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CPT 77091 Fee Schedule

Last Verified: September 2026

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.

Measure Of Bone Texture, The Trabecular Bone Score (Tbs) Measures Bone Texture And Structure And Helps To Predict The Risk Of Osteoporosis.
Key FactDetail
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 LevelLow
Medicare Fee ScheduleView Medicare rates for 77091
Medicaid Fee ScheduleView Medicaid rates for 77091

National average reimbursement for CPT 77091 by major payers:

bcbs

$33.65

uhc

$33.08

aetna

$32.28

cigna

$52.87

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 77091.

CPT 77091
5 of 25 sample ratesHigher to lower in this preview
  1. Slidell Memorial Hospital, Md Imaging Slidell

    Slidell Memorial Hospital

    LAGeneral Acute Care HospitalNPI 1114976263Tax ID 72-6014895

    $198.25Published rate
  2. Vhs Harlingen Hospital Company LLC, Valley Baptist Medical Center

    TXGeneral Acute Care HospitalNPI 1154618742Tax ID 45-2662980

    $82.61Published rate
  3. Paul Fisher

    Ut Le Bonheur Pediatric Specialists Inc

    NYPediatric Radiology PhysicianNPI 1619932894Tax ID 27-3426141

    $50.04Published rate
  4. Guillermo Palacios

    Radiology & Imaging, Inc.

    FLRadiological Physics PhysicianNPI 1831132711Tax ID 42-893917

    $35.93Published rate
  5. Aaron Falchook

    South Broward Hospital District

    FLRadiation Oncology PhysicianNPI 1760773717Tax ID 59-6014973

    $20.69Published rate

National sample. Rates vary by location, specialty, and contract.

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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.

CodeComplexityDescription
77089-CPTLowTbs Dxa Cal W I R Fx Risk, 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
77090-CPTLowTbs Techl Prep Transmis Data, Trabecular Bone Score Tbs Structural Condition Of The Bone Microarchitecture Technical Preparation And Transmission Of Data For Analysis To Be Performed Elsewhere
77091-CPTLowMeasure Of Bone Texture, The Trabecular Bone Score (Tbs) Measures Bone Texture And Structure And Helps To Predict The Risk Of Osteoporosis.
77092-CPTLowTrabecular Bone Score (Tbs) S, Trabecular Bone Score (Tbs) Structural Condition Of The Bone Microarchitecture Interpretation And Report On Fracture-Risk Only By Other Qualified Health Care Professional

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.

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