CPT code 72130: Thoracic spine CT, without and with contrast2026 Medicare rate & RVUs in New Mexico
Report this thoracic spine CT when the examination includes images obtained before contrast and additional images obtained after contrast administration.
In New Mexico, Medicare pays $185.92 for 72130 in the office.
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.
On this page 11 sections
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 New Mexico 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. New Mexico pays $185.92. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$185.92
- Los Angeles, CA · California$226.87+$40.95
- Washington, DC area · District of Columbia$227.99+$42.07
- Miami, FL · Florida$208.96+$23.04
- Chicago, IL · Illinois$203.02+$17.10
- Manhattan, NY · New York$227.37+$41.45
- Alaska · Alaska$227.41+$41.49
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $212.13 | — |
| Merced, CACalifornia | $212.13 | — |
| Modesto, CACalifornia | $212.13 | — |
| Napa, CACalifornia | $248.06 | — |
| Oxnard, CACalifornia | $226.06 | — |
| Redding, CACalifornia | $212.13 | — |
| Rest of CaliforniaCalifornia | $212.13 | — |
| Riverside, CACalifornia | $213.12 | — |
| Sacramento, CACalifornia | $223.21 | — |
| Salinas, CACalifornia | $222.39 | — |
| San Diego, CACalifornia | $228.05 | — |
| Marin County, CACalifornia | $263.37 | — |
| San Francisco, CACalifornia | $263.27 | — |
| San Benito County, CACalifornia | $269.14 | — |
| Santa Clara County, CACalifornia | $268.72 | — |
| San Luis Obispo, CACalifornia | $218.73 | — |
| Santa Cruz, CACalifornia | $230.58 | — |
| Santa Maria, CACalifornia | $223.34 | — |
| Santa Rosa, CACalifornia | $232.95 | — |
| Stockton, CACalifornia | $212.13 | — |
| Vallejo, CACalifornia | $247.91 | — |
| Visalia, CACalifornia | $212.13 | — |
| Yuba City, CACalifornia | $212.13 | — |
| ColoradoColorado | $207.74 | — |
| ConnecticutConnecticut | $211.36 | — |
| DelawareDelaware | $196.13 | — |
| Fort Lauderdale, FLFlorida | $202.49 | — |
| Rest of FloridaFlorida | $192.82 | — |
| Atlanta, GAGeorgia | $201.25 | — |
| Rest of GeorgiaGeorgia | $182.05 | — |
| Hawaii, Guam, HIHawaii | $217.85 | — |
| IowaIowa | $183.19 | — |
| IdahoIdaho | $184.19 | — |
| East St. Louis, ILIllinois | $188.82 | — |
| Rest of IllinoisIllinois | $186.39 | — |
| Suburban Chicago, ILIllinois | $204.83 | — |
| IndianaIndiana | $185.31 | — |
| KansasKansas | $181.83 | — |
| KentuckyKentucky | $180.76 | — |
| New Orleans, LALouisiana | $189.41 | — |
| Rest of LouisianaLouisiana | $180.27 | — |
| Metropolitan Boston, MAMassachusetts | $229.24 | — |
| Rest of MassachusettsMassachusetts | $206.26 | — |
| Baltimore area, MDMaryland | $210.66 | — |
| Rest of MarylandMaryland | $200.08 | — |
| Rest of MaineMaine | $184.64 | — |
| Southern Maine, MEMaine | $195.58 | — |
| Detroit, MIMichigan | $194.75 | — |
| Rest of MichiganMichigan | $185.09 | — |
| MinnesotaMinnesota | $200.41 | — |
| Metropolitan Kansas City, MOMissouri | $188.63 | — |
| Metropolitan St. Louis, MOMissouri | $190.70 | — |
| Rest of MissouriMissouri | $176.79 | — |
| MississippiMississippi | $175.93 | — |
| MontanaMontana | $198.06 | — |
| North CarolinaNorth Carolina | $186.69 | — |
| North DakotaNorth Dakota | $196.28 | — |
| NebraskaNebraska | $184.37 | — |
| New HampshireNew Hampshire | $203.99 | — |
| Northern New JerseyNew Jersey | $225.46 | — |
| Rest of New JerseyNew Jersey | $214.15 | — |
| NevadaNevada | $197.72 | — |
| NYC suburbs and Long Island, NYNew York | $232.33 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $215.16 | — |
| Queens, NYNew York | $230.01 | — |
| Rest of New YorkNew York | $189.49 | — |
| OhioOhio | $184.72 | — |
| OklahomaOklahoma | $180.96 | — |
| Portland, OROregon | $215.01 | — |
| Rest of OregonOregon | $196.56 | — |
