Diagnostic radiology · Indiana

Diagnostic radiology commercial reimbursement in Indiana

How Indiana diagnostic radiology rates compare with the national market.

Diagnostic radiology in Indiana

49 codes · 136 sampled providers
Index vs national
86
14% below
Rank among states
44 of 51
1 = highest
Codes above national
10 of 49
median code at 86%
Providers
136
sampled

What the data shows

1

Diagnostic radiology ranks 44th of 51 states in Indiana with an index of 86 (100 = the specialty's national median), across 49 codes and 136 sampled providers.

2

Of the 49 diagnostic radiology codes with enough data in Indiana, 10 pay above the national median and 39 below; the typical code sits at 86% of the national median.

3

Largest premium over the national median: CPT 72141 (Mri neck spine w/o dye) at 110%; largest discount: CPT 71045 (X-ray exam chest 1 view) at 71%.

4

Measured against Medicare, Indiana diagnostic radiology rates have a median of 125% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeIndianaNationalGapProv.
72141
Mri neck spine w/o dye
$428$390+10%135
72148
Mri lumbar spine w/o dye
$420$392+7%135
70551
Mri brain stem w/o dye
$420$402+4%136
70553
Mri brain stem w/o & w/dye
$617$600+3%136
70450
Ct head/brain w/o dye
$199$194+2%136

Lowest vs national

CodeIndianaNationalGapProv.
71045
X-ray exam chest 1 view
$23$33-29%135
93971
Extremity study
$124$172-28%136
76536
Us exam of head and neck
$112$154-27%136
93970
Extremity study
$199$270-26%136
37243
Vasc embolize/occlude organ
$646$858-25%134

All diagnostic radiology codes in Indiana

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeIndianaNationalGap% of MedicareProvidersTINsLevel
CPT 72141
Mri neck spine w/o dye
$428$390+10%225%135357
CPT 72148
Mri lumbar spine w/o dye
$420$392+7%219%135357
CPT 70551
Mri brain stem w/o dye
$420$402+4%215%136357
CPT 70553
Mri brain stem w/o & w/dye
$617$600+3%195%136358
CPT 70450
Ct head/brain w/o dye
$199$194+2%187%136355
CPT 77080
Dxa bone density axial
$68$66+2%172%134354
CPT 73721
Mri jnt of lwr extre w/o dye
$412$407+1%202%135357
CPT 73221
Mri joint upr extrem w/o dye
$412$407+1%201%135356
CPT 71260
Ct thorax dx c+
$312$312+0%187%136357
CPT 74174
Cta abd&plvs w/contrast
$601$601+0%159%135355
CPT 72158
Mri lumbar spine w/o & w/dye
$593$593+0%186%135356
CPT 72131
Ct lumbar spine w/o dye
$243$248-2%187%136355
CPT 93000
Electrocardiogram complete
$24$25-2%159%136354
CPT 72125
Ct neck spine w/o dye
$243$249-2%186%135354
CPT 71250
Ct thorax dx c-
$243$250-3%183%135356
CPT 74178
Ct abd&plv wo cntr flwd cntr
$492$520-6%145%135354
CPT 74177
Ct abd & pelvis w/contrast
$416$448-7%139%135358
CPT 99203
Office o/p new low 30 min
$109$121-9%93%135361
CPT 74176
Ct abd & pelvis w/o contrast
$260$287-10%142%135356
CPT 99204
Office o/p new mod 45 min
$167$187-11%94%136358
CPT 99212
Office o/p est sf 10 min
$45$50-11%75%136361
CPT 72197
Mri pelvis w/o & w/dye
$553$634-13%165%135356
CPT 74183
Mri abd w/o cntr flwd cntr
$553$634-13%164%135357
CPT 99213
Office o/p est low 20 min
$76$88-13%80%136359
CPT 99214
Office o/p est mod 30 min
$110$128-14%81%136359
CPT 99205
Office o/p new hi 60 min
$209$244-14%88%135360
CPT 76700
Us exam abdom complete
$141$168-16%124%136359
CPT 70496
Ct angiography head
$383$457-16%140%135354
CPT 70498
Ct angiography neck
$385$459-16%140%135354
CPT 71046
X-ray exam chest 2 views
$38$45-17%114%135359
CPT 71275
Ct angiography chest
$385$462-17%137%135356
CPT 20610
Drain/inj joint/bursa w/o us
$69$83-17%100%136363
CPT 77067
Scr mammo bi incl cad
$150$182-17%119%135357
CPT 73502
X-ray exam hip uni 2-3 views
$51$61-18%104%135357
CPT 76770
Us exam abdo back wall comp
$130$158-18%122%136356
CPT 93880
Extracranial bilat study
$226$277-19%119%136359
CPT 99215
Office o/p est hi 40 min
$148$182-19%77%136358
CPT 76705
Echo exam of abdomen
$100$126-21%116%136359
CPT 77066
Dx mammo incl cad bi
$178$225-21%113%135357
CPT 77065
Dx mammo incl cad uni
$140$179-22%113%135356
CPT 76642
Ultrasound breast limited
$94$120-22%113%135357
CPT 71271
Ct thorax lung cancer scr c-
$162$208-22%119%135353
CPT 76641
Ultrasound breast complete
$113$145-23%112%134355
CPT 77049
Mri breast c-+ w/cad bi
$424$558-24%125%135354
CPT 37243
Vasc embolize/occlude organ
$646$858-25%134%134354
CPT 93970
Extremity study
$199$270-26%108%136360
CPT 76536
Us exam of head and neck
$112$154-27%104%136358
CPT 93971
Extremity study
$124$172-28%107%136360
CPT 71045
X-ray exam chest 1 view
$23$33-29%92%135355

Frequently asked questions

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

Indiana ranks 44th of 51 states with an index of 86; 10 of 49 codes are above the national median.

Which diagnostic radiology code has the biggest premium in Indiana?

CPT 72141 (Mri neck spine w/o dye), at 110% 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.

Benchmark your Indiana diagnostic radiology contracts

Compare your rates with these medians.

Request a rate benchmark