Diagnostic radiology · Arizona

Diagnostic radiology commercial reimbursement in Arizona

How Arizona diagnostic radiology rates compare with the national market.

Diagnostic radiology in Arizona

49 codes · 115 sampled providers
Index vs national
88
12% below
Rank among states
43 of 51
1 = highest
Codes above national
0 of 49
median code at 88%
Providers
115
sampled

What the data shows

1

Diagnostic radiology ranks 43rd of 51 states in Arizona with an index of 88 (100 = the specialty's national median), across 49 codes and 115 sampled providers.

2

Of the 49 diagnostic radiology codes with enough data in Arizona, 0 pay above the national median and 49 below; the typical code sits at 88% of the national median.

3

Largest premium over the national median: CPT 73221 (Mri joint upr extrem w/o dye) at 99%; largest discount: CPT 99215 (Office o/p est hi 40 min) at 80%.

4

Measured against Medicare, Arizona diagnostic radiology rates have a median of 135% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeArizonaNationalGapProv.
73221
Mri joint upr extrem w/o dye
$404$407-1%113
73721
Mri jnt of lwr extre w/o dye
$403$407-1%113
72141
Mri neck spine w/o dye
$385$390-1%113
72148
Mri lumbar spine w/o dye
$386$392-2%113
70551
Mri brain stem w/o dye
$390$402-3%113

Lowest vs national

CodeArizonaNationalGapProv.
99215
Office o/p est hi 40 min
$146$182-20%113
99212
Office o/p est sf 10 min
$41$50-19%115
99213
Office o/p est low 20 min
$71$88-19%113
76536
Us exam of head and neck
$126$154-18%115
99214
Office o/p est mod 30 min
$105$128-18%113

All diagnostic radiology codes in Arizona

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeArizonaNationalGap% of MedicareProvidersTINsLevel
CPT 73221
Mri joint upr extrem w/o dye
$404$407-1%197%113530
CPT 73721
Mri jnt of lwr extre w/o dye
$403$407-1%197%113531
CPT 72141
Mri neck spine w/o dye
$385$390-1%202%113526
CPT 72148
Mri lumbar spine w/o dye
$386$392-2%201%113525
CPT 70551
Mri brain stem w/o dye
$390$402-3%200%113530
CPT 72158
Mri lumbar spine w/o & w/dye
$563$593-5%177%113522
CPT 70553
Mri brain stem w/o & w/dye
$560$600-7%177%113529
CPT 72197
Mri pelvis w/o & w/dye
$585$634-8%175%113524
CPT 77067
Scr mammo bi incl cad
$165$182-9%131%113543
CPT 74177
Ct abd & pelvis w/contrast
$406$448-9%135%112541
CPT 74183
Mri abd w/o cntr flwd cntr
$574$634-9%171%113527
CPT 70496
Ct angiography head
$413$457-10%151%113528
CPT 71275
Ct angiography chest
$418$462-10%149%114536
CPT 74174
Cta abd&plvs w/contrast
$542$601-10%143%112524
CPT 93000
Electrocardiogram complete
$22$25-10%146%107534
CPT 70498
Ct angiography neck
$413$459-10%151%113529
CPT 74176
Ct abd & pelvis w/o contrast
$256$287-11%140%112530
CPT 77049
Mri breast c-+ w/cad bi
$496$558-11%146%112522
CPT 93970
Extremity study
$240$270-11%130%115551
CPT 77066
Dx mammo incl cad bi
$200$225-11%127%113543
CPT 93971
Extremity study
$151$172-12%130%115554
CPT 72131
Ct lumbar spine w/o dye
$218$248-12%168%113531
CPT 74178
Ct abd&plv wo cntr flwd cntr
$456$520-12%135%112534
CPT 70450
Ct head/brain w/o dye
$170$194-12%160%114539
CPT 72125
Ct neck spine w/o dye
$218$249-12%167%113534
CPT 37243
Vasc embolize/occlude organ
$752$858-12%156%108530
CPT 71250
Ct thorax dx c-
$219$250-12%165%114537
CPT 71271
Ct thorax lung cancer scr c-
$180$208-13%132%112535
CPT 99204
Office o/p new mod 45 min
$162$187-13%91%112548
CPT 77065
Dx mammo incl cad uni
$154$179-14%125%113542
CPT 93880
Extracranial bilat study
$239$277-14%126%115541
CPT 76642
Ultrasound breast limited
$104$120-14%124%113539
CPT 76641
Ultrasound breast complete
$125$145-14%125%113534
CPT 71045
X-ray exam chest 1 view
$28$33-14%111%113542
CPT 99205
Office o/p new hi 60 min
$209$244-14%88%108543
CPT 76705
Echo exam of abdomen
$107$126-15%124%115540
CPT 76700
Us exam abdom complete
$143$168-15%125%115539
CPT 76770
Us exam abdo back wall comp
$134$158-15%127%115541
CPT 71046
X-ray exam chest 2 views
$38$45-15%115%108545
CPT 77080
Dxa bone density axial
$56$66-16%142%112541
CPT 99203
Office o/p new low 30 min
$102$121-16%86%113542
CPT 71260
Ct thorax dx c+
$263$312-16%158%114536
CPT 73502
X-ray exam hip uni 2-3 views
$51$61-17%105%113543
CPT 20610
Drain/inj joint/bursa w/o us
$69$83-17%100%115551
CPT 99214
Office o/p est mod 30 min
$105$128-18%77%113545
CPT 76536
Us exam of head and neck
$126$154-18%116%115548
CPT 99213
Office o/p est low 20 min
$71$88-19%75%113549
CPT 99212
Office o/p est sf 10 min
$41$50-19%69%115545
CPT 99215
Office o/p est hi 40 min
$146$182-20%76%113541

Frequently asked questions

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

Arizona ranks 43rd of 51 states with an index of 88; 0 of 49 codes are above the national median.

Which diagnostic radiology code has the biggest premium in Arizona?

CPT 73221 (Mri joint upr extrem w/o dye), at 99% 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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