| Metropolitan Philadelphia, PAPennsylvania | $205.69 | — |
| Rest of PennsylvaniaPennsylvania | $185.30 | — |
| Puerto RicoPuerto Rico | $199.71 | — |
| Rhode IslandRhode Island | $203.60 | — |
| South CarolinaSouth Carolina | $185.94 | — |
| South DakotaSouth Dakota | $196.07 | — |
| TennesseeTennessee | $182.69 | — |
| Austin, TXTexas | $206.72 | — |
| Beaumont, TXTexas | $184.03 | — |
| Brazoria, TXTexas | $196.35 | — |
| Dallas, TXTexas | $197.40 | — |
| Fort Worth, TXTexas | $195.90 | — |
| Galveston, TXTexas | $196.81 | — |
| Houston, TXTexas | $198.45 | — |
| Rest of TexasTexas | $189.94 | — |
| UtahUtah | $188.54 | — |
| VirginiaVirginia | $194.57 | — |
| Virgin Islands, VIUnited States Virgin Islands | $199.71 | — |
| VermontVermont | $195.05 | — |
| Rest of WashingtonWashington | $206.03 | — |
| King County, WAWashington | $234.47 | — |
| WisconsinWisconsin | $189.53 | — |
| West VirginiaWest Virginia | $179.24 | — |
| WyomingWyoming | $197.29 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $227.41 | 1 |
| AL | $177.56 | 1 |
| AR | $174.95 | 1 |
| AZ | $192.87 | 1 |
| CA | $212.13–$269.14 | 29 |
| CO | $207.74 | 1 |
| CT | $211.36 | 1 |
| DC | $227.99 | 1 |
| DE | $196.13 | 1 |
| FL | $192.82–$208.96 | 3 |
| GA | $182.05–$201.25 | 2 |
| GU | $217.85 | 1 |
| HI | $217.85 | 1 |
| IA | $183.19 | 1 |
| ID | $184.19 | 1 |
| IL | $186.39–$204.83 | 4 |
| IN | $185.31 | 1 |
| KS | $181.83 | 1 |
| KY | $180.76 | 1 |
| LA | $180.27–$189.41 | 2 |
| MA | $206.26–$229.24 | 2 |
| MD | $200.08–$227.99 | 3 |
| ME | $184.64–$195.58 | 2 |
| MI | $185.09–$194.75 | 2 |
| MN | $200.41 | 1 |
| MO | $176.79–$190.70 | 3 |
| MS | $175.93 | 1 |
| MT | $198.06 | 1 |
| NC | $186.69 | 1 |
| ND | $196.28 | 1 |
| NE | $184.37 | 1 |
| NH | $203.99 | 1 |
| NJ | $214.15–$225.46 | 2 |
| NM | $185.92 | 1 |
| NV | $197.72 | 1 |
| NY | $189.49–$232.33 | 5 |
| OH | $184.72 | 1 |
| OK | $180.96 | 1 |
| OR | $196.56–$215.01 | 2 |
| PA | $185.30–$205.69 | 2 |
| PR | $199.71 | 1 |
| RI | $203.60 | 1 |
| SC | $185.94 | 1 |
| SD | $196.07 | 1 |
| TN | $182.69 | 1 |
| TX | $184.03–$206.72 | 8 |
| UT | $188.54 | 1 |
| VA | $194.57–$227.99 | 2 |
| VI | $199.71 | 1 |
| VT | $195.05 | 1 |
| WA | $206.03–$234.47 | 2 |
| WI | $189.53 | 1 |
| WV | $179.24 | 1 |
| WY | $197.29 | 1 |
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
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 New Mexico 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
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.24 | × 1.000 | 1.2400 |
| Practice expense | 4.60 | × 0.917 | 4.2182 |
| Malpractice | 0.09 | × 1.201 | 0.1081 |
| Total RVUs | 5.5663 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$185.92
Office: (1.24 × 1 + 4.6 × 0.917 + 0.09 × 1.201) × $33.4009 = $185.92
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
| 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
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.
How 72130 has changed in New Mexico
72130 · Office / nonfacility
$185.92
Effective 2026-10-01
The base rate is $3.77 higher than on 2025-10-01, moving from $182.15 to $185.92 (2.1%).
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
$182.15changed to$185.92
- 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
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$189.66changed to$182.15
- 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.
March 9, 2024
RVU24AR
$186.56changed to$189.66
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$194.54changed to$186.56
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.84 changed to 4.76
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$197.66changed to$194.54
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$202.14changed to$197.66
- 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.
