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CMS RVU26D · Effective 2026-10-01
72158 Medicare reimbursement rates in Idaho
Compare 72158 physician payment amounts across CMS localities, including office and facility settings.
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 72158 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$296.42
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
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.
CPT Category I
About 72158
CMS billing rules for 72158
- 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.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU2.23 · 23%
- Practice expense (office) RVU7.14 · 75%
- Malpractice RVU0.16 · 2%
222.2K
Medicare services in 2024 · #364 by national volume
Compare 72158 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.
1 of 1 payment localities
Idaho →
Office / nonfacility
$296.42
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 72158 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
8,036
- Code
- 72158
- Physician work
- 2.23
- Practice expense
- 7.14
- Malpractice
- 0.16
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.23 | × 1.000 | 2.2300 |
| Practice expense | 7.14 | × 0.920 | 6.5688 |
| Malpractice | 0.16 | × 0.473 | 0.0757 |
| Total RVUs | 8.8745 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$296.42
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.23 | 1 |
| Practice expense | 7.14 | 0.92 |
| Malpractice | 0.16 | 0.473 |
(2.23 × 1 + 7.14 × 0.92 + 0.16 × 0.473) × $33.4009 = $296.42
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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.