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CMS RVU26D · Effective 2026-10-01

72080 Spine X-ray Medicare reimbursement rates

Reports standing X-rays of the thoracolumbar spine, typically obtained to assess spinal alignment or scoliosis across the thoracic and lumbar junction. Compare 72080 office and facility rates across CMS payment localities.

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

What does Medicare pay for 72080?

The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.

Office / nonfacility

$30.84–$47.75

109 of 109 localities have a supported rate.

Lowest: Arkansas

Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

A spread of $16.91 per service.

Facility setting

No supported rate

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 72080 in your payment locality →

Where 72080 pays more and less

109 payment localities

$30.84 to $47.75

$30.84$39.30$47.75
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Radiology

About 72080: Standing thoracolumbar spine radiographs

Reports standing X-rays of the thoracolumbar spine, typically obtained to assess spinal alignment or scoliosis across the thoracic and lumbar junction.

This exam captures standing radiographs of the thoracolumbar spine, generally in two or three views, to show alignment across the junction of the thoracic and lumbar regions. It is commonly ordered when a clinician is evaluating scoliosis or another alignment concern involving that area. A radiologic technologist obtains the images in an office or imaging facility; a qualified practitioner interprets them.

Select this code when the documented exam covers the thoracolumbar region and the images meet the code’s view count. The order and imaging report should support the anatomy examined, standing technique, number of views, and clinical reason, such as scoliosis assessment. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff service, and billing without either modifier represents the global service.

CMS billing rules for 72080

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.20 · 19%
  • Practice expense (office) RVU0.83 · 79%
  • Malpractice RVU0.02 · 2%

47.2K

Medicare services in 2024 · #803 by national volume

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.

72080 compared with similar codes

Office rate ranges across all CMS payment localities, from the same CMS release.

72070

Thoracic spine X-ray

Two views

$29.12–$44.86

72070 is a two-view thoracic-spine exam. Choose 72080 when standing images cover the thoracolumbar region.

72074

Thoracic spine X-ray

Four or more views

$38.77–$60.31

72074 describes four or more views of the thoracic spine. It does not represent the thoracolumbar standing exam described by 72080.

72082

Spine X-ray

Entire spine, 2–3 views

$62.75–$99.32

72082 covers the entire spine in two or three views; 72080 is limited to the thoracolumbar region.

See how rates vary across the country

72080 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$30.84

$42.64

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$39.911
AL$31.321
AR$30.841
AZ$34.121
CA$37.54–$47.7529
CO$36.781
CT$37.481
DC$40.441
DE$34.701
FL$34.19–$37.233
GA$32.21–$35.672
GU$38.591
HI$38.591
IA$32.311
ID$32.501
IL$33.04–$36.384
IN$32.701
KS$32.081
KY$31.941
LA$31.85–$33.532
MA$36.51–$40.652
MD$35.42–$40.443
ME$32.60–$34.572
MI$32.75–$34.562
MN$35.401
MO$31.23–$33.743
MS$31.041
MT$35.071
NC$32.971
ND$34.671
NE$32.521
NH$36.121
NJ$37.95–$39.972
NM$32.901
NV$34.991
NY$33.49–$41.315
OH$32.661
OK$31.961
OR$34.76–$38.082
PA$32.76–$36.462
PR$35.371
RI$36.041
SC$32.861
SD$34.631
TN$32.241
TX$32.53–$36.628
UT$33.341
VA$34.40–$40.442
VI$35.371
VT$34.461
WA$36.47–$41.582
WI$33.441
WV$31.731
WY$34.901

