CPT code 72130: Thoracic spine CT, without and with contrast2026 Medicare rate & RVUs in North Dakota

Report this thoracic spine CT when the examination includes images obtained before contrast and additional images obtained after contrast administration.

CMS RVU26DEffective Oct 1, 2026One payment locality1.7K Medicare services in 2024

In North Dakota, Medicare pays $196.28 for 72130 in the office.

$196.28Office (non-facility)
Not available in this settingHospital or facility
−0.9%vs the national office rate ($198.07)

Check a contract rate as a % of Medicare · 72130 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 72130 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 72130 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 72130 covers

This examination uses CT to image the thoracic spine in two phases: one before contrast and another after contrast administration. A radiologic technologist acquires the images, and a radiologist interprets them, typically in a hospital outpatient department or imaging center. The protocol may be used to assess a suspected thoracic spinal lesion when both precontrast and postcontrast findings are needed.

Select this code only when the record supports both phases of the thoracic spine examination. The imaging record and radiology report should identify the region examined and show that images were obtained before and after contrast. Do not report separate noncontrast and contrast-only thoracic spine CT codes for the same combined examination. Medicare distinguishes the radiologist’s interpretation, billed with modifier 26, from the equipment and staff portion, billed with modifier TC; billing without either modifier represents the global service. The diagnostic imaging multiple procedure reduction applies to both the professional and technical components when its criteria are met.

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 North Dakota compares for 72130

Across 109 of 109 payment localities, the office rate for 72130 runs from $174.95 in Arkansas to $269.14 in San Benito County, CA. North Dakota pays $196.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

72130 in North Dakota vs other payment areas
  1. North Dakota · this page$196.28
  2. Los Angeles, CA · California$226.87+$30.59
  3. Washington, DC area · District of Columbia$227.99+$31.71
  4. Miami, FL · Florida$208.96+$12.68
  5. Chicago, IL · Illinois$203.02+$6.74
  6. Manhattan, NY · New York$227.37+$31.09
  7. Alaska · Alaska$227.41+$31.13

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

Every other payment area

72130 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$177.56—
ArkansasArkansas$174.95—
ArizonaArizona$192.87—
Bakersfield, CACalifornia$212.43—
Chico, CACalifornia$212.13—
El Centro, CACalifornia$212.14—
Fresno, CACalifornia$212.13—
Hanford, CACalifornia$212.13—

72130 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.

$174.95

$240.64

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

View every state and territory as a table
72130 office rate range by state
State / territoryOffice rate rangeLocalities
AK$227.411
AL$177.561
AR$174.951
AZ$192.871
CA$212.13–$269.1429
CO$207.741
CT$211.361
DC$227.991
DE$196.131
FL$192.82–$208.963
GA$182.05–$201.252
GU$217.851
HI$217.851
IA$183.191
ID$184.191
IL$186.39–$204.834
IN$185.311
KS$181.831
KY$180.761
LA$180.27–$189.412
MA$206.26–$229.242
MD$200.08–$227.993
ME$184.64–$195.582
MI$185.09–$194.752
MN$200.411
MO$176.79–$190.703
MS$175.931
MT$198.061
NC$186.691
ND$196.281
NE$184.371
NH$203.991
NJ$214.15–$225.462
NM$185.921
NV$197.721
NY$189.49–$232.335
OH$184.721
OK$180.961
OR$196.56–$215.012
PA$185.30–$205.692
PR$199.711
RI$203.601
SC$185.941
SD$196.071
TN$182.691
TX$184.03–$206.728
UT$188.541
VA$194.57–$227.992
VI$199.711
VT$195.051
WA$206.03–$234.472
WI$189.531
WV$179.241
WY$197.291

See 72130 in every payment locality

How the 72130 rate is calculated

Each of 72130’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 · 72130

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.24

1.24 RVUs× 1.000 GPCI

Practice expense4.60

4.60 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

5.9300

Conversion factor

$33.4009

Medicare rate

$198.07

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,000

Code
72130
Physician work
1.24
Practice expense
4.60
Malpractice
0.09

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 72130 in North Dakota
ComponentRVULocality factorAdjusted
Physician work1.24× 1.0001.2400
Practice expense4.60× 1.0004.6000
Malpractice0.09× 0.4060.0365
Total RVUs5.8765
Conversion factor× 33.4009

Office rate, North Dakota$196.28

Office: (1.24 × 1 + 4.6 × 1 + 0.09 × 0.406) × $33.4009 = $196.28

Open 72130 in the RVU calculator

Payment rules and modifiers for 72130

The CMS indicators that decide how 72130 is paid alongside other services.

CMS payment indicators · 72130

Thoracic spine CT, without and with 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

72130 without 26 · national office

$198.07

Thoracic spine CT, without and with contrast

72130-26 · Professional component

$58.45

Pays only the interpretation and report.

When to use modifier 26

How 72130 has changed in North Dakota

72130 · Office / nonfacility

$196.28

Effective 2026-10-01

The base rate is $1.83 higher than on 2025-10-01, moving from $194.45 to $196.28 (0.9%).

