CPT code 72196: MRI pelvis, contrast only2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $265.55 for 72196 in the office.

Check a contract rate as a % of Medicare · 72196 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 72196 covers

This service covers MRI imaging of the pelvis performed with contrast, commonly a gadolinium-based agent. A radiologic technologist acquires the images in a hospital or outpatient imaging center, and a radiologist interprets them. Pelvic MRI may be ordered to assess a mass, characterize soft-tissue findings, or evaluate suspected infection when contrast-enhanced imaging is requested. The documented examination must support the pelvic region and use of contrast.

Choose this code for a contrast-only examination, rather than a study that includes imaging both before and after contrast. The imaging report and order should identify the pelvic anatomy, contrast use, and findings. The service may be billed globally, or the interpretation and imaging equipment and staff portions may be billed separately with modifiers 26 and TC. When multiple diagnostic imaging services are performed, the CMS 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 72196

Across 109 of 109 payment localities, the office rate for 72196 runs from $236.97 in Arkansas to $364.39 in San Benito County, CA. South Dakota pays $265.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

72196 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 72196 in every payment locality

How the 72196 rate is calculated

Each of 72196’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.

Payment rules and modifiers for 72196

The CMS indicators that decide how 72196 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 72196

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 72196 has changed in South Dakota

Price 72196 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

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

Open CMS sourceHow we calculate rates