CPT 77091 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Bone/Joint Studies |
| Common Place of Service | • 11 - Office • 49 - Independent Clinic |
| Common Modifiers | • None • PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments • TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77091 |
National average reimbursement for CPT 77091 by major payers:
$33.65
$33.08
$32.28
$52.60
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 77091 | ||||||
United | 77091 | $50.04 | 1619932894 - PAUL FISHER | 273426141 - (TN) UT LE BONHEUR PEDIATRIC SPECIALISTS INC | NY | Pediatric Radiology Physician (2085P0229X) |
United | 77091 | $54.91 | 1851319628 - DANIEL DAHL | 900730395 | AZ | Anesthesiology Physician (207L00000X) |
United | 77091 | $39.02 | 1780655795 - RALPH PICKARD | 363637465 - (IL) HOOPESTON COMMUNITY MEMORIAL HOSPITAL | CO | Pediatric Radiology Physician (2085P0229X) |
United | 77091 | $48.40 | 1578500401 - VISWESWARA TATINI | 990260423 - (HI) QUEENS NORTH HAWAII COMMUNITY HOSPITAL | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77091 | $122.94 | 1821380932 - SVETLANA YABLOK | 223970667 - (NY) NORTH SHORE-LIJ RADIOLOGY SERVICES P C | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77091 | $82.61 | 1154618742 - VHS HARLINGEN HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER | 452662980 | TX | General Acute Care Hospital (282N00000X) |
United | 77091 | $48.25 | 1376637322 - PAUL WHALEY | 203562205 - (MA) ANESTHETICS OF WORCESTER PC | MA | Certified Registered Nurse Anesthetist (367500000X) |
United | 77091 | $20.69 | 1194728287 - LIONEL SAVADIER | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77091 | $29.87 | 1295736734 - CHRISTUS HEALTH ARK-LA-TEX, CHRISTUS ST. MICHAEL HEALTH SYSTEM | 752796815 - CHRISTUS HEALTH ARK-LA-TEX | TX | General Acute Care Hospital (282N00000X) |
United | 77091 | $35.47 | 1780655795 - RALPH PICKARD | 363637465 - (IL) HOOPESTON COMMUNITY MEMORIAL HOSPITAL | CO | Pediatric Radiology Physician (2085P0229X) |
United | 77091 | $66.86 | 1558792242 - ROMAN PICADO | 251857035 | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 77091 | $35.93 | 1831132711 - GUILLERMO PALACIOS | 42893917 - (MA) RADIOLOGY & IMAGING, INC. | FL | Radiological Physics Physician (2085R0205X) |
United | 77091 | $20.69 | 1760773717 - AARON FALCHOOK | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Radiation Oncology Physician (2085R0001X) |
United | 77091 | $32.38 | 1821595091 - KELSEY GRACE | 381917674 - (MI) CHELSEA COMMUNITY HOSPITAL | MI | Emergency Medicine Physician (207P00000X) |
United | 77091 | $73.55 | 1225201114 - NEELY HINES | 43397450 - (MA) ATRIUS HEALTH, INC. | MA | Diagnostic Radiology Physician (2085R0202X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 77091 vs. Other Bone/Joint Studies Codes
The CPT 77091 code is part of the Radiology Procedures services used for Bone/Joint Studies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 77091 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 77078-CPT | Low | Computed Tomography Bone Mineral Density Study 1 Or More Sites Axial Skeleton |
| 77085-CPT | Low | Dual-Energy X-Ray Absorptiometry (Dxa), Bone Density Study, 1 Or More Sites; Axial Skeleton (Eg, Hips, Pelvis, Spine), Including Vertebral Fracture Assessment |
| 77089-CPT | Low | Trabecular Bone Score (Tbs), Structural Condition Of The Bone Microarchitecture; Using Dual X-Ray Absorptiometry (Dxa) Or Other Imaging Data On Gray-Scale Variogram, Calculation, With Interpretation And Report On Fracture-Risk |
| 77091-CPT | Low | Trabecular Bone Score (Tbs), Structural Condition Of The Bone Microarchitecture; Technical Calculation Only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77091. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77091 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 77091) and we'll show you how you compare in 15 minutes or less.