CPT code 72148: Lumbar spine MRI, without contrast2026 Medicare rate & RVUs in Montana

Noncontrast magnetic resonance imaging of the lumbar spine, reported for evaluating low back pain with radiculopathy, disc herniation, spinal stenosis, or suspected nerve root compression.

CMS RVU26DEffective Oct 1, 2026One payment locality1.4M Medicare services in 2024

In Montana, Medicare pays $191.71 for 72148 in the office.

$191.71Office (non-facility)
Not available in this settingHospital or facility
−0.0%vs the national office rate ($191.72)

Check a contract rate as a % of Medicare · 72148 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 72148 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 72148 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 72148 covers

This MRI evaluates the lumbar vertebrae, discs, spinal canal, conus and cauda equina, and neural foramina without administering contrast. It can assess persistent low back pain with radicular symptoms, suspected disc herniation or stenosis, and nerve root compression; it may also help with preoperative planning. Primary care, orthopedic, spine surgery, neurology, and pain management clinicians order the study. MRI technologists acquire the images in hospital outpatient departments, imaging centers, or physician offices, and a radiologist typically interprets them.

Report 72148 for a lumbar MRI acquired without contrast; when both noncontrast and post-contrast lumbar images are acquired, report 72158 instead of separate codes. The order, imaging protocol, contrast administration record, and signed interpretation should support the lumbar region and noncontrast technique. Modifier 26 identifies interpretation alone; modifier TC identifies equipment and staff services. Report the global service without either modifier when the same billing entity provides both portions. For multiple eligible diagnostic imaging studies furnished to the same patient on the same day, Medicare’s multiple procedure reduction affects both professional and technical components of the lower-valued 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.

How Montana compares for 72148

Across 109 of 109 payment localities, the office rate for 72148 runs from $170.32 in Arkansas to $257.47 in San Benito County, CA. Montana pays $191.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

72148 in Montana vs other payment areas
  1. Montana · this page$191.71
  2. Los Angeles, CA · California$218.24+$26.53
  3. Washington, DC area · District of Columbia$219.67+$27.96
  4. Miami, FL · Florida$202.58+$10.87
  5. Chicago, IL · Illinois$197.08+$5.37
  6. Manhattan, NY · New York$219.48+$27.77
  7. Alaska · Alaska$223.39+$31.68

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

Every other payment area

72148 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$172.74—
ArkansasArkansas$170.32—
ArizonaArizona$186.89—
Bakersfield, CACalifornia$204.80—
Chico, CACalifornia$204.46—
El Centro, CACalifornia$204.47—
Fresno, CACalifornia$204.46—
Hanford, CACalifornia$204.46—

72148 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.

$170.32

$230.97

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

View every state and territory as a table
72148 office rate range by state
State / territoryOffice rate rangeLocalities
AK$223.391
AL$172.741
AR$170.321
AZ$186.891
CA$204.46–$257.4729
CO$200.551
CT$204.191
DC$219.671
DE$189.941
FL$187.23–$202.583
GA$177.21–$194.782
GU$209.531
HI$209.531
IA$177.781
ID$178.741
IL$181.40–$198.424
IN$179.761
KS$176.601
KY$175.871
LA$175.45–$183.902
MA$199.25–$220.542
MD$193.61–$219.673
ME$179.24–$189.232
MI$179.95–$189.102
MN$193.441
MO$172.28–$184.993
MS$171.351
MT$191.711
NC$181.121
ND$189.741
NE$178.841
NH$197.061
NJ$206.88–$217.422
NM$180.751
NV$191.301
NY$183.71–$224.185
OH$179.541
OK$175.971
OR$190.17–$207.212
PA$180.03–$198.982
PR$193.211
RI$196.901
SC$180.561
SD$189.501
TN$177.411
TX$178.86–$199.578
UT$182.961
VA$188.35–$219.672
VI$193.211
VT$188.671
WA$198.98–$225.362
WI$183.521
WV$174.781
WY$190.851

See 72148 in every payment locality

How the 72148 rate is calculated

Each of 72148’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 · 72148

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.44

1.44 RVUs× 1.000 GPCI

Practice expense4.20

4.20 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

5.7400

Conversion factor

$33.4009

Medicare rate

$191.72

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,024

Code
72148
Physician work
1.44
Practice expense
4.20
Malpractice
0.10

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 72148 in Montana
ComponentRVULocality factorAdjusted
Physician work1.44× 1.0001.4400
Practice expense4.20× 1.0004.2000
Malpractice0.10× 0.9980.0998
Total RVUs5.7398
Conversion factor× 33.4009

Office rate, Montana$191.71

Office: (1.44 × 1 + 4.2 × 1 + 0.1 × 0.998) × $33.4009 = $191.71

Open 72148 in the RVU calculator

Payment rules and modifiers for 72148

The CMS indicators that decide how 72148 is paid alongside other services.

CMS payment indicators · 72148

Lumbar spine MRI, 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

72148 without 26 · national office

$191.72

Lumbar spine MRI, without contrast

72148-26 · Professional component

$68.47

Pays only the interpretation and report.

When to use modifier 26

How 72148 has changed in Montana

72148 · Office / nonfacility

$191.71

Effective 2026-10-01

The base rate is $3.52 higher than on 2025-10-01, moving from $188.19 to $191.71 (1.9%).