Compare 72080 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

109 of 109 payment localities

72080 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama

Office

$31.32

Facility

Unavailable
Alaska*

Office

$39.91

Facility

Unavailable
Arizona

Office

$34.12

Facility

Unavailable
Arkansas

Office

$30.84

Facility

Unavailable
Atlanta

Office

$35.67

Facility

Unavailable
Austin

Office

$36.62

Facility

Unavailable
Bakersfield

Office

$37.60

Facility

Unavailable
Baltimore/Surr. Cntys

Office

$37.36

Facility

Unavailable
Beaumont

Office

$32.53

Facility

Unavailable
Brazoria

Office

$34.73

Facility

Unavailable
Chicago

Office

$36.12

Facility

Unavailable
Chico

Office

$37.54

Facility

Unavailable
Colorado

Office

$36.78

Facility

Unavailable
Connecticut

Office

$37.48

Facility

Unavailable
Dallas

Office

$34.93

Facility

Unavailable
Dc + Md/Va Suburbs

Office

$40.44

Facility

Unavailable
Delaware

Office

$34.70

Facility

Unavailable
Detroit

Office

$34.56

Facility

Unavailable
East St. Louis

Office

$33.53

Facility

Unavailable
El Centro

Office

$37.54

Facility

Unavailable
Fort Lauderdale

Office

$35.97

Facility

Unavailable
Fort Worth

Office

$34.66

Facility

Unavailable
Fresno

Office

$37.54

Facility

Unavailable
Galveston

Office

$34.82

Facility

Unavailable
Hanford-Corcoran

Office

$37.54

Facility

Unavailable
Hawaii, Guam

Office

$38.59

Facility

Unavailable
Houston

Office

$35.18

Facility

Unavailable
Idaho

Office

$32.50

Facility

Unavailable
Indiana

Office

$32.70

Facility

Unavailable
Iowa

Office

$32.31

Facility

Unavailable
Kansas

Office

$32.08

Facility

Unavailable
Kentucky

Office

$31.94

Facility

Unavailable
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

Office

$40.19

Facility

Unavailable
Madera

Office

$37.54

Facility

Unavailable
Manhattan

Office

$40.38

Facility

Unavailable
Merced

Office

$37.54

Facility

Unavailable
Metropolitan Boston

Office

$40.65

Facility

Unavailable
Metropolitan Kansas City

Office

$33.36

Facility

Unavailable
Metropolitan Philadelphia

Office

$36.46

Facility

Unavailable
Metropolitan St. Louis

Office

$33.74

Facility

Unavailable
Miami

Office

$37.23

Facility

Unavailable
Minnesota

Office

$35.40

Facility

Unavailable
Mississippi

Office

$31.04

Facility

Unavailable
Modesto

Office

$37.54

Facility

Unavailable
Montana**

Office

$35.07

Facility

Unavailable
Napa

Office

$43.98

Facility

Unavailable
Nebraska

Office

$32.52

Facility

Unavailable
Nevada**

Office

$34.99

Facility

Unavailable
New Hampshire

Office

$36.12

Facility

Unavailable
New Mexico

Office

$32.90

Facility

Unavailable
New Orleans

Office

$33.53

Facility

Unavailable
North Carolina

Office

$32.97

Facility

Unavailable
North Dakota**

Office

$34.67

Facility

Unavailable
Northern Nj

Office

$39.97

Facility

Unavailable
Nyc Suburbs/Long Island

Office

$41.31

Facility

Unavailable
Ohio

Office

$32.66

Facility

Unavailable
Oklahoma

Office

$31.96

Facility

Unavailable
Oxnard-Thousand Oaks-Ventura

Office

$40.05

Facility

Unavailable
Portland

Office

$38.08

Facility

Unavailable
Poughkpsie/N Nyc Suburbs

Office

$38.15

Facility

Unavailable
Puerto Rico

Office

$35.37

Facility

Unavailable
Queens

Office

$40.84

Facility

Unavailable
Redding

Office

$37.54

Facility

Unavailable
Rest Of California

Office

$37.54

Facility

Unavailable
Rest Of Florida

Office

$34.19

Facility

Unavailable
Rest Of Georgia

Office

$32.21

Facility

Unavailable
Rest Of Illinois

Office

$33.04

Facility

Unavailable
Rest Of Louisiana

Office

$31.85

Facility

Unavailable
Rest Of Maine

Office

$32.60