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

    $194.45changed to$196.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.27 changed to 1.24
    • Practice expense RVU 4.70 changed to 4.60
    • Malpractice RVU 0.08 changed to 0.09
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $202.27changed to$194.45

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.76 changed to 4.70
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $198.97changed to$202.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $208.50changed to$198.97

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.84 changed to 4.76
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $212.79changed to$208.50

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $218.64changed to$212.79

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.97 changed to 4.84
    • Malpractice RVU 0.06 changed to 0.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $232.92changed to$218.64

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.15 changed to 4.97
    • Malpractice RVU 0.07 changed to 0.06
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$232.92

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $275.51changed toNo rate

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $273.25changed to$275.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.30 changed to 6.34
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $273.34changed to$273.25

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.32 changed to 6.30
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $271.25changed to$273.34

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.24 changed to 6.32
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $269.90changed to$271.25

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $289.55changed to$269.90

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.77 changed to 6.24
    • Malpractice RVU 0.08 changed to 0.07
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $318.84changed to$289.55

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.06 changed to 6.77
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $318.84

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$196.28Not available in this settingRVU26D
2026-07-01$196.28Not available in this settingRVU26C
2026-04-01$196.28Not available in this settingRVU26B
2026-01-01$196.28Not available in this settingRVU26A
2025-10-01$194.45Not available in this settingRVU25D
2025-07-01$194.45Not available in this settingRVU25C
2025-04-01$194.45Not available in this settingRVU25B
2025-01-01$194.45Not available in this settingRVU25A
2024-10-01$202.27Not available in this settingRVU24D
2024-07-01$202.27Not available in this settingRVU24C
2024-04-01$202.27Not available in this settingRVU24B
2024-03-09$202.27Not available in this settingRVU24AR
2024-01-01$198.97Not available in this settingRVU24A
2023-10-01$208.50Not available in this settingRVU23D
2023-07-01$208.50Not available in this settingRVU23C
2023-04-01$208.50Not available in this settingRVU23B
2023-01-01$208.50Not available in this settingRVU23A
2022-10-01$212.79Not available in this settingRVU22D
2022-07-01$212.79Not available in this settingRVU22C
2022-04-01$212.79Not available in this settingRVU22B
2022-01-01$212.79Not available in this settingRVU22A
2021-10-01$218.64Not available in this settingRVU21D
2021-07-01$218.64Not available in this settingRVU21C
2021-04-01$218.64Not available in this settingRVU21B
2021-01-01$218.64Not available in this settingRVU21A
2020-10-01$232.92Not available in this settingRVU20D
2020-07-01$232.92Not available in this settingRVU20C
2020-04-01$232.92Not available in this settingRVU20B
2020-01-01$232.92Not 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
2018-10-01$275.51Not available in this settingRVU18D
2018-07-01$275.51Not available in this settingRVU18C
2018-04-01$275.51Not available in this settingRVU18B
2018-01-01$275.51Not available in this settingRVU18AR1
2017-10-01$273.25Not available in this settingRVU17D
2017-07-01$273.25Not available in this settingRVU17C
2017-04-01$273.25Not available in this settingRVU17B
2017-01-01$273.25Not available in this settingRVU17A
2016-10-01$273.34Not available in this settingRVU16D
2016-07-01$273.34Not available in this settingRVU16C
2016-04-01$273.34Not available in this settingRVU16B
2016-01-01$273.34Not available in this settingRVU16A
2015-10-01$271.25Not available in this settingRVU15D
2015-07-01$271.25Not available in this settingRVU15C
2015-04-01$269.90Not available in this settingRVU15B
2015-01-01$269.90Not available in this settingRVU15A
2014-10-01$289.55Not available in this settingRVU14D
2014-07-01$289.55Not available in this settingRVU14C
2014-04-01$289.55Not available in this settingRVU14B
2014-01-01$289.55Not available in this settingRVU14A
2013-10-01$318.84Not available in this settingRVU13D
2013-07-01$318.84Not available in this settingRVU13C
2013-04-01$318.84Not available in this settingRVU13B
2013-01-01$318.84Not available in this settingRVU13AR

Price 72130 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

72130 billing questions

When is 72130 selected instead of 72128 or 72129?

Use 72130 when the thoracic spine CT includes both precontrast and postcontrast imaging. Code 72128 describes a noncontrast study; 72129 describes a contrast study without a precontrast phase.

Should 72128 and 72129 be billed together for one combined examination?

No. Report 72130 for a single thoracic spine examination that includes both phases, rather than splitting it into the noncontrast and contrast-only codes.

How is a radiologist’s interpretation of 72130 billed?

The radiologist bills 72130 with modifier 26 for the professional interpretation. The report should document the thoracic region and findings from the examination.

When is modifier TC used with 72130?

Modifier TC identifies the equipment and staff portion when that portion is billed separately. Billing 72130 without 26 or TC represents the global service.

Can Medicare reduce payment when 72130 is performed with other diagnostic imaging?

Yes. The diagnostic imaging multiple procedure reduction applies to the professional and technical components 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 72130PPRRVU2026_Oct_nonQPP.csv, line 8,000 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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