Cost analysis for CPT 72125 — Ct scan of upper spine without contrast
Average Medicare Payment
$38.31
2023 data
Total Payments (2023)
$51.6M
Services (2023)
1.4M
Price Change (2014–2023)
-8.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $41.71 | $35.9M | 911.5K | — |
| 2015 | $42.72 | $40.0M | 992.3K | +2.4% |
| 2016 | $42.87 | $43.7M | 1.1M | +0.4% |
| 2017 | $44.11 | $48.7M | 1.2M | +2.9% |
| 2018 | $44.07 | $50.7M | 1.2M | -0.1% |
| 2019 | $44.85 | $54.7M | 1.3M | +1.8% |
| 2020 | $41.67 | $45.5M | 1.1M | -7.1% |
| 2021 | $40.52 | $48.4M | 1.3M | -2.8% |
| 2022 | $39.34 | $51.0M | 1.4M | -2.9% |
| 2023 | $38.31 | $51.6M | 1.4M | -2.6% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $47.69 vs GU at $32.20.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $47.69 | $124.6K | 2.6K | 50 |
| DC | $40.45 | $147.5K | 3.6K | 44 |
| NY | $39.93 | $3.1M | 77.4K | 858 |
| CA | $39.04 | $4.1M | 106.3K | 1.4K |
| NJ | $38.87 | $1.5M | 39.1K | 463 |
| MD | $38.77 | $1.2M | 30.6K | 326 |
| CT | $37.72 | $862.8K | 22.9K | 281 |
| FL | $37.62 | $3.8M | 101.3K | 1.1K |
| DE | $37.01 | $235.0K | 6.3K | 54 |
| MA | $36.70 | $2.0M | 53.8K | 500 |
| TX | $36.58 | $3.9M | 107.6K | 1.2K |
| RI | $36.49 | $353.6K | 9.7K | 87 |
| AZ | $36.28 | $836.1K | 23.0K | 276 |
| XX | $36.27 | $4.3K | 119 | 1 |
| MN | $36.16 | $2.2M | 61.0K | 706 |
| NV | $36.08 | $343.9K | 9.5K | 143 |
| IL | $36.05 | $2.3M | 63.7K | 764 |
| CO | $35.83 | $1.0M | 29.0K | 307 |
| WA | $35.71 | $942.7K | 26.4K | 336 |
| MT | $35.61 | $125.1K | 3.5K | 61 |
| PA | $35.61 | $2.3M | 65.7K | 834 |
| WY | $35.55 | $62.4K | 1.8K | 31 |
| GA | $35.51 | $1.3M | 36.7K | 474 |
| VA | $35.43 | $1.5M | 42.2K | 501 |
| AP | $35.43 | $5.6K | 158 | 5 |
| MO | $35.39 | $1.3M | 37.8K | 407 |
| LA | $35.25 | $562.2K | 15.9K | 261 |
| MI | $35.25 | $1.7M | 49.2K | 522 |
| SC | $35.23 | $860.4K | 24.4K | 295 |
| NC | $35.20 | $1.9M | 54.2K | 644 |
| HI | $34.96 | $142.3K | 4.1K | 67 |
| KS | $34.87 | $442.5K | 12.7K | 151 |
| OH | $34.83 | $1.7M | 50.1K | 672 |
| OK | $34.79 | $597.8K | 17.2K | 213 |
| OR | $34.67 | $370.7K | 10.7K | 211 |
| IN | $34.64 | $979.4K | 28.3K | 354 |
| KY | $34.39 | $501.7K | 14.6K | 204 |
| ND | $34.37 | $72.2K | 2.1K | 46 |
| AL | $34.36 | $730.8K | 21.3K | 293 |
| NH | $34.36 | $309.7K | 9.0K | 109 |
| TN | $34.27 | $1.1M | 32.2K | 457 |
| IA | $34.09 | $361.8K | 10.6K | 160 |
| UT | $33.99 | $269.3K | 7.9K | 151 |
| WI | $33.80 | $841.9K | 24.9K | 455 |
| PR | $33.79 | $27.4K | 812 | 19 |
| NM | $33.66 | $173.8K | 5.2K | 96 |
| NE | $33.66 | $378.9K | 11.3K | 126 |
| AR | $33.54 | $497.0K | 14.8K | 158 |
| ME | $33.50 | $151.8K | 4.5K | 74 |
| MS | $33.46 | $404.7K | 12.1K | 149 |
| AA | $33.41 | $9.0K | 269 | 3 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Amjad Safvi | Diagnostic Radiology | IL | $35.4K | 968 | $36.60 |
| Qi Chen | Diagnostic Radiology | TX | $35.2K | 982 | $35.80 |
| Navid Zenooz | Diagnostic Radiology | CA | $35.1K | 854 | $41.05 |
| David Golovoy | Diagnostic Radiology | MI | $34.3K | 950 | $36.13 |
| Jeffrey Jones | Interventional Radiology | NC | $32.2K | 651 | $49.40 |
| Nisha Sankaran | Diagnostic Radiology | MD | $29.6K | 716 | $41.33 |
| William Einhorn | Diagnostic Radiology | RI | $28.7K | 766 | $37.42 |
| Edmund Harris | Diagnostic Radiology | NJ | $28.3K | 780 | $36.34 |
| Monica Watkins | Diagnostic Radiology | MD | $27.4K | 662 | $41.37 |
| Syed Akbar | Diagnostic Radiology | IL | $26.2K | 686 | $38.12 |
| Rami Kaakaji | Diagnostic Radiology | MI | $25.7K | 724 | $35.51 |
| Eugene Kim | Diagnostic Radiology | MN | $25.7K | 733 | $35.03 |
| Paul Gould | Diagnostic Radiology | OH | $25.3K | 728 | $34.81 |
| Joseph Izzo | Diagnostic Radiology | NJ | $25.1K | 671 | $37.39 |
| Adam Evans | Diagnostic Radiology | NY | $24.4K | 624 | $39.11 |
| Myles Mitsunaga | Diagnostic Radiology | CA | $24.2K | 662 | $36.59 |
| Maureen Barry | Diagnostic Radiology | NC | $24.1K | 652 | $37.03 |
| Barry Berkowitz | Diagnostic Radiology | TX | $23.9K | 675 | $35.47 |
| Bruce Baron | Diagnostic Radiology | NE | $23.4K | 717 | $32.64 |
| Daniel Lucas | Diagnostic Radiology | AZ | $23.4K | 674 | $34.71 |
Based on the data, CPT 72125 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 8.2% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.