CPT code 72202: SI joint X-ray, three or more views2026 Medicare rate & RVUs in Minnesota

Reports radiographic evaluation of the sacroiliac joints when the examination includes at least three views, such as for suspected joint inflammation or structural change.

CMS RVU26DEffective Oct 1, 2026One payment locality44.8K Medicare services in 2024

In Minnesota, Medicare pays $39.17 for 72202 in the office.

$39.17Office (non-facility)
Not available in this settingHospital or facility
+1.1%vs the national office rate ($38.75)

Check a contract rate as a % of Medicare · 72202 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 72202 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 72202 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 72202 covers

This examination uses X-rays to assess the sacroiliac joints, where the sacrum meets the ilium. Clinicians may order it when evaluating persistent low-back or buttock pain, suspected sacroiliitis, or changes associated with inflammatory disease. A radiologic technologist obtains the images in an outpatient imaging center, hospital department, or office with radiography equipment; a physician, commonly a radiologist, interprets the study and documents the findings.

Select this code when the documented examination contains three or more views of the sacroiliac joints. The report and image record should support the anatomy examined and the number of views; do not select it based only on the suspected diagnosis. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier when billing the global service. The professional and technical portions may be separately priced.

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 Minnesota compares for 72202

Across 109 of 109 payment localities, the office rate for 72202 runs from $34.09 in Arkansas to $52.83 in San Benito County, CA. Minnesota pays $39.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

72202 in Minnesota vs other payment areas
  1. Minnesota · this page$39.17
  2. Los Angeles, CA · California$44.45+$5.28
  3. Washington, DC area · District of Columbia$44.69+$5.52
  4. Miami, FL · Florida$41.03+$1.86
  5. Chicago, IL · Illinois$39.82+$0.65
  6. Manhattan, NY · New York$44.58+$5.41
  7. Alaska · Alaska$44.12+$4.95

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

Every other payment area

72202 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$34.61—
ArkansasArkansas$34.09—
ArizonaArizona$37.70—
Bakersfield, CACalifornia$41.57—
Chico, CACalifornia$41.51—
El Centro, CACalifornia$41.51—
Fresno, CACalifornia$41.51—
Hanford, CACalifornia$41.51—

72202 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.

$34.09

$47.17

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

View every state and territory as a table
72202 office rate range by state
State / territoryOffice rate rangeLocalities
AK$44.121
AL$34.611
AR$34.091
AZ$37.701
CA$41.51–$52.8329
CO$40.651
CT$41.401
DC$44.691
DE$38.351
FL$37.73–$41.033
GA$35.55–$39.392
GU$42.671
HI$42.671
IA$35.731
ID$35.931
IL$36.45–$40.144
IN$36.161
KS$35.461
KY$35.281
LA$35.18–$37.022
MA$40.36–$44.932
MD$39.13–$44.693
ME$36.03–$38.222
MI$36.16–$38.132
MN$39.171
MO$34.49–$37.273
MS$34.301
MT$38.741
NC$36.451
ND$38.351
NE$35.961
NH$39.921
NJ$41.93–$44.172
NM$36.331
NV$38.661
NY$37.01–$45.605
OH$36.081
OK$35.311
OR$38.42–$42.102
PA$36.19–$40.272
PR$39.071
RI$39.831
SC$36.311
SD$38.301
TN$35.641
TX$35.93–$40.478
UT$36.831
VA$38.03–$44.692
VI$39.071
VT$38.111
WA$40.31–$45.972
WI$36.991
WV$35.011
WY$38.571

See 72202 in every payment locality

How the 72202 rate is calculated

Each of 72202’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 · 72202

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.22

0.22 RVUs× 1.000 GPCI

Practice expense0.92

0.92 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.1600

Conversion factor

$33.4009

Medicare rate

$38.75

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,075

Code
72202
Physician work
0.22
Practice expense
0.92
Malpractice
0.02

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 72202 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.22× 1.0000.2200
Practice expense0.92× 1.0290.9467
Malpractice0.02× 0.2960.0059
Total RVUs1.1726
Conversion factor× 33.4009

Office rate, Minnesota$39.17

Office: (0.22 × 1 + 0.92 × 1.029 + 0.02 × 0.296) × $33.4009 = $39.17

Open 72202 in the RVU calculator

Payment rules and modifiers for 72202

The CMS indicators that decide how 72202 is paid alongside other services.

CMS payment indicators · 72202

SI joint X-ray, three or more views

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
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

72202 without 26 · national office

$38.75

SI joint X-ray, three or more views

72202-26 · Professional component

$10.35

Pays only the interpretation and report.

When to use modifier 26

How 72202 has changed in Minnesota

72202 · Office / nonfacility

$39.17

Effective 2026-10-01

The base rate is $0.70 higher than on 2025-10-01, moving from $38.47 to $39.17 (1.8%).

