CPT code 72195: Pelvic MRI, without contrast2026 Medicare rate & RVUs in South Dakota
MRI of the pelvis without contrast is reported for diagnostic evaluation of pelvic organs, soft tissues, or bones when the ordered imaging protocol uses no contrast.
In South Dakota, Medicare pays $225.46 for 72195 in the office.
Check a contract rate as a % of Medicare · 72195 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 72195 covers
This service uses magnetic resonance imaging to create diagnostic images of the pelvis without administered contrast. A technologist typically performs the scan in an imaging department or hospital, and a radiologist interprets the images. Common clinical questions include the evaluation of pelvic pain, a suspected pelvic mass, or other pelvic soft-tissue or bony findings when a noncontrast protocol is appropriate.
Select this code when the completed study covers the pelvis and is performed without contrast; use the documented imaging protocol to distinguish it from a study performed with contrast or both without and with contrast. The order and report should support the pelvic region examined and contrast status. The service may be billed globally, or the interpretation may be reported with modifier 26 and the equipment and staff service with modifier TC. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components.
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 72195
Across 109 of 109 payment localities, the office rate for 72195 runs from $201.04 in Arkansas to $309.53 in San Benito County, CA. South Dakota pays $225.46. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$225.46
- Los Angeles, CA · California$260.79+$35.33
- Washington, DC area · District of Columbia$261.87+$36.41
- Miami, FL · Florida$239.31+$13.85
- Chicago, IL · Illinois$232.57+$7.11
- Manhattan, NY · New York$260.94+$35.48
- Alaska · Alaska$261.33+$35.87
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $204.03 | — |
| ArkansasArkansas | $201.04 | — |
| ArizonaArizona | $221.54 | — |
| Bakersfield, CACalifornia | $244.18 | — |
| Chico, CACalifornia | $243.87 | — |
| El Centro, CACalifornia | $243.88 | — |
| Fresno, CACalifornia | $243.87 | — |
| Hanford, CACalifornia | $243.87 | — |
| Madera, CACalifornia | $243.87 | — |
| Merced, CACalifornia | $243.87 | — |
| Modesto, CACalifornia | $243.87 | — |
| Napa, CACalifornia | $285.26 | — |
| Oxnard, CACalifornia | $259.87 | — |
| Redding, CACalifornia | $243.87 | — |
| Rest of CaliforniaCalifornia | $243.87 | — |
| Riverside, CACalifornia | $244.87 | — |
| Sacramento, CACalifornia | $256.63 | — |
| Salinas, CACalifornia | $255.68 | — |
| San Diego, CACalifornia | $262.20 | — |
| Marin County, CACalifornia | $302.92 | — |
| San Francisco, CACalifornia | $302.82 | — |
| San Benito County, CACalifornia | $309.53 | — |
| Santa Clara County, CACalifornia | $309.11 | — |
| San Luis Obispo, CACalifornia | $251.48 | — |
| Santa Cruz, CACalifornia | $265.12 | — |
| Santa Maria, CACalifornia | $256.78 | — |
| Santa Rosa, CACalifornia | $267.85 | — |
| Stockton, CACalifornia | $243.87 | — |
| Vallejo, CACalifornia | $285.12 | — |
| Visalia, CACalifornia | $243.87 | — |
| Yuba City, CACalifornia | $243.87 | — |
| ColoradoColorado | $238.70 | — |
| ConnecticutConnecticut | $242.67 | — |
| DelawareDelaware | $225.27 | — |
| Fort Lauderdale, FLFlorida | $232.19 | — |
| Rest of FloridaFlorida | $221.18 | — |
| Atlanta, GAGeorgia | $231.04 | — |
| Rest of GeorgiaGeorgia | $208.92 | — |
| Hawaii, Guam, HIHawaii | $250.45 | — |
| IowaIowa | $210.60 | — |
| IdahoIdaho | $211.71 | — |
| East St. Louis, ILIllinois | $216.35 | — |
| Rest of IllinoisIllinois | $213.75 | — |
| Suburban Chicago, ILIllinois | $234.89 | — |
| IndianaIndiana | $212.99 | — |
| KansasKansas | $208.97 | — |
| KentuckyKentucky | $207.55 | — |
| New Orleans, LALouisiana | $217.42 | — |
| Rest of LouisianaLouisiana | $206.98 | — |
| Metropolitan Boston, MAMassachusetts | $263.42 | — |
| Rest of MassachusettsMassachusetts | $236.99 | — |
| Baltimore area, MDMaryland | $241.85 | — |
| Rest of MarylandMaryland | $229.81 | — |
| Rest of MaineMaine | $212.16 | — |
| Southern Maine, MEMaine | $224.76 | — |
| Detroit, MIMichigan | $223.33 | — |
