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Code Reality Check

72148 reimbursement rate: MRI, lumbar spine, w/o contrast

MRI, lumbar spine, w/o contrast (CPT 72148) pays a median $379.94 in California and $151.34 in West Virginia, against a Medicare anchor of $229.66. 51 of 51 states clear the publication floor.

spread 2.5x top to bottom Medicare anchor $229.66 51/51 states published

The 50-state spread

as of 2026-07-15
StateMedianvs MedicareBandRate pointsTier
California$379.941.65x$161–$546 · P90 $1,070355,541Benchmark
Indiana$359.101.56x$157–$614 · P90 $631172,903Benchmark
Wisconsin$322.701.41x$177–$838 · P90 $1,689136,134Benchmark
Oregon$313.441.36x$104–$499 · P90 $60323,245Benchmark
Utah$305.001.33x$128–$442 · P90 $62913,275Benchmark
Ohio$292.161.27x$156–$481 · P90 $756288,438Benchmark
New Hampshire$288.251.26x$150–$526 · P90 $79228,030Benchmark
Delaware$281.691.23x$126–$425 · P90 $7205,979Benchmark
Maryland$281.261.22x$126–$412 · P90 $68044,046Benchmark
District of Columbia$280.091.22x$134–$400 · P90 $6828,071Benchmark
Connecticut$263.761.15x$167–$599 · P90 $84644,061Benchmark
Hawaii$259.661.13x$140–$423 · P90 $7162,772Benchmark
New York$254.031.11x$139–$381 · P90 $715913,930Benchmark
New Jersey$250.351.09x$119–$383 · P90 $55492,326Benchmark
Arizona$249.001.08x$126–$375 · P90 $59230,054Benchmark
Kansas$246.831.07x$150–$334 · P90 $47714,351Benchmark
Colorado$246.811.07x$118–$378 · P90 $73037,769Benchmark
Mississippi$242.471.06x$152–$346 · P90 $46811,886Benchmark
Maine$237.111.03x$141–$375 · P90 $56343,964Benchmark
Virginia$231.871.01x$134–$349 · P90 $525104,213Benchmark
Vermont$229.281.00x$134–$335 · P90 $6035,099Benchmark
Arkansas$226.620.99x$121–$350 · P90 $48917,058Benchmark
Idaho$224.150.98x$101–$385 · P90 $60910,695Benchmark
Georgia$221.180.96x$133–$413 · P90 $696280,447Benchmark
Massachusetts$221.020.96x$98–$348 · P90 $95177,183Benchmark
Alaska$219.980.96x$121–$397 · P90 $7041,297Benchmark
Missouri$217.850.95x$128–$373 · P90 $840189,973Benchmark
North Dakota$217.660.95x$78–$342 · P90 $6414,602Benchmark
Nevada$216.330.94x$115–$335 · P90 $56514,807Benchmark
Montana$215.580.94x$127–$415 · P90 $9792,568Benchmark
Illinois$210.520.92x$128–$336 · P90 $62993,830Benchmark
Louisiana$209.680.91x$110–$480 · P90 $55024,727Benchmark
South Dakota$209.630.91x$113–$430 · P90 $6413,188Benchmark
Tennessee$205.910.90x$112–$335 · P90 $58846,103Benchmark
Wyoming$204.920.89x$120–$328 · P90 $5922,298Benchmark
Kentucky$204.690.89x$119–$361 · P90 $60976,483Benchmark
New Mexico$200.370.87x$121–$557 · P90 $7008,110Benchmark
Washington$198.560.86x$82–$377 · P90 $56349,438Benchmark
Iowa$198.340.86x$124–$371 · P90 $73313,497Benchmark
North Carolina$195.740.85x$171–$634 · P90 $916251,140Benchmark
Pennsylvania$194.350.85x$91–$342 · P90 $56987,949Benchmark
Oklahoma$193.060.84x$116–$313 · P90 $33315,794Benchmark
Michigan$189.140.82x$114–$283 · P90 $61958,548Benchmark
Florida$187.500.82x$69–$267 · P90 $474129,159Benchmark
Minnesota$186.960.81x$92–$290 · P90 $77653,783Benchmark
Rhode Island$181.580.79x$100–$282 · P90 $60020,184Benchmark
Alabama$177.920.77x$112–$287 · P90 $42522,922Benchmark
Nebraska$172.360.75x$70–$300 · P90 $5139,921Benchmark
South Carolina$171.140.75x$111–$347 · P90 $62236,782Benchmark
Texas$165.890.72x$90–$265 · P90 $537170,434Benchmark
West Virginia$151.340.66x$118–$211 · P90 $36015,047Benchmark
Payer-blind local peer percentiles per state, full verified distribution. Publication floor: 11 verified rate points and a non-degenerate spread; the P25–P75 band unlocks at 25 points, P90 at 100 (a smaller cell's P90 is one contract, not a statistic).

Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.

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Cite this page

Source: Reddenda Code Reality Check, CPT 72148. Reddenda. https://reddenda.health/code/72148/
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Derivation federally mandated TiC MRFs, verified to provider identity4,164,054 verified rate points across 51 statesas of 2026-07-15 · methodology v1.0
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