# CPT 72133: CT lumbar spine, without then with contrast

Medicare CPT 72133 pays $196.73 in a non-facility setting and $196.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $173.80 in Arkansas to $226.42 in District of Columbia, a 30% spread.

Web page: https://www.med-reveal.com/rates/72133-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Pain Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $196.73 |
| National facility | $196.73 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $226.42 | $226.42 |
| Alaska | $225.99 | $225.99 |
| California | $224.75 | $224.75 |
| Washington | $218.73 | $218.73 |
| New Jersey | $218.30 | $218.30 |
| New York | $217.38 | $217.38 |
| Hawaii | $216.33 | $216.33 |
| Massachusetts | $216.26 | $216.26 |
| Connecticut | $209.92 | $209.92 |
| Colorado | $206.32 | $206.32 |
| Oregon | $204.38 | $204.38 |
| Maryland | $203.98 | $203.98 |
| New Hampshire | $202.60 | $202.60 |
| Rhode Island | $202.22 | $202.22 |
| Florida | $200.08 | $200.08 |
| Minnesota | $199.03 | $199.03 |
| Puerto Rico | $198.36 | $198.36 |
| Virgin Islands | $198.36 | $198.36 |
| Montana | $196.73 | $196.73 |
| Nevada | $196.38 | $196.38 |
| Wyoming | $195.95 | $195.95 |
| North Dakota | $194.95 | $194.95 |
| Delaware | $194.81 | $194.81 |
| South Dakota | $194.74 | $194.74 |
| Illinois | $194.47 | $194.47 |
| Texas | $194.39 | $194.39 |
| Pennsylvania | $194.19 | $194.19 |
| Vermont | $193.72 | $193.72 |
| Virginia | $193.26 | $193.26 |
| Arizona | $191.58 | $191.58 |
| Georgia | $190.38 | $190.38 |
| Maine | $188.83 | $188.83 |
| Michigan | $188.67 | $188.67 |
| Wisconsin | $188.25 | $188.25 |
| Utah | $187.29 | $187.29 |
| North Carolina | $185.44 | $185.44 |
| South Carolina | $184.70 | $184.70 |
| New Mexico | $184.69 | $184.69 |
| Missouri | $184.14 | $184.14 |
| Indiana | $184.07 | $184.07 |
| Louisiana | $183.62 | $183.62 |
| Ohio | $183.50 | $183.50 |
| Nebraska | $183.13 | $183.13 |
| Idaho | $182.96 | $182.96 |
| Iowa | $181.97 | $181.97 |
| Tennessee | $181.48 | $181.48 |
| Kansas | $180.62 | $180.62 |
| Oklahoma | $179.76 | $179.76 |
| Kentucky | $179.57 | $179.57 |
| West Virginia | $178.07 | $178.07 |
| Alabama | $176.39 | $176.39 |
| Mississippi | $174.78 | $174.78 |
| Arkansas | $173.80 | $173.80 |

## 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 72133 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