# CPT 72131: CT lumbar spine, without contrast

Medicare 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.

Web page: https://www.med-reveal.com/rates/72131-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $129.93 |
| National facility | $129.93 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| 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 | $126.08 | $126.08 |
| 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 |

## Related codes

- 70450: CT head/brain, without contrast — https://www.med-reveal.com/rates/70450-cpt-fee-schedule
- 70460: CT head/brain, with contrast — https://www.med-reveal.com/rates/70460-cpt-fee-schedule
- 70470: CT head/brain, without then with contrast — https://www.med-reveal.com/rates/70470-cpt-fee-schedule
- 70480: CT orbit/sella/posterior fossa, without contrast — https://www.med-reveal.com/rates/70480-cpt-fee-schedule
- 70486: CT maxillofacial, without contrast — https://www.med-reveal.com/rates/70486-cpt-fee-schedule
- 70487: CT maxillofacial, with contrast — https://www.med-reveal.com/rates/70487-cpt-fee-schedule
- 70490: CT soft tissue neck, without contrast — https://www.med-reveal.com/rates/70490-cpt-fee-schedule
- 70491: CT soft tissue neck, with contrast — https://www.med-reveal.com/rates/70491-cpt-fee-schedule

Commercial negotiated rates for 72131 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules