What is X-ray of Middle and Lower Spine 2 Views (CPT 72080)?

X-ray of middle and lower spine, 2 views. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

What do doctors typically charge for X-ray of Middle and Lower Spine 2 Views?

The nationwide median physician charge for X-ray of Middle and Lower Spine 2 Views (CPT 72080) is $75.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 72080?

The standard insurance baseline reimbursement rate is $22.67. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/X-ray of Middle and Lower Spine 2 Views

CPT 72080Medical Service

X-ray of Middle and Lower Spine 2 Views

X-ray of middle and lower spine, 2 views. Clinical pricing breakdown and utilization metrics across 577 practicing doctors nationwide.

$75.00

Peer Median Charge

Gross billed rate

$22.67

Standard Baseline

Customary allowable

3.3x

National Markup

Charge vs baseline

577

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $75.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $22.67 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 72080 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"