CPT 77080 · professional fee

Dxa bone density axial (CPT 77080): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 77080, from their published in-network rate files.

Diagnostic radiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$66
P10 to P90: $35 to $140
vs Medicare
168%
non-facility rate $39.41
Payer spread
1.54×
Cigna $77 vs Aetna $50
State spread
3.3×
AK $114 to OK $34
5,785 sampled providers7,042 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

Cigna has the highest median for CPT 77080 in the files analyzed, at $77, 54% above Aetna ($50), the lowest of the 4 payers shown.

2

The state spread is 3.3×: Alaska has the highest median at $114 and Oklahoma the lowest at $34, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 168% of the Medicare non-facility rate ($39.41), which ranks 83rd of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within UnitedHealthcare (interquartile range $46) and widest within Aetna ($38).

5

This is a top-24 code for diagnostic radiology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range
PayerMedianP25P75vs nationalRankProvidersPosition
Cigna$77$56$111+15%14,588
194% of Medicare
UnitedHealthcare$69$50$96+5%23,924
176% of Medicare
Blue Cross Blue Shield$66$46$92+0%34,518
168% of Medicare
Aetna$50$37$75-25%43,830
126% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($39.41)
$21$51$80$110$140$169CignaUnitedHealthcareBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$114+72%AetnaCigna61
2California$100+51%CignaUHC106
3North Carolina$94+42%CignaAetna124
4Wisconsin$94+42%BCBSCigna123
5Georgia$93+40%BCBSAetna126
6Washington$88+33%AetnaBCBS117
7Wyoming$80+21%BCBSAetna41
8New Hampshire$78+18%AetnaBCBS127
9North Dakota$77+16%BCBSAetna86
10South Dakota$76+15%CignaAetna85
10Iowa$76+15%CignaAetna100
12Ohio$76+15%BCBSAetna127
13Nebraska$75+13%CignaAetna120
14District of Columbia$75+13%UHCBCBS131
15New Jersey$75+13%CignaBCBS126
16Oregon$73+10%BCBSAetna106
17West Virginia$71+7%UHCAetna117
18Connecticut$71+7%CignaAetna124
19Colorado$70+6%CignaAetna124
20Idaho$68+3%BCBSUHC124
20Utah$68+3%AetnaCigna121
22Indiana$68+2%CignaAetna134
23Delaware$67+1%UHCAetna98
24Missouri$66-1%BCBSAetna123
25Tennessee$64-3%CignaAetna127
25Pennsylvania$64-3%UHCAetna120
27Kansas$63-5%BCBSAetna116
28Maine$62-6%CignaBCBS127
29Minnesota$62-7%UHCAetna123
29Montana$62-7%AetnaBCBS69
31Kentucky$60-9%CignaAetna134
32Virginia$60-9%CignaBCBS122
33Nevada$60-9%BCBSAetna123
34Vermont$60-10%UHCAetna63
35South Carolina$60-10%CignaAetna111
36Mississippi$59-11%BCBSUHC114
37Michigan$59-12%CignaAetna113
38Illinois$58-13%UHCBCBS124
39New York$58-13%CignaAetna124
40Hawaii$57-13%AetnaUHC105
41Massachusetts$57-14%CignaAetna118
42Arizona$56-16%CignaAetna112
43Rhode Island$56-16%AetnaBCBS126
44Arkansas$55-16%UHCBCBS117
45New Mexico$54-18%CignaBCBS123
46Florida$54-19%CignaAetna106
47Maryland$53-20%UHCBCBS106
48Louisiana$52-22%BCBSAetna122
49Alabama$50-25%BCBSCigna126
50Texas$43-35%UHCBCBS133
51Oklahoma$34-48%UHCBCBS110

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 77080?

In the files we analyzed, Cigna, at a median of $77 across 4,588 sampled providers. Aetna is lowest at $50, 54% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 168% of the 2026 Medicare non-facility rate of $39.41.

Which state has the highest median for CPT 77080?

Alaska has the highest median at $114; Oklahoma has the lowest at $34.

Is this a professional fee?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

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.

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