Diagnostic radiology · Kentucky
Diagnostic radiology commercial reimbursement in Kentucky
How Kentucky diagnostic radiology rates compare with the national market.
Diagnostic radiology in Kentucky
49 codes · 134 sampled providers
Index vs national
85
15% below
Rank among states
46 of 51
1 = highest
Codes above national
0 of 49
median code at 85%
Providers
134
sampled
What the data shows
1
Diagnostic radiology ranks 46th of 51 states in Kentucky with an index of 85 (100 = the specialty's national median), across 49 codes and 134 sampled providers.
2
Of the 49 diagnostic radiology codes with enough data in Kentucky, 0 pay above the national median and 49 below; the typical code sits at 85% of the national median.
3
Largest premium over the national median: CPT 72148 (Mri lumbar spine w/o dye) at 96%; largest discount: CPT 76641 (Ultrasound breast complete) at 75%.
4
Measured against Medicare, Kentucky 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
All diagnostic radiology codes in Kentucky
Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
| Code | Kentucky | National | Gap | % of Medicare | Providers | TINs | Level |
|---|---|---|---|---|---|---|---|
| CPT 72148 Mri lumbar spine w/o dye | $378 | $392 | -4% | 197% | 134 | 387 | |
| CPT 71250 Ct thorax dx c- | $241 | $250 | -4% | 182% | 134 | 386 | |
| CPT 72125 Ct neck spine w/o dye | $238 | $249 | -4% | 183% | 134 | 386 | |
| CPT 70551 Mri brain stem w/o dye | $385 | $402 | -4% | 197% | 134 | 385 | |
| CPT 72131 Ct lumbar spine w/o dye | $236 | $248 | -5% | 182% | 134 | 385 | |
| CPT 70450 Ct head/brain w/o dye | $183 | $194 | -6% | 172% | 134 | 386 | |
| CPT 72141 Mri neck spine w/o dye | $366 | $390 | -6% | 192% | 134 | 385 | |
| CPT 93000 Electrocardiogram complete | $23 | $25 | -9% | 148% | 133 | 388 | |
| CPT 77080 Dxa bone density axial | $60 | $66 | -9% | 153% | 134 | 383 | |
| CPT 71260 Ct thorax dx c+ | $283 | $312 | -9% | 170% | 134 | 382 | |
| CPT 20610 Drain/inj joint/bursa w/o us | $75 | $83 | -10% | 109% | 133 | 397 | |
| CPT 73221 Mri joint upr extrem w/o dye | $360 | $407 | -12% | 176% | 134 | 388 | |
| CPT 73721 Mri jnt of lwr extre w/o dye | $360 | $407 | -12% | 176% | 134 | 386 | |
| CPT 72158 Mri lumbar spine w/o & w/dye | $523 | $593 | -12% | 164% | 134 | 387 | |
| CPT 99212 Office o/p est sf 10 min | $44 | $50 | -13% | 74% | 133 | 396 | |
| CPT 70553 Mri brain stem w/o & w/dye | $521 | $600 | -13% | 164% | 134 | 386 | |
| CPT 99203 Office o/p new low 30 min | $105 | $121 | -13% | 89% | 133 | 397 | |
| CPT 76705 Echo exam of abdomen | $109 | $126 | -14% | 126% | 134 | 388 | |
| CPT 76700 Us exam abdom complete | $145 | $168 | -14% | 127% | 134 | 389 | |
| CPT 93971 Extremity study | $148 | $172 | -14% | 128% | 134 | 393 | |
| CPT 99214 Office o/p est mod 30 min | $110 | $128 | -14% | 81% | 133 | 396 | |
| CPT 93970 Extremity study | $232 | $270 | -14% | 126% | 134 | 393 | |
| CPT 37243 Vasc embolize/occlude organ | $735 | $858 | -14% | 152% | 133 | 384 | |
| CPT 99204 Office o/p new mod 45 min | $160 | $187 | -14% | 90% | 133 | 395 | |
| CPT 99213 Office o/p est low 20 min | $75 | $88 | -15% | 79% | 133 | 396 | |
| CPT 99205 Office o/p new hi 60 min | $208 | $244 | -15% | 88% | 133 | 400 | |
| CPT 76770 Us exam abdo back wall comp | $134 | $158 | -15% | 127% | 134 | 386 | |
| CPT 74176 Ct abd & pelvis w/o contrast | $242 | $287 | -16% | 132% | 134 | 383 | |
| CPT 74174 Cta abd&plvs w/contrast | $507 | $601 | -16% | 134% | 134 | 382 | |
| CPT 74183 Mri abd w/o cntr flwd cntr | $530 | $634 | -16% | 158% | 134 | 385 | |
| CPT 70496 Ct angiography head | $381 | $457 | -17% | 139% | 134 | 386 | |
| CPT 72197 Mri pelvis w/o & w/dye | $528 | $634 | -17% | 158% | 134 | 386 | |
| CPT 74177 Ct abd & pelvis w/contrast | $371 | $448 | -17% | 124% | 134 | 383 | |
| CPT 70498 Ct angiography neck | $379 | $459 | -17% | 138% | 134 | 386 | |
| CPT 93880 Extracranial bilat study | $229 | $277 | -17% | 121% | 134 | 389 | |
| CPT 99215 Office o/p est hi 40 min | $148 | $182 | -18% | 77% | 133 | 396 | |
| CPT 76642 Ultrasound breast limited | $98 | $120 | -19% | 117% | 134 | 381 | |
| CPT 74178 Ct abd&plv wo cntr flwd cntr | $424 | $520 | -19% | 125% | 133 | 382 | |
| CPT 77067 Scr mammo bi incl cad | $147 | $182 | -19% | 116% | 134 | 384 | |
| CPT 76536 Us exam of head and neck | $124 | $154 | -20% | 114% | 133 | 387 | |
| CPT 77066 Dx mammo incl cad bi | $179 | $225 | -21% | 114% | 133 | 389 | |
| CPT 71275 Ct angiography chest | $366 | $462 | -21% | 131% | 134 | 386 | |
| CPT 71045 X-ray exam chest 1 view | $26 | $33 | -21% | 102% | 134 | 382 | |
| CPT 77065 Dx mammo incl cad uni | $141 | $179 | -21% | 114% | 133 | 384 | |
| CPT 77049 Mri breast c-+ w/cad bi | $437 | $558 | -22% | 129% | 134 | 383 | |
| CPT 71046 X-ray exam chest 2 views | $35 | $45 | -22% | 106% | 134 | 384 | |
| CPT 73502 X-ray exam hip uni 2-3 views | $47 | $61 | -23% | 97% | 134 | 385 | |
| CPT 71271 Ct thorax lung cancer scr c- | $158 | $208 | -24% | 116% | 133 | 379 | |
| CPT 76641 Ultrasound breast complete | $109 | $145 | -25% | 109% | 133 | 382 |
Frequently asked questions
How do Kentucky diagnostic radiology rates compare with the rest of the country?
Kentucky ranks 46th of 51 states with an index of 85; 0 of 49 codes are above the national median.
Which diagnostic radiology code has the biggest premium in Kentucky?
CPT 72148 (Mri lumbar spine w/o dye), at 96% 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 Kentucky diagnostic radiology contracts
Compare your rates with these medians.