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See a sample rate comparisonCPT 77085 Fee Schedule
Medicare rates as of October 2026
CPT 77085 is classified under Radiology Procedures, in the Bone/Joint Studies subgroup.
Dual-Energy X-Ray Absorptiomet, Dual-Energy X-Ray Absorptiometry (Dxa) Bone Density Study 1 Or More Sites Axial Skeleton (Eg Hips Pelvis Spine) Including Vertebral Fracture Assessment
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Bone/Joint Studies |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $54.44 national non-facility rate (2026) · View Medicare rates for 77085 |
| Medicaid Fee Schedule | $43.865 median of the 8 states in the free preview · View Medicaid rates for 77085 |
National average reimbursement for CPT 77085 by major payers:
$67.83
BCBS / Anthem
$61.69
UnitedHealthcare
$65.17
Aetna
$86.57
Cigna
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CPT 77085
5 of 25 sample ratesHigher to lower in this preview
Babita Sethi
Sharp Rees-Stealy Medical Group, Inc.
$148.96Published rateChristopher Powers
Slocum Dickson Medical Group PLLC
$62.22Published rateAsha Bhatt
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$49.99Published rateJonathan Beavers
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$42.49Published rateRalph Pickard
Kaleida Health
$14.85Published rate
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See a sample payer proposalCPT 77085 vs. Other Bone/Joint Studies Codes
The table lists codes related to 77085. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 77078-CPT | Low | Ct Scan For Bone Density, A Ct (Computed Tomography) Scan Is Used For A Bone Mineral Density Study. The Images Help To Evaluate The Calcium And Mineral Content In One Or More Segments Of Bone. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. |
| 77080-CPT | Low | Bone Density Study, A Bone Density Study Measures The Amounts Of Calcium And Other Minerals With Dual-Energy X-Ray Absorptiometry (Dexa). The Result Is An Assessment Of Bone Health. |
| 77085-CPT | Low | Dual-Energy X-Ray Absorptiomet, Dual-Energy X-Ray Absorptiometry (Dxa) Bone Density Study 1 Or More Sites Axial Skeleton (Eg Hips Pelvis Spine) Including Vertebral Fracture Assessment |
| 77086-CPT | Low | Vertebra Fract Assess Via Dual-Enrgy X-Ray Absorptiom (Dx, Vertebral Fracture Assessment Via Dual-Energy X-Ray Absorptiometry (Dx |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77085. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77085 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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