Radiology reimbursement
by service line
Compare national commercial radiology rates for X-ray, CT, MRI, and screening mammography services across payers.
Compare national radiology rates by payer
Compare payer benchmarks across common imaging modalities while preserving the code, anatomy, contrast, and billing-component context.
Aetna state variation for 74177
National 74177 rate distribution
Each marker shows the national average published rate across billing entities for that payer.
National 74177 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Q2 2026 | 72,158 | $142.66 | ||||
| Cigna | Q2 2026 | 6,802 | $218.42 | ||||
| United | Q2 2026 | 87,728 | $166.99 |
- Source
- Negotiated rates published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for ct abdomen and pelvis with contrast (74177).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific radiology providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
Radiology provider rates by payer
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|
Named provider examples are available in a scoped radiology market comparison.
Choose one state to replace the mixed-state examples with payer-specific provider rates across all three preview codes.
No trial or data preparation required.How reimbursement changes across radiology services
Keep X-ray, CT, MRI, and mammography rates separated by code, anatomy, contrast, views, and billing component.
| Service line / billing code | Nat'l avg | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|---|
$ per service · 7 codes | |||||
71045Chest X-ray, one view | $13.96 | — | |||
71046Chest X-ray, two views | $16.52 | — | |||
72100Lumbar spine X-ray, two or three views | $17.99 | — | |||
73030Shoulder X-ray | $15.02 | — | |||
73560Knee X-ray, one or two views | $13.67 | — | |||
73630Foot X-ray | $13.46 | — | |||
74018Abdominal X-ray, one view | $14 | — | |||
$ per service · 7 codes | |||||
70450CT head or brain without contrast | $71.80 | — | |||
71250CT chest without contrast | $90.66 | — | |||
71260CT chest with contrast | $99.82 | — | |||
71275CT angiography of the chest | $149.15 | — | |||
72125CT cervical spine without contrast | $86.66 | — | |||
74176CT abdomen and pelvis without contrast | $136.60 | — | |||
74177CT abdomen and pelvis with contrast | $142.66 | — | |||
$ per service · 5 codes | |||||
70551MRI brain without contrast | $146.11 | — | |||
70553MRI brain without and with contrast | $199.28 | — | |||
72141MRI cervical spine without contrast | $147.83 | — | |||
72148MRI lumbar spine without contrast | $145.73 | — | |||
73721MRI lower-extremity joint without contrast | $137.19 | — | |||
$ per service · 1 code | |||||
77067Bilateral screening mammography with computer-aided detection | $58.68 | — | |||
Tell us the services, payers, states, and networks you need. We'll confirm available coverage and scope the comparison on a 20-minute call.
Book a 20-min scoping call No trial or data preparation required.How these radiology rates are calculated
Use this methodology to understand what each published rate represents and which billing details must match before comparing radiology services.
- Rate sourceEach value is a negotiated professional radiology rate published in a payer machine-readable file, not a claim, charge, or imaging facility payment.
- Rate calculationNational figures use eligible published rate records across the country; state views use records tied to the selected state. Averages are not weighted by study volume or modality mix.
- Provider entityNamed examples use payer-file NPI and TIN records. An entity may represent a radiology group, imaging center, health system, or another billing organization.
- Comparable ratesMatch the exact code, modality, anatomy, views, contrast, professional, technical, or global component, site of service, payer product, and network. Facility payments may be separate.
Get the radiology reimbursement data you're looking for
Choose the services, payers, states, networks, and provider entities relevant to your question. We'll confirm the available coverage and prepare the comparison.
- Tell us your marketShare the specialty, geography, payers, networks, and providers.
- We find comparable ratesPayerPrice aligns billing codes, services, settings, and units.
- Get your market viewSee relevant payer and provider rates organized around your question.
We'll tell you what the data can support, where the gaps are, and the clearest way to structure the comparison.
Trusted by teams that need defensible reimbursement data
How to interpret radiology rates
How to interpret the selected market and payer-published rates.
Which radiology modalities are included?
The report includes common X-ray, CT, MRI, and screening mammography codes across multiple body regions.
Why must professional and technical rates be separated?
The physician interpretation, technical imaging service, and global service can have materially different negotiated amounts.
Can contrast and non-contrast studies be combined?
No. Contrast use changes the CPT code and service definition, so the same code should be used for comparison.
Which billing details change a radiology rate comparison?
Confirm the exact code, modality, anatomy, number of views, contrast use, professional, technical, or global component, site of service, payer product, and network.
How are named radiology providers selected?
The public table shows billing entities from different points in the selected payer's rate range. An entity may be a radiology group, imaging center, health system, or another billing organization.