Facility

Unavailable
Rest Of Maryland

Office

$35.42

Facility

Unavailable
Rest Of Massachusetts

Office

$36.51

Facility

Unavailable
Rest Of Michigan

Office

$32.75

Facility

Unavailable
Rest Of Missouri

Office

$31.23

Facility

Unavailable
Rest Of New Jersey

Office

$37.95

Facility

Unavailable
Rest Of New York

Office

$33.49

Facility

Unavailable
Rest Of Oregon

Office

$34.76

Facility

Unavailable
Rest Of Pennsylvania

Office

$32.76

Facility

Unavailable
Rest Of Texas

Office

$33.59

Facility

Unavailable
Rest Of Washington

Office

$36.47

Facility

Unavailable
Rhode Island

Office

$36.04

Facility

Unavailable
Riverside-San Bernardino-Ontario

Office

$37.75

Facility

Unavailable
Sacramento-Roseville-Folsom

Office

$39.52

Facility

Unavailable
Salinas

Office

$39.38

Facility

Unavailable
San Diego-Chula Vista-Carlsbad

Office

$40.40

Facility

Unavailable
San Francisco-Oakland-Berkeley (Marin Cnty)

Office

$46.71

Facility

Unavailable
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

Office

$46.69

Facility

Unavailable
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

Office

$47.75

Facility

Unavailable
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

Office

$47.66

Facility

Unavailable
San Luis Obispo-Paso Robles

Office

$38.73

Facility

Unavailable
Santa Cruz-Watsonville

Office

$40.86

Facility

Unavailable
Santa Maria-Santa Barbara

Office

$39.55

Facility

Unavailable
Santa Rosa-Petaluma

Office

$41.28

Facility

Unavailable
Seattle (King Cnty)

Office

$41.58

Facility

Unavailable
South Carolina

Office

$32.86

Facility

Unavailable
South Dakota**

Office

$34.63

Facility

Unavailable
Southern Maine

Office

$34.57

Facility

Unavailable
Stockton

Office

$37.54

Facility

Unavailable
Suburban Chicago

Office

$36.38

Facility

Unavailable
Tennessee

Office

$32.24

Facility

Unavailable
Utah

Office

$33.34

Facility

Unavailable
Vallejo

Office

$43.95

Facility

Unavailable
Vermont

Office

$34.46

Facility

Unavailable
Virgin Islands

Office

$35.37

Facility

Unavailable
Virginia

Office

$34.40

Facility

Unavailable
Visalia

Office

$37.54

Facility

Unavailable
West Virginia

Office

$31.73

Facility

Unavailable
Wisconsin

Office

$33.44

Facility

Unavailable
Wyoming**

Office

$34.90

Facility

Unavailable
Yuba City

Office

$37.54

Facility

Unavailable

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72080 billing questions

How does this differ from a whole-spine scoliosis exam?

This code is for standing imaging of the thoracolumbar region. Use a whole-spine code, such as 72082, when the exam covers the entire spine.

Which view count belongs to this code?

The code describes a standing thoracolumbar exam with two or three views. Check the imaging record for the documented views and anatomic coverage.

Can the professional and technical services be billed separately?

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

What documentation supports reporting this exam?

The order and report should identify the thoracolumbar coverage, standing technique, views obtained, and reason for imaging, such as evaluation of spinal alignment or scoliosis.

Should each image or view be billed as a separate service?

No. Report the exam as one service using the code that matches its anatomic coverage and view count, rather than billing each view separately.

When is a thoracic-spine code more appropriate?

Choose a thoracic-spine code when the documented exam is limited to the thoracic spine. This code is for imaging that covers the thoracolumbar region.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 72080PPRRVU2026_Oct_nonQPP.csv, line 7,958 (RVU26D)