# CPT 72158: MRI lumbar spine, without then with contrast

Medicare CPT 72158 pays $318.31 in a non-facility setting and $318.31 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $282.09 in Arkansas to $368.65 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/72158-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $318.31 |
| National facility | $318.31 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $368.65 | $368.65 |
| District of Columbia | $365.39 | $365.39 |
| California | $362.24 | $362.24 |
| Washington | $352.92 | $352.92 |
| New Jersey | $352.64 | $352.64 |
| New York | $351.33 | $351.33 |
| Massachusetts | $349.05 | $349.05 |
| Hawaii | $348.73 | $348.73 |
| Connecticut | $339.29 | $339.29 |
| Colorado | $333.30 | $333.30 |
| Oregon | $330.19 | $330.19 |
| Maryland | $329.83 | $329.83 |
| New Hampshire | $327.42 | $327.42 |
| Rhode Island | $327.02 | $327.02 |
| Florida | $324.17 | $324.17 |
| Minnesota | $321.46 | $321.46 |
| Puerto Rico | $320.85 | $320.85 |
| Virgin Islands | $320.85 | $320.85 |
| Montana | $318.30 | $318.30 |
| Nevada | $317.66 | $317.66 |
| Wyoming | $316.92 | $316.92 |
| Illinois | $315.39 | $315.39 |
| Delaware | $315.28 | $315.28 |
| North Dakota | $315.14 | $315.14 |
| South Dakota | $314.76 | $314.76 |
| Texas | $314.64 | $314.64 |
| Pennsylvania | $314.46 | $314.46 |
| Vermont | $313.29 | $313.29 |
| Virginia | $312.69 | $312.69 |
| Arizona | $310.15 | $310.15 |
| Georgia | $308.50 | $308.50 |
| Michigan | $305.94 | $305.94 |
| Maine | $305.70 | $305.70 |
| Wisconsin | $304.60 | $304.60 |
| Utah | $303.46 | $303.46 |
| North Carolina | $300.40 | $300.40 |
| New Mexico | $299.59 | $299.59 |
| South Carolina | $299.38 | $299.38 |
| Missouri | $298.59 | $298.59 |
| Indiana | $298.15 | $298.15 |
| Louisiana | $297.82 | $297.82 |
| Ohio | $297.61 | $297.61 |
| Nebraska | $296.62 | $296.62 |
| Idaho | $296.42 | $296.42 |
| Iowa | $294.82 | $294.82 |
| Tennessee | $294.13 | $294.13 |
| Kansas | $292.77 | $292.77 |
| Oklahoma | $291.60 | $291.60 |
| Kentucky | $291.38 | $291.38 |
| West Virginia | $289.37 | $289.37 |
| Alabama | $286.18 | $286.18 |
| Mississippi | $283.77 | $283.77 |
| Arkansas | $282.09 | $282.09 |

## 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 72158 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