CPT 72081Out-of-network reimbursement & IDR outcomes
X-ray of entire middle and lower spine, 1 view
MedRes analysis of CMS public-use files · Released Jul 22, 2026 · Updated Sep 17, 2026
Sources & methodologyFewer than 11 usable dollar awards are available for this code. Payer outcomes open by default; unavailable metrics remain unpublished.
Compare reported payer outcomes
Payer records report outcomes relative to QPA. CMS does not link these records to payer-specific dollar awards.
27 known line-level outcomes
21 unique disputes
Summary follows setting, geography and decision filters. Text search filters table rows only. All reported modifiers pooled.
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2 reported payer names · minimum cohort: 11 line items
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| PAYER AS REPORTED | MEDIAN AWARD / QPA | PROVIDER SELECTED | DECISION TIME | LINE ITEMS |
|---|---|---|---|---|
| AETNA11 unique disputes | 7.82×n = 13 | 92.3%n = 13 | 42 biz daysn = 11 | 13 |
| BCBS OF TEXAS7 unique disputes | 3.58×n = 11 | 81.8%n = 11 | Not availablen = 7 | 11 |
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Payer names are normalized only for case and whitespace; separate names may refer to the same organization. Reported QPA ratios can be distorted by nominal QPAs or service-unit differences. Small cohorts are omitted; totals can exceed the visible rows. Read the methodology.
What this data can tell you
Compare the distribution of reported outcomes, the number of observations behind them, and differences between service settings. Every metric here comes from published federal IDR records; it is independent of MedRes client performance.
Keep the claim context in view
These are selected disputes that reached a determination. Awards are not verified collections. CPT codes alone do not establish eligibility, and professional, technical and other modifiers are pooled in this release.
Review eligibility factorsReading the benchmarks
What is the reported IDR payment for CPT 72081?
Fewer than 11 usable dollar observations are available for CPT 72081, so no dollar median is published. The page opens with independently reported payer outcomes where sufficient data are available.
Can I see what each payer paid for CPT 72081?
The public dollar file does not identify payers or provide dispute identifiers for a reliable join. The payer view therefore uses reported award-to-QPA ratios and selection outcomes, not payer-specific dollar payments.
Does CPT 72081 qualify for federal IDR?
A CPT code alone does not establish eligibility. Service category, facility network status, plan type, claim state and timing must be reviewed. These records are a selected population of federal payment determinations.
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