CPT 72131

Ct Lumbar Spine W/O Contrast Material

CPT 72131 pays $129.93 in a non-facility setting and $129.93 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $115.42 in Arkansas to $151.41 in Alaska, a 31% spread.

National non-facility rate

$129.93

Office and other outpatient settings

Facility rate
$129.93

Hospital and ASC settings

Highest state
$151.41

Alaska

Lowest state
$115.42

Arkansas · 31% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $129.93
CPT 72131 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $129.93, national facility $129.93.
StateRate compared visuallyNon-facilityFacility
Alaska
$151.41$151.41
District of Columbia
$148.85$148.85
California
$147.42$147.42
New Jersey
$143.76$143.76
Washington
$143.75$143.75
New York
$143.29$143.29
Massachusetts
$142.21$142.21
Hawaii
$141.94$141.94
Connecticut
$138.38$138.38
Colorado
$135.88$135.88
Oregon
$134.62$134.62
Maryland
$134.57$134.57
New Hampshire
$133.53$133.53
Rhode Island
$133.43$133.43
Florida
$132.46$132.46
Minnesota
$131.03$131.03
Puerto Rico
$130.94$130.94
Virgin Islands
$130.94$130.94
Montana
$129.92$129.92
Nevada
$129.63$129.63
Wyoming
$129.32$129.32
Illinois
$128.97$128.97
Delaware
$128.72$128.72
North Dakota
$128.54$128.54
Texas
$128.47$128.47
Pennsylvania
$128.44$128.44
South Dakota
$128.38$128.38
Vermont
$127.83$127.83
Virginia
$127.63$127.63
Arizona
$126.65$126.65
Georgia
$126.07$126.07
Michigan
$125.10$125.10
Maine
$124.84$124.84
Wisconsin
$124.33$124.33
Utah
$124.00$124.00
North Carolina
$122.73$122.73
New Mexico
$122.53$122.53
South Carolina
$122.37$122.37
Missouri
$122.08$122.08
Indiana
$121.80$121.80
Louisiana
$121.79$121.79
Ohio
$121.70$121.70
Nebraska
$121.17$121.17
Idaho
$121.11$121.11
Iowa
$120.46$120.46
Tennessee
$120.21$120.21
Kansas
$119.66$119.66
Oklahoma
$119.26$119.26
Kentucky
$119.20$119.20
West Virginia
$118.51$118.51
Alabama
$117.06$117.06
Mississippi
$116.13$116.13
Arkansas
$115.42$115.42

Billed by 1 specialties

Commercial rates for 72131

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates