Diagnostic radiology · Georgia

Diagnostic radiology commercial reimbursement in Georgia

How Georgia diagnostic radiology rates compare with the national market.

Diagnostic radiology in Georgia

49 codes · 128 sampled providers
Index vs national
113
13% above
Rank among states
12 of 51
1 = highest
Codes above national
47 of 49
median code at 113%
Providers
128
sampled

What the data shows

1

Diagnostic radiology ranks 12th of 51 states in Georgia with an index of 113 (100 = the specialty's national median), across 49 codes and 128 sampled providers.

2

Of the 49 diagnostic radiology codes with enough data in Georgia, 47 pay above the national median and 2 below; the typical code sits at 113% of the national median.

3

Largest premium over the national median: CPT 70450 (Ct head/brain w/o dye) at 144%; largest discount: CPT 71045 (X-ray exam chest 1 view) at 96%.

4

Measured against Medicare, Georgia diagnostic radiology rates have a median of 177% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeGeorgiaNationalGapProv.
70450
Ct head/brain w/o dye
$281$194+44%128
93000
Electrocardiogram complete
$36$25+42%128
77080
Dxa bone density axial
$93$66+40%126
72125
Ct neck spine w/o dye
$338$249+36%128
72131
Ct lumbar spine w/o dye
$336$248+35%128

Lowest vs national

CodeGeorgiaNationalGapProv.
71045
X-ray exam chest 1 view
$31$33-4%128
74178
Ct abd&plv wo cntr flwd cntr
$506$520-3%128
74174
Cta abd&plvs w/contrast
$601$601+0%128
99203
Office o/p new low 30 min
$121$121+1%128
99215
Office o/p est hi 40 min
$185$182+2%128

All diagnostic radiology codes in Georgia

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeGeorgiaNationalGap% of MedicareProvidersTINsLevel
CPT 70450
Ct head/brain w/o dye
$281$194+44%263%128359
CPT 93000
Electrocardiogram complete
$36$25+42%231%128347
CPT 77080
Dxa bone density axial
$93$66+40%235%126353
CPT 72125
Ct neck spine w/o dye
$338$249+36%259%128358
CPT 72131
Ct lumbar spine w/o dye
$336$248+35%258%128359
CPT 37243
Vasc embolize/occlude organ
$1,154$858+34%239%128364
CPT 71250
Ct thorax dx c-
$336$250+34%253%128358
CPT 72141
Mri neck spine w/o dye
$518$390+33%272%128359
CPT 71271
Ct thorax lung cancer scr c-
$275$208+32%202%128353
CPT 72148
Mri lumbar spine w/o dye
$518$392+32%270%128359
CPT 73221
Mri joint upr extrem w/o dye
$535$407+31%261%128358
CPT 73721
Mri jnt of lwr extre w/o dye
$534$407+31%261%128359
CPT 74176
Ct abd & pelvis w/o contrast
$374$287+30%204%128357
CPT 70551
Mri brain stem w/o dye
$520$402+29%266%128359
CPT 71260
Ct thorax dx c+
$400$312+28%240%128359
CPT 77049
Mri breast c-+ w/cad bi
$700$558+25%206%128356
CPT 20610
Drain/inj joint/bursa w/o us
$102$83+23%148%128371
CPT 76705
Echo exam of abdomen
$153$126+21%177%128360
CPT 76770
Us exam abdo back wall comp
$192$158+21%180%128360
CPT 76700
Us exam abdom complete
$201$168+20%176%128360
CPT 72197
Mri pelvis w/o & w/dye
$756$634+19%226%128359
CPT 72158
Mri lumbar spine w/o & w/dye
$700$593+18%220%128359
CPT 70553
Mri brain stem w/o & w/dye
$700$600+17%221%128358
CPT 74183
Mri abd w/o cntr flwd cntr
$729$634+15%217%128359
CPT 76641
Ultrasound breast complete
$165$145+13%164%128358
CPT 70496
Ct angiography head
$515$457+13%188%128358
CPT 70498
Ct angiography neck
$515$459+12%188%128358
CPT 93971
Extremity study
$192$172+12%165%128366
CPT 71275
Ct angiography chest
$512$462+11%182%128359
CPT 93970
Extremity study
$294$270+9%160%128366
CPT 93880
Extracranial bilat study
$300$277+8%159%128364
CPT 71046
X-ray exam chest 2 views
$48$45+7%146%124346
CPT 76536
Us exam of head and neck
$165$154+7%152%128360
CPT 77065
Dx mammo incl cad uni
$189$179+6%153%127350
CPT 99213
Office o/p est low 20 min
$92$88+5%97%128367
CPT 99212
Office o/p est sf 10 min
$53$50+5%89%128369
CPT 76642
Ultrasound breast limited
$126$120+5%151%127350
CPT 77066
Dx mammo incl cad bi
$237$225+5%151%128357
CPT 77067
Scr mammo bi incl cad
$191$182+5%151%128356
CPT 73502
X-ray exam hip uni 2-3 views
$64$61+4%131%127350
CPT 74177
Ct abd & pelvis w/contrast
$464$448+3%155%128356
CPT 99205
Office o/p new hi 60 min
$252$244+3%106%128369
CPT 99214
Office o/p est mod 30 min
$132$128+3%97%128365
CPT 99204
Office o/p new mod 45 min
$191$187+2%108%128367
CPT 99215
Office o/p est hi 40 min
$185$182+2%96%128360
CPT 99203
Office o/p new low 30 min
$121$121+1%103%128368
CPT 74174
Cta abd&plvs w/contrast
$601$601+0%159%128356
CPT 74178
Ct abd&plv wo cntr flwd cntr
$506$520-3%150%128357
CPT 71045
X-ray exam chest 1 view
$31$33-4%124%128355

Frequently asked questions

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

Georgia ranks 12th of 51 states with an index of 113; 47 of 49 codes are above the national median.

Which diagnostic radiology code has the biggest premium in Georgia?

CPT 70450 (Ct head/brain w/o dye), at 144% 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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