Diagnostic radiology · Iowa

Diagnostic radiology commercial reimbursement in Iowa

How Iowa diagnostic radiology rates compare with the national market.

Diagnostic radiology in Iowa

49 codes · 102 sampled providers
Index vs national
117
17% above
Rank among states
9 of 51
1 = highest
Codes above national
42 of 49
median code at 117%
Providers
102
sampled

What the data shows

1

Diagnostic radiology ranks 9th of 51 states in Iowa with an index of 117 (100 = the specialty's national median), across 49 codes and 102 sampled providers.

2

Of the 49 diagnostic radiology codes with enough data in Iowa, 42 pay above the national median and 7 below; the typical code sits at 117% of the national median.

3

Largest premium over the national median: CPT 73502 (X-ray exam hip uni 2-3 views) at 139%; largest discount: CPT 99205 (Office o/p new hi 60 min) at 93%.

4

Measured against Medicare, Iowa diagnostic radiology rates have a median of 195% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

CodeIowaNationalGapProv.
73502
X-ray exam hip uni 2-3 views
$86$61+39%100
71045
X-ray exam chest 1 view
$45$33+36%100
77066
Dx mammo incl cad bi
$302$225+34%100
77067
Scr mammo bi incl cad
$243$182+33%100
77065
Dx mammo incl cad uni
$238$179+33%100

Lowest vs national

CodeIowaNationalGapProv.
99205
Office o/p new hi 60 min
$226$244-7%100
99203
Office o/p new low 30 min
$112$121-7%100
99204
Office o/p new mod 45 min
$174$187-7%100
99215
Office o/p est hi 40 min
$173$182-5%100
99212
Office o/p est sf 10 min
$48$50-4%100

All diagnostic radiology codes in Iowa

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeIowaNationalGap% of MedicareProvidersTINsLevel
CPT 73502
X-ray exam hip uni 2-3 views
$86$61+39%176%100297
CPT 71045
X-ray exam chest 1 view
$45$33+36%176%100295
CPT 77066
Dx mammo incl cad bi
$302$225+34%192%100295
CPT 77067
Scr mammo bi incl cad
$243$182+33%192%100296
CPT 77065
Dx mammo incl cad uni
$238$179+33%192%100294
CPT 77049
Mri breast c-+ w/cad bi
$741$558+33%218%100293
CPT 74177
Ct abd & pelvis w/contrast
$585$448+31%195%100294
CPT 76536
Us exam of head and neck
$199$154+29%184%100298
CPT 71046
X-ray exam chest 2 views
$58$45+29%176%100298
CPT 71271
Ct thorax lung cancer scr c-
$266$208+28%195%100292
CPT 76642
Ultrasound breast limited
$153$120+27%184%100295
CPT 76641
Ultrasound breast complete
$184$145+27%184%100292
CPT 74178
Ct abd&plv wo cntr flwd cntr
$659$520+27%195%100294
CPT 76705
Echo exam of abdomen
$158$126+26%184%100298
CPT 93880
Extracranial bilat study
$346$277+25%183%100298
CPT 76700
Us exam abdom complete
$210$168+25%184%100297
CPT 93970
Extremity study
$337$270+25%183%100299
CPT 74176
Ct abd & pelvis w/o contrast
$357$287+24%195%100294
CPT 93971
Extremity study
$213$172+24%183%100298
CPT 76770
Us exam abdo back wall comp
$195$158+23%184%100297
CPT 93000
Electrocardiogram complete
$31$25+23%200%100287
CPT 74174
Cta abd&plvs w/contrast
$738$601+23%195%100293
CPT 71275
Ct angiography chest
$547$462+18%195%100297
CPT 20610
Drain/inj joint/bursa w/o us
$98$83+18%142%100303
CPT 73221
Mri joint upr extrem w/o dye
$478$407+17%233%100296
CPT 37243
Vasc embolize/occlude organ
$1,006$858+17%209%99289
CPT 73721
Mri jnt of lwr extre w/o dye
$477$407+17%233%100297
CPT 70496
Ct angiography head
$534$457+17%195%100297
CPT 72158
Mri lumbar spine w/o & w/dye
$692$593+17%217%100296
CPT 70498
Ct angiography neck
$534$459+16%195%100297
CPT 77080
Dxa bone density axial
$76$66+15%194%100295
CPT 74183
Mri abd w/o cntr flwd cntr
$732$634+15%218%100297
CPT 70553
Mri brain stem w/o & w/dye
$691$600+15%218%100297
CPT 72197
Mri pelvis w/o & w/dye
$729$634+15%218%100295
CPT 72141
Mri neck spine w/o dye
$445$390+14%233%100297
CPT 70551
Mri brain stem w/o dye
$456$402+13%233%100297
CPT 72148
Mri lumbar spine w/o dye
$435$392+11%227%100297
CPT 70450
Ct head/brain w/o dye
$208$194+7%195%100296
CPT 71260
Ct thorax dx c+
$325$312+4%195%102294
CPT 71250
Ct thorax dx c-
$258$250+3%195%100297
CPT 72125
Ct neck spine w/o dye
$255$249+2%195%100297
CPT 72131
Ct lumbar spine w/o dye
$253$248+2%195%100297
CPT 99213
Office o/p est low 20 min
$86$88-2%91%100302
CPT 99214
Office o/p est mod 30 min
$124$128-3%91%100301
CPT 99212
Office o/p est sf 10 min
$48$50-5%81%100302
CPT 99215
Office o/p est hi 40 min
$173$182-5%90%100301
CPT 99204
Office o/p new mod 45 min
$174$187-7%98%100301
CPT 99203
Office o/p new low 30 min
$112$121-7%95%100302
CPT 99205
Office o/p new hi 60 min
$226$244-7%95%100298

Frequently asked questions

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

Iowa ranks 9th of 51 states with an index of 117; 42 of 49 codes are above the national median.

Which diagnostic radiology code has the biggest premium in Iowa?

CPT 73502 (X-ray exam hip uni 2-3 views), at 139% 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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