# CPT 72149: MRI lumbar spine, with contrast

Medicare CPT 72149 pays $269.55 in a non-facility setting and $269.55 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $238.36 in Arkansas to $310.29 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/72149-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Pain Medicine, Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $269.55 |
| National facility | $269.55 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $310.29 | $310.29 |
| District of Columbia | $310.06 | $310.06 |
| California | $307.81 | $307.81 |
| Washington | $299.57 | $299.57 |
| New Jersey | $299.01 | $299.01 |
| New York | $297.72 | $297.72 |
| Hawaii | $296.27 | $296.27 |
| Massachusetts | $296.19 | $296.19 |
| Connecticut | $287.52 | $287.52 |
| Colorado | $282.64 | $282.64 |
| Oregon | $280.00 | $280.00 |
| Maryland | $279.43 | $279.43 |
| New Hampshire | $277.55 | $277.55 |
| Rhode Island | $277.06 | $277.06 |
| Florida | $274.03 | $274.03 |
| Minnesota | $272.74 | $272.74 |
| Puerto Rico | $271.77 | $271.77 |
| Virgin Islands | $271.77 | $271.77 |
| Montana | $269.54 | $269.54 |
| Nevada | $269.08 | $269.08 |
| Wyoming | $268.50 | $268.50 |
| North Dakota | $267.16 | $267.16 |
| Delaware | $266.94 | $266.94 |
| South Dakota | $266.88 | $266.88 |
| Illinois | $266.40 | $266.40 |
| Texas | $266.37 | $266.37 |
| Pennsylvania | $266.10 | $266.10 |
| Vermont | $265.49 | $265.49 |
| Virginia | $264.84 | $264.84 |
| Arizona | $262.54 | $262.54 |
| Georgia | $260.88 | $260.88 |
| Maine | $258.82 | $258.82 |
| Michigan | $258.53 | $258.53 |
| Wisconsin | $258.06 | $258.06 |
| Utah | $256.69 | $256.69 |
| North Carolina | $254.20 | $254.20 |
| South Carolina | $253.18 | $253.18 |
| New Mexico | $253.14 | $253.14 |
| Missouri | $252.41 | $252.41 |
| Indiana | $252.34 | $252.34 |
| Louisiana | $251.69 | $251.69 |
| Ohio | $251.53 | $251.53 |
| Nebraska | $251.08 | $251.08 |
| Idaho | $250.84 | $250.84 |
| Iowa | $249.50 | $249.50 |
| Tennessee | $248.81 | $248.81 |
| Kansas | $247.64 | $247.64 |
| Oklahoma | $246.46 | $246.46 |
| Kentucky | $246.18 | $246.18 |
| West Virginia | $244.10 | $244.10 |
| Alabama | $241.88 | $241.88 |
| Mississippi | $239.67 | $239.67 |
| Arkansas | $238.36 | $238.36 |

## 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 72149 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