$45.74–$57.94
71110 is for bilateral rib imaging with fewer views. Select 71111 when the study includes a chest view and at least four views are obtained.
On this page
CMS RVU26D · Effective 2026-10-01
71111 Rib X-ray Medicare reimbursement rates in California
Reports bilateral rib radiography with a chest view when evaluating focal rib pain, suspected fracture, or injury and at least four views are obtained. Compare 71111 office and facility rates across CMS payment localities in California.
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 71111 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$55.00–$69.83
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $14.83 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.
Where 71111 pays more and less in California
29 payment localities
$55.00 to $69.83
Radiology
About 71111: Bilateral rib radiographs with chest view
Reports bilateral rib radiography with a chest view when evaluating focal rib pain, suspected fracture, or injury and at least four views are obtained.
This examination uses X-rays to assess both sides of the rib cage and includes a chest view, with four or more views obtained. It is commonly ordered for focal rib pain or chest-wall injury, including after trauma, when the clinician needs to assess the ribs on both sides. A radiologic technologist performs the imaging, and a radiologist or other qualified physician interprets the images in settings such as an emergency department, outpatient imaging center, or physician office.
Choose this code when the study covers both sides and includes the chest view with at least four views; a unilateral study or a bilateral study with fewer views belongs to a different code. The order and imaging record should support the clinical indication, bilateral examination, and views performed. The global service includes both image acquisition and interpretation. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service. The code is priced for bilateral imaging, so modifier 50 does not increase payment.
CMS billing rules for 71111
- 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.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.31 · 20%
- Practice expense (office) RVU1.20 · 78%
- Malpractice RVU0.03 · 2%
28.7K
Medicare services in 2024 · #988 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.
71111 compared with similar codes
Office rates for California, from the same CMS release.
$44.51–$56.41
71101 covers a unilateral rib study with chest imaging; 71111 is for bilateral rib imaging with the required view count.
$35.31–$44.75
71046 is a chest examination rather than dedicated bilateral rib imaging. Choose 71111 when both rib cages are specifically imaged along with a chest view.
Compare 71111 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $55.09 | Facility Unavailable |
| Chico | Office $55.00 | Facility Unavailable |
| El Centro | Office $55.00 | Facility Unavailable |
| Fresno | Office $55.00 | Facility Unavailable |
| Hanford-Corcoran | Office $55.00 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $58.86 | Facility Unavailable |
| Madera | Office $55.00 | Facility Unavailable |
| Merced | Office $55.00 | Facility Unavailable |
| Modesto | Office $55.00 | Facility Unavailable |
| Napa | Office $64.34 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $58.64 | Facility Unavailable |
| Redding | Office $55.00 | Facility Unavailable |
| Rest Of California | Office $55.00 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $55.32 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $57.88 | Facility Unavailable |
| Salinas | Office $57.67 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $59.14 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $68.31 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $68.28 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $69.83 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $69.69 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $56.72 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $59.81 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $57.92 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $60.42 | Facility Unavailable |
| Stockton | Office $55.00 | Facility Unavailable |
| Vallejo | Office $64.29 | Facility Unavailable |
| Visalia | Office $55.00 | Facility Unavailable |
| Yuba City | Office $55.00 | Facility Unavailable |
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71111 billing questions
When is this code preferable to 71110?
Use this code for bilateral rib imaging that includes a chest view and has at least four views. Code 71110 describes a bilateral rib study with fewer views.
Can a separate chest X-ray be billed for the included chest view?
The chest view is part of this rib examination. Do not report a separate chest study for the same view; a separately performed study must represent distinct imaging.
Which modifiers identify the professional and technical services?
Use modifier 26 for the physician's interpretation and modifier TC for the equipment and staff service. Without either modifier, the claim represents the global service.
Should modifier 50 be appended?
The code is already priced for bilateral imaging, and modifier 50 does not increase payment.
What documentation supports selecting this code?
The record should show the clinical reason for imaging, examination of both sides, inclusion of the chest view, and the number of views obtained.
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.
7,89871110,,X-ray exam ribs bil 3 views,A,,0.28,0.98,,0.98,NA,0.02,1.28,1.28,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,3.27,3.27,0.05
7,89971110,26,X-ray exam ribs bil 3 views,A,,0.28,0.11,,0.11,,0.01,0.40,0.40,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,90071110,TC,X-ray exam ribs bil 3 views,A,,0.00,0.87,,0.87,NA,0.01,0.88,0.88,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,01,0,99,3.16,3.16,0.04
7,90171111,,X-ray exam ribs/chest4/> vws,A,,0.31,1.20,,1.20,NA,0.03,1.54,1.54,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,3.29,3.29,0.05
7,90271111,26,X-ray exam ribs/chest4/> vws,A,,0.31,0.12,,0.12,,0.02,0.45,0.45,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,90371111,TC,X-ray exam ribs/chest4/> vws,A,,0.00,1.08,,1.08,NA,0.01,1.09,1.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
7,90471120,,X-ray exam breastbone 2/>vws,A,,0.20,0.77,,0.77,NA,0.02,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.05