Diagnostic radiology · Louisiana

Diagnostic radiology commercial reimbursement in Louisiana

How Louisiana diagnostic radiology rates compare with the national market.

Diagnostic radiology in Louisiana

49 codes · 122 sampled providers
Index vs national
92
8% below
Rank among states
38 of 51
1 = highest
Codes above national
8 of 49
median code at 92%
Providers
122
sampled

What the data shows

1

Diagnostic radiology ranks 38th of 51 states in Louisiana with an index of 92 (100 = the specialty's national median), across 49 codes and 122 sampled providers.

2

Of the 49 diagnostic radiology codes with enough data in Louisiana, 8 pay above the national median and 41 below; the typical code sits at 92% of the national median.

3

Largest premium over the national median: CPT 74176 (Ct abd & pelvis w/o contrast) at 105%; largest discount: CPT 77080 (Dxa bone density axial) at 78%.

4

Measured against Medicare, Louisiana 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

CodeLouisianaNationalGapProv.
74176
Ct abd & pelvis w/o contrast
$300$287+4%122
71250
Ct thorax dx c-
$259$250+4%122
20610
Drain/inj joint/bursa w/o us
$85$83+3%120
37243
Vasc embolize/occlude organ
$879$858+2%119
72125
Ct neck spine w/o dye
$254$249+2%122

Lowest vs national

CodeLouisianaNationalGapProv.
77080
Dxa bone density axial
$52$66-22%122
70498
Ct angiography neck
$370$459-19%122
70496
Ct angiography head
$371$457-19%122
71275
Ct angiography chest
$378$462-18%122
74174
Cta abd&plvs w/contrast
$508$601-16%122

All diagnostic radiology codes in Louisiana

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
CodeLouisianaNationalGap% of MedicareProvidersTINsLevel
CPT 74176
Ct abd & pelvis w/o contrast
$300$287+5%164%122212
CPT 71250
Ct thorax dx c-
$259$250+4%196%122215
CPT 20610
Drain/inj joint/bursa w/o us
$85$83+3%124%120215
CPT 37243
Vasc embolize/occlude organ
$879$858+2%182%119201
CPT 72125
Ct neck spine w/o dye
$254$249+2%195%122213
CPT 72131
Ct lumbar spine w/o dye
$253$248+2%195%122213
CPT 70450
Ct head/brain w/o dye
$198$194+2%186%122215
CPT 93000
Electrocardiogram complete
$25$25+1%164%121206
CPT 73221
Mri joint upr extrem w/o dye
$397$407-3%194%122214
CPT 72141
Mri neck spine w/o dye
$378$390-3%198%122214
CPT 71260
Ct thorax dx c+
$300$312-4%180%122215
CPT 72148
Mri lumbar spine w/o dye
$376$392-4%196%122214
CPT 73721
Mri jnt of lwr extre w/o dye
$390$407-4%191%122214
CPT 70551
Mri brain stem w/o dye
$386$402-4%197%122214
CPT 99214
Office o/p est mod 30 min
$122$128-5%90%121214
CPT 71045
X-ray exam chest 1 view
$31$33-5%123%120206
CPT 93880
Extracranial bilat study
$262$277-5%139%122212
CPT 93970
Extremity study
$255$270-6%139%122218
CPT 99203
Office o/p new low 30 min
$113$121-6%96%121216
CPT 77067
Scr mammo bi incl cad
$169$182-7%134%121210
CPT 72158
Mri lumbar spine w/o & w/dye
$550$593-7%173%122213
CPT 76536
Us exam of head and neck
$143$154-7%132%122213
CPT 99212
Office o/p est sf 10 min
$46$50-8%78%121214
CPT 99205
Office o/p new hi 60 min
$224$244-8%95%121214
CPT 99213
Office o/p est low 20 min
$81$88-8%85%121216
CPT 70553
Mri brain stem w/o & w/dye
$550$600-8%174%122215
CPT 74183
Mri abd w/o cntr flwd cntr
$579$634-9%172%122214
CPT 72197
Mri pelvis w/o & w/dye
$578$634-9%173%122212
CPT 99204
Office o/p new mod 45 min
$170$187-9%96%121215
CPT 76705
Echo exam of abdomen
$115$126-9%133%122214
CPT 76642
Ultrasound breast limited
$110$120-9%131%121211
CPT 76700
Us exam abdom complete
$153$168-9%134%122212
CPT 93971
Extremity study
$156$172-9%135%122217
CPT 76641
Ultrasound breast complete
$132$145-9%132%121209
CPT 77065
Dx mammo incl cad uni
$162$179-9%131%121210
CPT 71046
X-ray exam chest 2 views
$41$45-10%123%120210
CPT 77066
Dx mammo incl cad bi
$203$225-10%130%121215
CPT 74177
Ct abd & pelvis w/contrast
$404$448-10%135%122214
CPT 76770
Us exam abdo back wall comp
$143$158-10%134%122213
CPT 73502
X-ray exam hip uni 2-3 views
$55$61-10%113%121207
CPT 71271
Ct thorax lung cancer scr c-
$186$208-11%136%120214
CPT 99215
Office o/p est hi 40 min
$161$182-12%84%121216
CPT 77049
Mri breast c-+ w/cad bi
$492$558-12%145%120214
CPT 74178
Ct abd&plv wo cntr flwd cntr
$452$520-13%134%122212
CPT 74174
Cta abd&plvs w/contrast
$508$601-15%134%122210
CPT 71275
Ct angiography chest
$378$462-18%135%122215
CPT 70496
Ct angiography head
$371$457-19%135%122211
CPT 70498
Ct angiography neck
$370$459-19%135%122211
CPT 77080
Dxa bone density axial
$52$66-22%131%122211

Frequently asked questions

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

Louisiana ranks 38th of 51 states with an index of 92; 8 of 49 codes are above the national median.

Which diagnostic radiology code has the biggest premium in Louisiana?

CPT 74176 (Ct abd & pelvis w/o contrast), at 105% 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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