| Rest of MichiganMichigan | $212.45 | — |
| MinnesotaMinnesota | $230.48 | — |
| Metropolitan Kansas City, MOMissouri | $216.59 | — |
| Metropolitan St. Louis, MOMissouri | $218.97 | — |
| Rest of MissouriMissouri | $202.95 | — |
| MississippiMississippi | $202.07 | — |
| MontanaMontana | $227.45 | — |
| North CarolinaNorth Carolina | $214.51 | — |
| North DakotaNorth Dakota | $225.67 | — |
| NebraskaNebraska | $211.96 | — |
| New HampshireNew Hampshire | $234.34 | — |
| Northern New JerseyNew Jersey | $258.98 | — |
| Rest of New JerseyNew Jersey | $245.94 | — |
| New MexicoNew Mexico | $213.37 | — |
| NevadaNevada | $227.14 | — |
| NYC suburbs and Long Island, NYNew York | $266.53 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $247.04 | — |
| Queens, NYNew York | $264.04 | — |
| Rest of New YorkNew York | $217.72 | — |
| OhioOhio | $212.08 | — |
| OklahomaOklahoma | $207.85 | — |
| Portland, OROregon | $247.10 | — |
| Rest of OregonOregon | $225.86 | — |
| Metropolitan Philadelphia, PAPennsylvania | $236.15 | — |
| Rest of PennsylvaniaPennsylvania | $212.78 | — |
| Puerto RicoPuerto Rico | $229.36 | — |
| Rhode IslandRhode Island | $233.88 | — |
| South CarolinaSouth Carolina | $213.56 | — |
| TennesseeTennessee | $209.96 | — |
| Austin, TXTexas | $237.48 | — |
| Beaumont, TXTexas | $211.31 | — |
| Brazoria, TXTexas | $225.59 | — |
| Dallas, TXTexas | $226.75 | — |
| Fort Worth, TXTexas | $225.02 | — |
| Galveston, TXTexas | $226.08 | — |
| Houston, TXTexas | $227.73 | — |
| Rest of TexasTexas | $218.14 | — |
| UtahUtah | $216.53 | — |
| VirginiaVirginia | $223.57 | — |
| Virgin Islands, VIUnited States Virgin Islands | $229.36 | — |
| VermontVermont | $224.20 | — |
| Rest of WashingtonWashington | $236.74 | — |
| King County, WAWashington | $269.47 | — |
| WisconsinWisconsin | $217.94 | — |
| West VirginiaWest Virginia | $205.57 | — |
| WyomingWyoming | $226.68 | — |
72195 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.
$201.04
$276.70
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 | $261.33 | 1 |
| AL | $204.03 | 1 |
| AR | $201.04 | 1 |
| AZ | $221.54 | 1 |
| CA | $243.87–$309.53 | 29 |
| CO | $238.70 | 1 |
| CT | $242.67 | 1 |
| DC | $261.87 | 1 |
| DE | $225.27 | 1 |
| FL | $221.18–$239.31 | 3 |
| GA | $208.92–$231.04 | 2 |
| GU | $250.45 | 1 |
| HI | $250.45 | 1 |
| IA | $210.60 | 1 |
| ID | $211.71 | 1 |
| IL | $213.75–$234.89 | 4 |
| IN | $212.99 | 1 |
| KS | $208.97 | 1 |
| KY | $207.55 | 1 |
| LA | $206.98–$217.42 | 2 |
| MA | $236.99–$263.42 | 2 |
| MD | $229.81–$261.87 | 3 |
| ME | $212.16–$224.76 | 2 |
| MI | $212.45–$223.33 | 2 |
| MN | $230.48 | 1 |
| MO | $202.95–$218.97 | 3 |
| MS | $202.07 | 1 |
| MT | $227.45 | 1 |
| NC | $214.51 | 1 |
| ND | $225.67 | 1 |
| NE | $211.96 | 1 |
| NH | $234.34 | 1 |
| NJ | $245.94–$258.98 | 2 |
| NM | $213.37 | 1 |
| NV | $227.14 | 1 |
| NY | $217.72–$266.53 | 5 |
| OH | $212.08 | 1 |
| OK | $207.85 | 1 |
| OR | $225.86–$247.10 | 2 |
| PA | $212.78–$236.15 | 2 |
| PR | $229.36 | 1 |
| RI | $233.88 | 1 |
| SC | $213.56 | 1 |
| SD | $225.46 | 1 |
| TN | $209.96 | 1 |
| TX | $211.31–$237.48 | 8 |
| UT | $216.53 | 1 |
| VA | $223.57–$261.87 | 2 |
| VI | $229.36 | 1 |
| VT | $224.20 | 1 |
| WA | $236.74–$269.47 | 2 |
| WI | $217.94 | 1 |
| WV | $205.57 | 1 |
| WY | $226.68 | 1 |
How the 72195 rate is calculated
Each of 72195’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 · 72195
RVUs × geographic indexes × conversion factor
Work1.42
1.42 RVUs× 1.000 GPCI
Practice expense5.30
5.30 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
6.8100
Conversion factor
$33.4009
Medicare rate
$227.46
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
8,060
- Code
- 72195
- Physician work
- 1.42
- Practice expense
- 5.30
- Malpractice
- 0.09
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.42 | × 1.000 | 1.4200 |
| Practice expense | 5.30 | × 1.000 | 5.3000 |
| Malpractice | 0.09 | × 0.336 | 0.0302 |
| Total RVUs | 6.7502 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$225.46
Office: (1.42 × 1 + 5.3 × 1 + 0.09 × 0.336) × $33.4009 = $225.46
Payment rules and modifiers for 72195
The CMS indicators that decide how 72195 is paid alongside other services.