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

    $188.19changed to$191.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.48 changed to 1.44
    • Practice expense RVU 4.25 changed to 4.20
    • Malpractice RVU 0.09 changed to 0.10
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $196.32changed to$188.19

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.32 changed to 4.25
    • Malpractice RVU 0.10 changed to 0.09

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $193.12changed to$196.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $201.89changed to$193.12

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.38 changed to 4.32
  5. January 1, 2023

    RVU23A

    $207.56changed to$201.89

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.42 changed to 4.38
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $215.93changed to$207.56

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.64 changed to 4.42
    • Malpractice RVU 0.07 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $221.86changed to$215.93

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.55 changed to 4.64
    • Malpractice RVU 0.09 changed to 0.07
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $226.80changed to$221.86

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.65 changed to 4.55
    • Malpractice RVU 0.10 changed to 0.09
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $231.59changed to$226.80

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.79 changed to 4.65

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $228.36changed to$231.59

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.74 changed to 4.79
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $225.30changed to$228.36

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.69 changed to 4.74
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $224.16changed to$225.30

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.66 changed to 4.69
    • Malpractice RVU 0.08 changed to 0.10

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $223.04changed to$224.16

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $246.75changed to$223.04

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.28 changed to 4.66
    • Malpractice RVU 0.11 changed to 0.08
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $382.46changed to$246.75

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.64 changed to 5.28
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $382.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$191.71Not available in this settingRVU26D
2026-07-01$191.71Not available in this settingRVU26C
2026-04-01$191.71Not available in this settingRVU26B
2026-01-01$191.71Not available in this settingRVU26A
2025-10-01$188.19Not available in this settingRVU25D
2025-07-01$188.19Not available in this settingRVU25C
2025-04-01$188.19Not available in this settingRVU25B
2025-01-01$188.19Not available in this settingRVU25A
2024-10-01$196.32Not available in this settingRVU24D
2024-07-01$196.32Not available in this settingRVU24C
2024-04-01$196.32Not available in this settingRVU24B
2024-03-09$196.32Not available in this settingRVU24AR
2024-01-01$193.12Not available in this settingRVU24A
2023-10-01$201.89Not available in this settingRVU23D
2023-07-01$201.89Not available in this settingRVU23C
2023-04-01$201.89Not available in this settingRVU23B
2023-01-01$201.89Not available in this settingRVU23A
2022-10-01$207.56Not available in this settingRVU22D
2022-07-01$207.56Not available in this settingRVU22C
2022-04-01$207.56Not available in this settingRVU22B
2022-01-01$207.56Not available in this settingRVU22A
2021-10-01$215.93Not available in this settingRVU21D
2021-07-01$215.93Not available in this settingRVU21C
2021-04-01$215.93Not available in this settingRVU21B
2021-01-01$215.93Not available in this settingRVU21A
2020-10-01$221.86Not available in this settingRVU20D
2020-07-01$221.86Not available in this settingRVU20C
2020-04-01$221.86Not available in this settingRVU20B
2020-01-01$221.86Not available in this settingRVU20A
2019-10-01$226.80Not available in this settingRVU19D
2019-07-01$226.80Not available in this settingRVU19C
2019-04-01$226.80Not available in this settingRVU19B
2019-01-01$226.80Not available in this settingRVU19A
2018-10-01$231.59Not available in this settingRVU18D
2018-07-01$231.59Not available in this settingRVU18C
2018-04-01$231.59Not available in this settingRVU18B
2018-01-01$231.59Not available in this settingRVU18AR1
2017-10-01$228.36Not available in this settingRVU17D
2017-07-01$228.36Not available in this settingRVU17C
2017-04-01$228.36Not available in this settingRVU17B
2017-01-01$228.36Not available in this settingRVU17A
2016-10-01$225.30Not available in this settingRVU16D
2016-07-01$225.30Not available in this settingRVU16C
2016-04-01$225.30Not available in this settingRVU16B
2016-01-01$225.30Not available in this settingRVU16A
2015-10-01$224.16Not available in this settingRVU15D
2015-07-01$224.16Not available in this settingRVU15C
2015-04-01$223.04Not available in this settingRVU15B
2015-01-01$223.04Not available in this settingRVU15A
2014-10-01$246.75Not available in this settingRVU14D
2014-07-01$246.75Not available in this settingRVU14C
2014-04-01$246.75Not available in this settingRVU14B
2014-01-01$246.75Not available in this settingRVU14A
2013-10-01$382.46Not available in this settingRVU13D
2013-07-01$382.46Not available in this settingRVU13C
2013-04-01$382.46Not available in this settingRVU13B
2013-01-01$382.46Not available in this settingRVU13AR

Price 72148 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

72148 billing questions

When should 72158 be reported instead of 72148?

Use 72158 when the lumbar MRI includes sequences both before and after contrast administration. Use 72148 when the lumbar study is performed without contrast.

Can 72148 and 72149 be billed together for the same session?

No. A lumbar study with noncontrast and post-contrast sequences is reported with the single combined code 72158, not by pairing the two individual codes.

Which modifier does a radiologist reading a hospital study use?

The radiologist reports 72148 with modifier 26 for interpretation alone; modifier TC identifies the equipment and staff portion. An entity providing both portions reports the global service without either modifier.

How is billing handled when the thoracic and lumbar spine are scanned together?

If both regions are scanned without contrast, report 72146 for the thoracic spine and 72148 for the lumbar spine. For eligible same-day studies, Medicare’s diagnostic imaging multiple procedure reduction affects the professional and technical components of the lower-valued service.

Does a postoperative lumbar spine evaluation still use 72148?

Yes, if the lumbar MRI is performed without contrast. When the study includes both noncontrast and post-contrast images, as may be done to distinguish scar from recurrent disc, report 72158.

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 72148PPRRVU2026_Oct_nonQPP.csv, line 8,024 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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