Diagnostic radiology · Wisconsin
Diagnostic radiology commercial reimbursement in Wisconsin
How Wisconsin diagnostic radiology rates compare with the national market.
Diagnostic radiology in Wisconsin
49 codes · 123 sampled providers
Index vs national
137
37% above
Rank among states
3 of 51
1 = highest
Codes above national
49 of 49
median code at 137%
Providers
123
sampled
What the data shows
1
Diagnostic radiology ranks 3rd of 51 states in Wisconsin with an index of 137 (100 = the specialty's national median), across 49 codes and 123 sampled providers.
2
Of the 49 diagnostic radiology codes with enough data in Wisconsin, 49 pay above the national median and 0 below; the typical code sits at 137% of the national median.
3
Largest premium over the national median: CPT 20610 (Drain/inj joint/bursa w/o us) at 159%; largest discount: CPT 93971 (Extremity study) at 119%.
4
Measured against Medicare, Wisconsin diagnostic radiology rates have a median of 215% 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 Wisconsin
Median across payers vs the specialty's national median and the Medicare rate; sorted by premium
| Code | Wisconsin | National | Gap | % of Medicare | Providers | TINs | Level |
|---|---|---|---|---|---|---|---|
| CPT 20610 Drain/inj joint/bursa w/o us | $132 | $83 | +59% | 191% | 123 | 310 | |
| CPT 73502 X-ray exam hip uni 2-3 views | $97 | $61 | +58% | 200% | 123 | 305 | |
| CPT 71045 X-ray exam chest 1 view | $52 | $33 | +57% | 203% | 123 | 303 | |
| CPT 74178 Ct abd&plv wo cntr flwd cntr | $810 | $520 | +56% | 240% | 123 | 303 | |
| CPT 74177 Ct abd & pelvis w/contrast | $669 | $448 | +49% | 223% | 123 | 304 | |
| CPT 99214 Office o/p est mod 30 min | $189 | $128 | +47% | 139% | 123 | 306 | |
| CPT 71046 X-ray exam chest 2 views | $66 | $45 | +47% | 200% | 123 | 305 | |
| CPT 77065 Dx mammo incl cad uni | $261 | $179 | +46% | 211% | 118 | 304 | |
| CPT 99213 Office o/p est low 20 min | $128 | $88 | +46% | 135% | 123 | 307 | |
| CPT 99215 Office o/p est hi 40 min | $265 | $182 | +46% | 138% | 123 | 306 | |
| CPT 76642 Ultrasound breast limited | $175 | $120 | +46% | 210% | 122 | 307 | |
| CPT 76536 Us exam of head and neck | $223 | $154 | +45% | 206% | 118 | 306 | |
| CPT 76770 Us exam abdo back wall comp | $229 | $158 | +44% | 215% | 118 | 306 | |
| CPT 77066 Dx mammo incl cad bi | $323 | $225 | +43% | 206% | 118 | 305 | |
| CPT 76705 Echo exam of abdomen | $180 | $126 | +43% | 209% | 118 | 307 | |
| CPT 77067 Scr mammo bi incl cad | $260 | $182 | +43% | 206% | 118 | 305 | |
| CPT 77080 Dxa bone density axial | $94 | $66 | +42% | 239% | 123 | 308 | |
| CPT 76641 Ultrasound breast complete | $206 | $145 | +42% | 206% | 117 | 304 | |
| CPT 99212 Office o/p est sf 10 min | $71 | $50 | +41% | 120% | 123 | 306 | |
| CPT 74176 Ct abd & pelvis w/o contrast | $406 | $287 | +41% | 222% | 118 | 302 | |
| CPT 99203 Office o/p new low 30 min | $170 | $121 | +41% | 144% | 123 | 308 | |
| CPT 76700 Us exam abdom complete | $235 | $168 | +40% | 206% | 118 | 307 | |
| CPT 74174 Cta abd&plvs w/contrast | $841 | $601 | +40% | 222% | 122 | 303 | |
| CPT 71271 Ct thorax lung cancer scr c- | $288 | $208 | +38% | 211% | 118 | 299 | |
| CPT 99205 Office o/p new hi 60 min | $334 | $244 | +37% | 141% | 123 | 304 | |
| CPT 99204 Office o/p new mod 45 min | $254 | $187 | +36% | 143% | 123 | 308 | |
| CPT 77049 Mri breast c-+ w/cad bi | $753 | $558 | +35% | 222% | 118 | 292 | |
| CPT 71275 Ct angiography chest | $622 | $462 | +35% | 222% | 118 | 303 | |
| CPT 70450 Ct head/brain w/o dye | $262 | $194 | +35% | 245% | 118 | 302 | |
| CPT 70496 Ct angiography head | $607 | $457 | +33% | 222% | 118 | 302 | |
| CPT 70498 Ct angiography neck | $607 | $459 | +32% | 222% | 118 | 303 | |
| CPT 71260 Ct thorax dx c+ | $411 | $312 | +32% | 246% | 118 | 303 | |
| CPT 93880 Extracranial bilat study | $364 | $277 | +31% | 192% | 118 | 306 | |
| CPT 70553 Mri brain stem w/o & w/dye | $785 | $600 | +31% | 248% | 118 | 292 | |
| CPT 37243 Vasc embolize/occlude organ | $1,121 | $858 | +31% | 232% | 112 | 304 | |
| CPT 72158 Mri lumbar spine w/o & w/dye | $773 | $593 | +30% | 243% | 118 | 292 | |
| CPT 72141 Mri neck spine w/o dye | $505 | $390 | +30% | 265% | 118 | 294 | |
| CPT 74183 Mri abd w/o cntr flwd cntr | $821 | $634 | +29% | 244% | 118 | 293 | |
| CPT 72197 Mri pelvis w/o & w/dye | $818 | $634 | +29% | 245% | 118 | 293 | |
| CPT 72131 Ct lumbar spine w/o dye | $312 | $248 | +26% | 240% | 114 | 303 | |
| CPT 71250 Ct thorax dx c- | $314 | $250 | +25% | 237% | 114 | 303 | |
| CPT 73721 Mri jnt of lwr extre w/o dye | $509 | $407 | +25% | 249% | 118 | 294 | |
| CPT 73221 Mri joint upr extrem w/o dye | $509 | $407 | +25% | 248% | 118 | 293 | |
| CPT 72148 Mri lumbar spine w/o dye | $490 | $392 | +25% | 256% | 118 | 293 | |
| CPT 72125 Ct neck spine w/o dye | $310 | $249 | +25% | 238% | 114 | 304 | |
| CPT 70551 Mri brain stem w/o dye | $501 | $402 | +25% | 257% | 118 | 293 | |
| CPT 93000 Electrocardiogram complete | $31 | $25 | +23% | 200% | 114 | 288 | |
| CPT 93970 Extremity study | $325 | $270 | +20% | 177% | 118 | 307 | |
| CPT 93971 Extremity study | $205 | $172 | +19% | 177% | 123 | 310 |
Frequently asked questions
How do Wisconsin diagnostic radiology rates compare with the rest of the country?
Wisconsin ranks 3rd of 51 states with an index of 137; 49 of 49 codes are above the national median.
Which diagnostic radiology code has the biggest premium in Wisconsin?
CPT 20610 (Drain/inj joint/bursa w/o us), at 159% 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 Wisconsin diagnostic radiology contracts
Compare your rates with these medians.