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.

CMS RVU26DEffective Oct 1, 2026One payment locality99.3K Medicare services in 2024

In South Dakota, Medicare pays $225.46 for 72195 in the office.

$225.46Office (non-facility)
Not available in this settingHospital or facility
−0.9%vs the national office rate ($227.46)

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.

We’ll open 72195 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 72195 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 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.

72195 in South Dakota vs other payment areas
  1. South Dakota · this page$225.46
  2. Los Angeles, CA · California$260.79+$35.33
  3. Washington, DC area · District of Columbia$261.87+$36.41
  4. Miami, FL · Florida$239.31+$13.85
  5. Chicago, IL · Illinois$232.57+$7.11
  6. Manhattan, NY · New York$260.94+$35.48
  7. Alaska · Alaska$261.33+$35.87

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

Every other payment area

72195 in every other Medicare payment locality
Payment localityOfficeFacility
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—

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
72195 office rate range by state
State / territoryOffice rate rangeLocalities
AK$261.331
AL$204.031
AR$201.041
AZ$221.541
CA$243.87–$309.5329
CO$238.701
CT$242.671
DC$261.871
DE$225.271
FL$221.18–$239.313
GA$208.92–$231.042
GU$250.451
HI$250.451
IA$210.601
ID$211.711
IL$213.75–$234.894
IN$212.991
KS$208.971
KY$207.551
LA$206.98–$217.422
MA$236.99–$263.422
MD$229.81–$261.873
ME$212.16–$224.762
MI$212.45–$223.332
MN$230.481
MO$202.95–$218.973
MS$202.071
MT$227.451
NC$214.511
ND$225.671
NE$211.961
NH$234.341
NJ$245.94–$258.982
NM$213.371
NV$227.141
NY$217.72–$266.535
OH$212.081
OK$207.851
OR$225.86–$247.102
PA$212.78–$236.152
PR$229.361
RI$233.881
SC$213.561
SD$225.461
TN$209.961
TX$211.31–$237.488
UT$216.531
VA$223.57–$261.872
VI$229.361
VT$224.201
WA$236.74–$269.472
WI$217.941
WV$205.571
WY$226.681

See 72195 in every payment locality

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

Office or facility?

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
Office calculation for 72195 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0001.4200
Practice expense5.30× 1.0005.3000
Malpractice0.09× 0.3360.0302
Total RVUs6.7502
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

Open 72195 in the RVU calculator

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

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

72195 without 26 · national office

$227.46

Pelvic MRI, without contrast

72195-26 · Professional component

$66.80

Pays only the interpretation and report.

When to use modifier 26

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.

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

    $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.

  2. 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.

  3. March 9, 2024

    RVU24AR

    $229.48changed to$233.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. 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
  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. January 1, 2019

    RVU19A

    No ratechanged to$272.64

    Held through RVU19B, RVU19C, RVU19D.

  10. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$225.46Not available in this settingRVU26D
2026-07-01$225.46Not available in this settingRVU26C
2026-04-01$225.46Not available in this settingRVU26B
2026-01-01$225.46Not available in this settingRVU26A
2025-10-01$222.69Not available in this settingRVU25D
2025-07-01$222.69Not available in this settingRVU25C
2025-04-01$222.69Not available in this settingRVU25B
2025-01-01$222.69Not available in this settingRVU25A
2024-10-01$233.29Not available in this settingRVU24D
2024-07-01$233.29Not available in this settingRVU24C
2024-04-01$233.29Not available in this settingRVU24B
2024-03-09$233.29Not available in this settingRVU24AR
2024-01-01$229.48Not available in this settingRVU24A
2023-10-01$240.82Not available in this settingRVU23D
2023-07-01$240.82Not available in this settingRVU23C
2023-04-01$240.82Not available in this settingRVU23B
2023-01-01$240.82Not available in this settingRVU23A
2022-10-01$248.98Not available in this settingRVU22D
2022-07-01$248.98Not available in this settingRVU22C
2022-04-01$248.98Not available in this settingRVU22B
2022-01-01$248.98Not available in this settingRVU22A
2021-10-01$261.97Not available in this settingRVU21D
2021-07-01$261.97Not available in this settingRVU21C
2021-04-01$261.97Not available in this settingRVU21B
2021-01-01$261.97Not available in this settingRVU21A
2020-10-01$268.03Not available in this settingRVU20D
2020-07-01$268.03Not available in this settingRVU20C
2020-04-01$268.03Not available in this settingRVU20B
2020-01-01$268.03Not available in this settingRVU20A
2019-10-01$272.64Not available in this settingRVU19D
2019-07-01$272.64Not available in this settingRVU19C
2019-04-01$272.64Not available in this settingRVU19B
2019-01-01$272.64Not 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
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 72195 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

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
RVUs for 72195PPRRVU2026_Oct_nonQPP.csv, line 8,060 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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