Benchmark

Reimbursement index by state: diagnostic radiology

Metric: index_vs_national (100 = specialty national median).

Snapshot Aug 2026

What the data shows

Metric: index_vs_national (100 = specialty national median) · 51 items

1

Alaska ranks first at 173.90; Oklahoma ranks last of 51 at 64.90.

2

The spread between first and last is 2.68× (109.00 points on this metric).

3

The median value across the 51 items is 99.50.

4

23 of 51 items sit above 100 (the reference median) and 28 sit below it.

How to read this ranking

An index of 100 means rates equal the national median for the same procedures. Above 100 means commercial rates in that market are higher than the national median; below 100 means lower. States are compared on the same set of procedure codes, so differences reflect price, not procedure mix.

Reimbursement index by state: diagnostic radiology

51 items ranked

Rank	Item	Value	Level
1	Alaska	173.90
2	Washington	143.30
3	Wisconsin	136.90
4	South Dakota	127.60
5	North Carolina	127.10
6	Wyoming	126.70
7	Nebraska	119.50
8	North Dakota	118.70
9	Iowa	117.40
10	Connecticut	117.10
11	Oregon	115.10
12	Georgia	113.30
13	New Hampshire	112.60
14	Colorado	111.90
15	Ohio	111.70
16	Idaho	107.90
17	Massachusetts	107.70
18	Montana	107.00
19	Maine	102.80
20	Tennessee	102.30
21	New Jersey	101.90
22	West Virginia	100.90
23	Vermont	100.70
24	California	99.70
25	Virginia	99.60
26	District of Columbia	99.50
27	Missouri	99.00
28	Delaware	98.70
29	Mississippi	98.50
30	Rhode Island	98.20
31	South Carolina	96.20
32	Pennsylvania	95.90
33	Utah	93.80
34	Hawaii	93.40
35	Michigan	92.90
36	Kansas	92.90
37	Minnesota	92.80
38	Louisiana	91.90
39	Arkansas	90.90
40	Florida	90.30
41	Nevada	89.80
42	New Mexico	89.50
43	Arizona	87.70
44	Indiana	86.20
45	Maryland	85.50
46	Kentucky	85.40
47	Illinois	84.20
48	New York	83.40
49	Alabama	78.70
50	Texas	75.20
51	Oklahoma	64.90

Frequently asked questions

What does this ranking measure?

index_vs_national (100 = specialty national median). An index of 100 means rates equal the national median for the same procedures. Above 100 means commercial rates in that market are higher than the national median; below 100 means lower. States are compared on the same set of procedure codes, so differences reflect price, not procedure mix.

Who ranks first?

Alaska, at 173.90.

How often is this updated?

It is rebuilt from each monthly snapshot of the payers' published files; this page uses August 2026.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

Benchmark your own rates

See where your contracts sit against these rankings.

Request a rate benchmark