04-01$138.11Not available in this settingRVU22B
2022-01-01$138.11Not available in this settingRVU22A
2021-10-01$141.69Not available in this settingRVU21D
2021-07-01$141.69Not available in this settingRVU21C
2021-04-01$141.69Not available in this settingRVU21B
2021-01-01$141.69Not available in this settingRVU21A
2020-10-01$156.70Not available in this settingRVU20D
2020-07-01$156.70Not available in this settingRVU20C
2020-04-01$156.70Not available in this settingRVU20B
2020-01-01$156.70Not available in this settingRVU20A
2019-10-01Additional calculation requiredNot available in this settingRVU19D
2019-07-01Additional calculation requiredNot available in this settingRVU19C
2019-04-01Additional calculation requiredNot available in this settingRVU19B
2019-01-01Additional calculation requiredNot available in this settingRVU19A
2018-10-01Additional calculation requiredNot available in this settingRVU18D
2018-07-01Additional calculation requiredNot available in this settingRVU18C
2018-04-01Additional calculation requiredNot available in this settingRVU18B
2018-01-01Additional calculation requiredNot available in this settingRVU18AR1
2017-10-01Additional calculation requiredNot available in this settingRVU17D
2017-07-01Additional calculation requiredNot available in this settingRVU17C
2017-04-01Additional calculation requiredNot available in this settingRVU17B
2017-01-01Additional calculation requiredNot available in this settingRVU17A
2016-10-01Additional calculation requiredNot available in this settingRVU16D
2016-07-01Additional calculation requiredNot available in this settingRVU16C
2016-04-01Additional calculation requiredNot available in this settingRVU16B
2016-01-01Additional calculation requiredNot available in this settingRVU16A
2015-10-01Additional calculation requiredNot available in this settingRVU15D
2015-07-01Additional calculation requiredNot available in this settingRVU15C
2015-04-01Additional calculation requiredNot available in this settingRVU15B
2015-01-01Additional calculation requiredNot available in this settingRVU15A
2014-10-01Additional calculation requiredNot available in this settingRVU14D
2014-07-01Additional calculation requiredNot available in this settingRVU14C
2014-04-01Additional calculation requiredNot available in this settingRVU14B
2014-01-01Additional calculation requiredNot available in this settingRVU14A
2013-10-01$216.59Not available in this settingRVU13D
2013-07-01$216.59Not available in this settingRVU13C
2013-04-01$216.59Not available in this settingRVU13B
2013-01-01$216.59Not available in this settingRVU13AR

Price 72125 for an earlier date of service

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

Browse all communities in South Dakota

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

Show the CMS file lines behind this rate
RVUs for 72125PPRRVU2026_Oct_nonQPP.csv, line 7,985 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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