Diagnostic radiology · specialty benchmark

Diagnostic radiology commercial reimbursement benchmarks

What commercial payers pay for the procedures that matter most to diagnostic radiology practices.

Diagnostic radiology at a glance

5,873 sampled providers

Codes tracked

publishable codes

Median % of Medicare

152%

across codes

Highest state

Alaska

Highest payer

UHC

UnitedHealthcare

Diagnostic radiology rates in this dataset cover 49 procedure codes and 5,873 sampled providers in 51 states, at a median 152% of Medicare.

Alaska has the highest diagnostic radiology index and Oklahoma the lowest.

UnitedHealthcare has the highest diagnostic radiology index and Aetna the lowest.

The biggest revenue code by Medicare allowed dollars is CPT 77067 (Scr mammo bi incl cad), paid at a 182-dollar median, 144% of Medicare.

Ranked by Medicare allowed dollars billed by the specialty

Rank	Code	Median	Medicare	% of Medicare	Providers
1	CPT 77067 Scr mammo bi incl cad	$182	$126.26	144%	5,787
2	CPT 74177 Ct abd & pelvis w/contrast	$448	$300.27	149%	5,779
3	CPT 70450 Ct head/brain w/o dye	$194	$106.55	182%	5,786
4	CPT 74176 Ct abd & pelvis w/o contrast	$287	$183.04	157%	5,770
5	CPT 71250 Ct thorax dx c-	$250	$132.60	189%	5,781
6	CPT 70553 Mri brain stem w/o & w/dye	$600	$316.97	189%	5,785
7	CPT 71275 Ct angiography chest	$462	$280.57	165%	5,783
8	CPT 72148 Mri lumbar spine w/o dye	$392	$191.72	204%	5,784
9	CPT 71260 Ct thorax dx c+	$312	$166.67	187%	5,786
10	CPT 71045 X-ray exam chest 1 view	$33	$25.38	129%	5,781

Index: 100 = four-payer median for the specialty's codes

Payer	Index	Rank	Highest on
UnitedHealthcare	114	1	63%
Cigna	108	2	37%
Blue Cross Blue Shield	98	3	0%
Aetna	83	4	0%

Index: 100 = the specialty's national median

Rank	State	Index	Codes	Providers
1	Alaska	174	49	61
2	Washington	143	49	117
3	Wisconsin	137	49	123
4	South Dakota	128	49	85
5	North Carolina	127	49	139
6	Wyoming	127	49	41
7	Nebraska	120	49	121
8	North Dakota	119	49	86
9	Iowa	117	49	102
10	Connecticut	117	49	125
11	Oregon	115	49	107
12	Georgia	113	49	128
13	New Hampshire	113	49	129
14	Colorado	112	49	126
15	Ohio	112	49	129
16	Idaho	108	49	125
17	Massachusetts	108	49	120
18	Montana	107	49	70
19	Maine	103	49	127
20	Tennessee	102	49	131
21	New Jersey	102	49	126
22	West Virginia	101	49	118
23	Vermont	101	49	65
24	California	100	49	107
25	Virginia	100	49	123
26	District of Columbia	100	49	133
27	Missouri	99	49	124
28	Delaware	99	49	101
29	Mississippi	98	49	115
30	Rhode Island	98	49	128
31	South Carolina	96	49	115
32	Pennsylvania	96	49	120
33	Utah	94	49	122
34	Hawaii	93	49	106
35	Michigan	93	49	117
36	Kansas	93	49	116
37	Minnesota	93	49	123
38	Louisiana	92	49	122
39	Arkansas	91	49	122
40	Florida	90	49	112
41	Nevada	90	49	123
42	New Mexico	90	49	125
43	Arizona	88	49	115
44	Indiana	86	49	136
45	Maryland	86	49	108
46	Kentucky	85	49	134
47	Illinois	84	49	126
48	New York	83	49	129
49	Alabama	79	49	127
50	Texas	75	49	133
51	Oklahoma	65	49	110

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.

See how your negotiated rates compare by code, payer and state.