CMS payment indicators · 72195
Pelvic MRI, 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
72195 without 26 · national office
$227.46
Pelvic MRI, without contrast
72195-26 · Professional component
$66.80
Pays only the interpretation and report.
How 72195 has changed in South Dakota
72195 · Office / nonfacility
$225.46
Effective 2026-10-01
The base rate is $2.77 higher than on 2025-10-01, moving from $222.69 to $225.46 (1.2%).
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
$222.69changed to$225.46
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.46 changed to 1.42
- Practice expense RVU 5.39 changed to 5.30
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$233.29changed to$222.69
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.51 changed to 5.39
- Malpractice RVU 0.10 changed to 0.09
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$229.48changed to$233.29
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$240.82changed to$229.48
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.61 changed to 5.51
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$248.98changed to$240.82
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.70 changed to 5.61
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$261.97changed to$248.98
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.02 changed to 5.70
- Malpractice RVU 0.08 changed to 0.10
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$268.03changed to$261.97
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.93 changed to 6.02
- Malpractice RVU 0.10 changed to 0.08
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$272.64changed to$268.03
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 6.07 changed to 5.93
- Malpractice RVU 0.09 changed to 0.10
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$272.64
Held through RVU19B, RVU19C, RVU19D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $225.46 | Not available in this setting | RVU26D |
| 2026-07-01 | $225.46 | Not available in this setting | RVU26C |
| 2026-04-01 | $225.46 | Not available in this setting | RVU26B |
| 2026-01-01 | $225.46 | Not available in this setting | RVU26A |
| 2025-10-01 | $222.69 | Not available in this setting | RVU25D |
| 2025-07-01 | $222.69 | Not available in this setting | RVU25C |
| 2025-04-01 | $222.69 | Not available in this setting | RVU25B |
| 2025-01-01 | $222.69 | Not available in this setting | RVU25A |
| 2024-10-01 | $233.29 | Not available in this setting | RVU24D |
| 2024-07-01 | $233.29 | Not available in this setting | RVU24C |
| 2024-04-01 | $233.29 | Not available in this setting | RVU24B |
| 2024-03-09 | $233.29 | Not available in this setting | RVU24AR |
| 2024-01-01 | $229.48 | Not available in this setting | RVU24A |
| 2023-10-01 | $240.82 | Not available in this setting | RVU23D |
| 2023-07-01 | $240.82 | Not available in this setting | RVU23C |
| 2023-04-01 | $240.82 | Not available in this setting | RVU23B |
| 2023-01-01 | $240.82 | Not available in this setting | RVU23A |
| 2022-10-01 | $248.98 | Not available in this setting | RVU22D |
| 2022-07-01 | $248.98 | Not available in this setting | RVU22C |
| 2022-04-01 | $248.98 | Not available in this setting | RVU22B |
| 2022-01-01 | $248.98 | Not available in this setting | RVU22A |
| 2021-10-01 | $261.97 | Not available in this setting | RVU21D |
| 2021-07-01 | $261.97 | Not available in this setting | RVU21C |
| 2021-04-01 | $261.97 | Not available in this setting | RVU21B |
| 2021-01-01 | $261.97 | Not available in this setting | RVU21A |
| 2020-10-01 | $268.03 | Not available in this setting | RVU20D |
| 2020-07-01 | $268.03 | Not available in this setting | RVU20C |
| 2020-04-01 | $268.03 | Not available in this setting | RVU20B |
| 2020-01-01 | $268.03 | Not available in this setting | RVU20A |
| 2019-10-01 | $272.64 | Not available in this setting | RVU19D |
| 2019-07-01 | $272.64 | Not available in this setting | RVU19C |
| 2019-04-01 | $272.64 | Not available in this setting | RVU19B |
| 2019-01-01 | $272.64 | 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 | Additional calculation required | Not available in this setting | RVU13D |
| 2013-07-01 | Additional calculation required | Not available in this setting | RVU13C |
| 2013-04-01 | Additional calculation required | Not available in this setting | RVU13B |
| 2013-01-01 | Additional calculation required | 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
72195 billing questions
How does this differ from 72196?
72195 describes a pelvic MRI performed without contrast. Use 72196 when contrast is administered for the study.
When is 72197 used instead?
72197 is for a pelvic MRI performed first without and then with contrast. Do not use 72195 for that combined protocol.
Can the interpretation and scan be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect only the technical service?
No. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components.
What documentation supports reporting 72195?
The imaging order and report should identify the pelvis as the region examined and show that the study was performed without contrast.
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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