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

    $38.47changed to$39.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.23 changed to 0.22
    • Practice expense RVU 0.93 changed to 0.92
    • Practice expense GPCI 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $39.59changed to$38.47

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $38.94changed to$39.59

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $40.13changed to$38.94

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300
  5. January 1, 2023

    RVU23A

    $40.46changed to$40.13

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.92 changed to 0.93
    • Practice expense GPCI 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $39.73changed to$40.46

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.89 changed to 0.92

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $38.51changed to$39.73

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.82 changed to 0.89
    • Practice expense GPCI 1.012 changed to 1.013
    • Malpractice GPCI 0.357 changed to 0.353

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $35.16changed to$38.51

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 0.19 changed to 0.23
    • Practice expense RVU 0.77 changed to 0.82
    • Practice expense GPCI 1.011 changed to 1.012
    • Malpractice GPCI 0.362 changed to 0.357

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $33.31changed to$35.16

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.72 changed to 0.77

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $33.32changed to$33.31

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.016 changed to 1.011
    • Malpractice GPCI 0.341 changed to 0.362

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $32.96changed to$33.32

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.71 changed to 0.72
    • Practice expense GPCI 1.020 changed to 1.016
    • Malpractice GPCI 0.319 changed to 0.341

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $33.08changed to$32.96

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $32.92changed to$33.08

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $35.77changed to$32.92

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.79 changed to 0.71
    • Practice expense GPCI 1.016 changed to 1.020
    • Malpractice GPCI 0.301 changed to 0.319

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $35.58changed to$35.77

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.84 changed to 0.79
    • Practice expense GPCI 1.012 changed to 1.016
    • Malpractice GPCI 0.282 changed to 0.301

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$35.58

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$39.17Not available in this settingRVU26D
2026-07-01$39.17Not available in this settingRVU26C
2026-04-01$39.17Not available in this settingRVU26B
2026-01-01$39.17Not available in this settingRVU26A
2025-10-01$38.47Not available in this settingRVU25D
2025-07-01$38.47Not available in this settingRVU25C
2025-04-01$38.47Not available in this settingRVU25B
2025-01-01$38.47Not available in this settingRVU25A
2024-10-01$39.59Not available in this settingRVU24D
2024-07-01$39.59Not available in this settingRVU24C
2024-04-01$39.59Not available in this settingRVU24B
2024-03-09$39.59Not available in this settingRVU24AR
2024-01-01$38.94Not available in this settingRVU24A
2023-10-01$40.13Not available in this settingRVU23D
2023-07-01$40.13Not available in this settingRVU23C
2023-04-01$40.13Not available in this settingRVU23B
2023-01-01$40.13Not available in this settingRVU23A
2022-10-01$40.46Not available in this settingRVU22D
2022-07-01$40.46Not available in this settingRVU22C
2022-04-01$40.46Not available in this settingRVU22B
2022-01-01$40.46Not available in this settingRVU22A
2021-10-01$39.73Not available in this settingRVU21D
2021-07-01$39.73Not available in this settingRVU21C
2021-04-01$39.73Not available in this settingRVU21B
2021-01-01$39.73Not available in this settingRVU21A
2020-10-01$38.51Not available in this settingRVU20D
2020-07-01$38.51Not available in this settingRVU20C
2020-04-01$38.51Not available in this settingRVU20B
2020-01-01$38.51Not available in this settingRVU20A
2019-10-01$35.16Not available in this settingRVU19D
2019-07-01$35.16Not available in this settingRVU19C
2019-04-01$35.16Not available in this settingRVU19B
2019-01-01$35.16Not available in this settingRVU19A
2018-10-01$33.31Not available in this settingRVU18D
2018-07-01$33.31Not available in this settingRVU18C
2018-04-01$33.31Not available in this settingRVU18B
2018-01-01$33.31Not available in this settingRVU18AR1
2017-10-01$33.32Not available in this settingRVU17D
2017-07-01$33.32Not available in this settingRVU17C
2017-04-01$33.32Not available in this settingRVU17B
2017-01-01$33.32Not available in this settingRVU17A
2016-10-01$32.96Not available in this settingRVU16D
2016-07-01$32.96Not available in this settingRVU16C
2016-04-01$32.96Not available in this settingRVU16B
2016-01-01$32.96Not available in this settingRVU16A
2015-10-01$33.08Not available in this settingRVU15D
2015-07-01$33.08Not available in this settingRVU15C
2015-04-01$32.92Not available in this settingRVU15B
2015-01-01$32.92Not available in this settingRVU15A
2014-10-01$35.77Not available in this settingRVU14D
2014-07-01$35.77Not available in this settingRVU14C
2014-04-01$35.77Not available in this settingRVU14B
2014-01-01$35.77Not available in this settingRVU14A
2013-10-01$35.58Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 72202 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

72202 billing questions

How does this differ from 72200?

Choose 72202 when the sacroiliac joint examination includes three or more views. Code 72200 is for the lower view-count examination, so use the documented views to distinguish them.

Can the interpretation and imaging work be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Without either modifier, the claim represents the global service.

Is this reported once for each view?

Report the examination code once for the study, not once for every projection. The record should show that the study reached the three-view threshold.

What documentation supports 72202?

Keep the imaging report and record of the views obtained, showing that the sacroiliac joints were examined with at least three views. The interpretation should identify the findings for that study.

Should a sacrum or coccyx X-ray use 72202?

No. Code 72202 is for imaging the sacroiliac joints. Use 72220 when the separately performed examination targets the sacrum or coccyx.

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 72202PPRRVU2026_Oct_nonQPP.csv, line 8,075 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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