January 1, 2021
RVU21A
$217.65changed to$202.14
- 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
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$217.65
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$259.52changed toNo rate
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$257.05changed to$259.52
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 6.30 changed to 6.34
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$256.75changed to$257.05
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 6.32 changed to 6.30
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$254.62changed to$256.75
- 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.
July 1, 2015
RVU15C
$253.35changed to$254.62
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$271.22changed to$253.35
- 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
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$297.11changed to$271.22
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 8.06 changed to 6.77
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $297.11
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $185.92 | Not available in this setting | RVU26D |
| 2026-07-01 | $185.92 | Not available in this setting | RVU26C |
| 2026-04-01 | $185.92 | Not available in this setting | RVU26B |
| 2026-01-01 | $185.92 | Not available in this setting | RVU26A |
| 2025-10-01 | $182.15 | Not available in this setting | RVU25D |
| 2025-07-01 | $182.15 | Not available in this setting | RVU25C |
| 2025-04-01 | $182.15 | Not available in this setting | RVU25B |
| 2025-01-01 | $182.15 | Not available in this setting | RVU25A |
| 2024-10-01 | $189.66 | Not available in this setting | RVU24D |
| 2024-07-01 | $189.66 | Not available in this setting | RVU24C |
| 2024-04-01 | $189.66 | Not available in this setting | RVU24B |
| 2024-03-09 | $189.66 | Not available in this setting | RVU24AR |
| 2024-01-01 | $186.56 | Not available in this setting | RVU24A |
| 2023-10-01 | $194.54 | Not available in this setting | RVU23D |
| 2023-07-01 | $194.54 | Not available in this setting | RVU23C |
| 2023-04-01 | $194.54 | Not available in this setting | RVU23B |
| 2023-01-01 | $194.54 | Not available in this setting | RVU23A |
| 2022-10-01 | $197.66 | Not available in this setting | RVU22D |
| 2022-07-01 | $197.66 | Not available in this setting | RVU22C |
| 2022-04-01 | $197.66 | Not available in this setting | RVU22B |
| 2022-01-01 | $197.66 | Not available in this setting | RVU22A |
| 2021-10-01 | $202.14 | Not available in this setting | RVU21D |
| 2021-07-01 | $202.14 | Not available in this setting | RVU21C |
| 2021-04-01 | $202.14 | Not available in this setting | RVU21B |
| 2021-01-01 | $202.14 | Not available in this setting | RVU21A |
| 2020-10-01 | $217.65 | Not available in this setting | RVU20D |
| 2020-07-01 | $217.65 | Not available in this setting | RVU20C |
| 2020-04-01 | $217.65 | Not available in this setting | RVU20B |
| 2020-01-01 | $217.65 | 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 | $259.52 | Not available in this setting | RVU18D |
| 2018-07-01 | $259.52 | Not available in this setting | RVU18C |
| 2018-04-01 | $259.52 | Not available in this setting | RVU18B |
| 2018-01-01 | $259.52 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $257.05 | Not available in this setting | RVU17D |
| 2017-07-01 | $257.05 | Not available in this setting | RVU17C |
| 2017-04-01 | $257.05 | Not available in this setting | RVU17B |
| 2017-01-01 | $257.05 | Not available in this setting | RVU17A |
| 2016-10-01 | $256.75 | Not available in this setting | RVU16D |
| 2016-07-01 | $256.75 | Not available in this setting | RVU16C |
| 2016-04-01 | $256.75 | Not available in this setting | RVU16B |
| 2016-01-01 | $256.75 | Not available in this setting | RVU16A |
| 2015-10-01 | $254.62 | Not available in this setting | RVU15D |
| 2015-07-01 | $254.62 | Not available in this setting | RVU15C |
| 2015-04-01 | $253.35 | Not available in this setting | RVU15B |
| 2015-01-01 | $253.35 | Not available in this setting | RVU15A |
| 2014-10-01 | $271.22 | Not available in this setting | RVU14D |
| 2014-07-01 | $271.22 | Not available in this setting | RVU14C |
| 2014-04-01 | $271.22 | Not available in this setting | RVU14B |
| 2014-01-01 | $271.22 | Not available in this setting | RVU14A |
| 2013-10-01 | $297.11 | Not available in this setting | RVU13D |
| 2013-07-01 | $297.11 | Not available in this setting | RVU13C |
| 2013-04-01 | $297.11 | Not available in this setting | RVU13B |
| 2013-01-01 | $297.11 | Not available in this setting | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
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