Diagnostic radiology · Alabama

Diagnostic radiology commercial reimbursement in Alabama

How Alabama diagnostic radiology rates compare with the national market.

Diagnostic radiology in Alabama

49 codes · 127 sampled providers
Index vs national
79
21% below
Rank among states
49 of 51
1 = highest
Codes above national
1 of 49
median code at 79%
Providers
127
sampled

What the data shows

1

Diagnostic radiology ranks 49th of 51 states in Alabama with an index of 79 (100 = the specialty's national median), across 49 codes and 127 sampled providers.

2

Of the 49 diagnostic radiology codes with enough data in Alabama, 1 pay above the national median and 48 below; the typical code sits at 79% of the national median.

3

Largest premium over the national median: CPT 93000 (Electrocardiogram complete) at 102%; largest discount: CPT 99215 (Office o/p est hi 40 min) at 67%.

4

Measured against Medicare, Alabama diagnostic radiology rates have a median of 127% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeAlabamaNationalGapProv.
93000
Electrocardiogram complete
$25$25+2%126
37243
Vasc embolize/occlude organ
$812$858-5%125
76536
Us exam of head and neck
$138$154-10%126
71046
X-ray exam chest 2 views
$40$45-11%126
77065
Dx mammo incl cad uni
$159$179-11%126

Lowest vs national

CodeAlabamaNationalGapProv.
99215
Office o/p est hi 40 min
$122$182-33%127
99205
Office o/p new hi 60 min
$169$244-31%127
99213
Office o/p est low 20 min
$63$88-29%127
99204
Office o/p new mod 45 min
$134$187-28%127
99203
Office o/p new low 30 min
$87$121-28%127

All diagnostic radiology codes in Alabama

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeAlabamaNationalGap% of MedicareProvidersTINsLevel
CPT 93000
Electrocardiogram complete
$25$25+2%165%126403
CPT 37243
Vasc embolize/occlude organ
$812$858-5%168%125390
CPT 76536
Us exam of head and neck
$138$154-10%127%126411
CPT 71046
X-ray exam chest 2 views
$40$45-11%122%126402
CPT 77065
Dx mammo incl cad uni
$159$179-11%128%126404
CPT 71045
X-ray exam chest 1 view
$29$33-11%115%126405
CPT 76700
Us exam abdom complete
$147$168-12%129%126409
CPT 76770
Us exam abdo back wall comp
$137$158-13%129%126409
CPT 76705
Echo exam of abdomen
$107$126-15%124%126410
CPT 77067
Scr mammo bi incl cad
$152$182-17%120%126404
CPT 74183
Mri abd w/o cntr flwd cntr
$527$634-17%157%126420
CPT 72197
Mri pelvis w/o & w/dye
$526$634-17%157%126419
CPT 20610
Drain/inj joint/bursa w/o us
$69$83-17%100%127416
CPT 76642
Ultrasound breast limited
$98$120-19%117%126406
CPT 74176
Ct abd & pelvis w/o contrast
$233$287-19%127%126413
CPT 76641
Ultrasound breast complete
$118$145-19%118%126405
CPT 74177
Ct abd & pelvis w/contrast
$364$448-19%121%126415
CPT 72158
Mri lumbar spine w/o & w/dye
$478$593-19%150%126418
CPT 77066
Dx mammo incl cad bi
$181$225-20%115%126406
CPT 93971
Extremity study
$138$172-20%119%126414
CPT 93880
Extracranial bilat study
$221$277-20%117%126409
CPT 70553
Mri brain stem w/o & w/dye
$478$600-20%151%126420
CPT 93970
Extremity study
$214$270-21%116%126413
CPT 71275
Ct angiography chest
$364$462-21%130%126414
CPT 70496
Ct angiography head
$359$457-21%131%126416
CPT 77049
Mri breast c-+ w/cad bi
$439$558-21%129%126412
CPT 74174
Cta abd&plvs w/contrast
$473$601-21%125%126413
CPT 70498
Ct angiography neck
$359$459-22%131%126417
CPT 74178
Ct abd&plv wo cntr flwd cntr
$407$520-22%120%126415
CPT 71271
Ct thorax lung cancer scr c-
$162$208-22%119%126411
CPT 73502
X-ray exam hip uni 2-3 views
$48$61-22%98%126408
CPT 99212
Office o/p est sf 10 min
$39$50-23%66%127411
CPT 72125
Ct neck spine w/o dye
$192$249-23%147%126416
CPT 71260
Ct thorax dx c+
$239$312-23%143%126417
CPT 70450
Ct head/brain w/o dye
$147$194-24%138%126415
CPT 72131
Ct lumbar spine w/o dye
$187$248-25%144%126417
CPT 77080
Dxa bone density axial
$50$66-25%126%126404
CPT 71250
Ct thorax dx c-
$188$250-25%142%126416
CPT 73221
Mri joint upr extrem w/o dye
$305$407-25%148%126420
CPT 73721
Mri jnt of lwr extre w/o dye
$304$407-25%149%126420
CPT 99214
Office o/p est mod 30 min
$95$128-26%70%127415
CPT 72141
Mri neck spine w/o dye
$286$390-27%150%126420
CPT 70551
Mri brain stem w/o dye
$295$402-27%151%126422
CPT 72148
Mri lumbar spine w/o dye
$287$392-27%150%126422
CPT 99203
Office o/p new low 30 min
$87$121-28%74%127416
CPT 99204
Office o/p new mod 45 min
$134$187-28%75%127414
CPT 99213
Office o/p est low 20 min
$63$88-29%66%127416
CPT 99205
Office o/p new hi 60 min
$169$244-31%72%127413
CPT 99215
Office o/p est hi 40 min
$122$182-33%63%127414

Frequently asked questions

How do Alabama diagnostic radiology rates compare with the rest of the country?

Alabama ranks 49th of 51 states with an index of 79; 1 of 49 codes are above the national median.

Which diagnostic radiology code has the biggest premium in Alabama?

CPT 93000 (Electrocardiogram complete), at 102% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

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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