# CPT 72142: MRI cervical spine, with contrast

Medicare CPT 72142 pays $273.89 in a non-facility setting and $273.89 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $241.86 in Arkansas to $315.13 in District of Columbia, a 30% spread.

Web page: https://www.med-reveal.com/rates/72142-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Pain Medicine, Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $273.89 |
| National facility | $273.89 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $315.13 | $315.13 |
| Alaska | $314.57 | $314.57 |
| California | $312.52 | $312.52 |
| Washington | $304.28 | $304.28 |
| New Jersey | $303.87 | $303.87 |
| New York | $302.72 | $302.72 |
| Massachusetts | $300.89 | $300.89 |
| Hawaii | $300.84 | $300.84 |
| Connecticut | $292.29 | $292.29 |
| Colorado | $287.07 | $287.07 |
| Oregon | $284.35 | $284.35 |
| Maryland | $283.98 | $283.98 |
| New Hampshire | $281.96 | $281.96 |
| Rhode Island | $281.45 | $281.45 |
| Florida | $279.02 | $279.02 |
| Minnesota | $276.72 | $276.72 |
| Puerto Rico | $276.14 | $276.14 |
| Virgin Islands | $276.14 | $276.14 |
| Montana | $273.88 | $273.88 |
| Nevada | $273.32 | $273.32 |
| Wyoming | $272.67 | $272.67 |
| Illinois | $271.23 | $271.23 |
| Delaware | $271.17 | $271.17 |
| North Dakota | $271.11 | $271.11 |
| South Dakota | $270.78 | $270.78 |
| Texas | $270.60 | $270.60 |
| Pennsylvania | $270.40 | $270.40 |
| Vermont | $269.47 | $269.47 |
| Virginia | $268.92 | $268.92 |
| Arizona | $266.67 | $266.67 |
| Georgia | $265.19 | $265.19 |
| Michigan | $262.92 | $262.92 |
| Maine | $262.75 | $262.75 |
| Wisconsin | $261.79 | $261.79 |
| Utah | $260.74 | $260.74 |
| North Carolina | $258.06 | $258.06 |
| New Mexico | $257.31 | $257.31 |
| South Carolina | $257.14 | $257.14 |
| Missouri | $256.43 | $256.43 |
| Indiana | $256.07 | $256.07 |
| Louisiana | $255.75 | $255.75 |
| Ohio | $255.56 | $255.56 |
| Nebraska | $254.72 | $254.72 |
| Idaho | $254.54 | $254.54 |
| Iowa | $253.12 | $253.12 |
| Tennessee | $252.51 | $252.51 |
| Kansas | $251.30 | $251.30 |
| Oklahoma | $250.26 | $250.26 |
| Kentucky | $250.06 | $250.06 |
| West Virginia | $248.25 | $248.25 |
| Alabama | $245.47 | $245.47 |
| Mississippi | $243.32 | $243.32 |
| Arkansas | $241.86 | $241.86 |

## Related codes

- 70540: MRI orbit/face/neck, without contrast — https://www.med-reveal.com/rates/70540-cpt-fee-schedule
- 70551: MRI brain, without contrast — https://www.med-reveal.com/rates/70551-cpt-fee-schedule
- 70552: MRI brain, with contrast — https://www.med-reveal.com/rates/70552-cpt-fee-schedule
- 70553: MRI brain, without then with contrast — https://www.med-reveal.com/rates/70553-cpt-fee-schedule
- 70558: MRI orbit/face/neck, without then with contrast — https://www.med-reveal.com/rates/70558-cpt-fee-schedule
- 71550: MRI chest, without contrast — https://www.med-reveal.com/rates/71550-cpt-fee-schedule
- 71551: MRI chest, with contrast — https://www.med-reveal.com/rates/71551-cpt-fee-schedule
- 71552: MRI chest, without then with contrast — https://www.med-reveal.com/rates/71552-cpt-fee-schedule

Commercial negotiated rates for 72142 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
