Radiology reimbursement rates by service line
Compare national radiology reimbursement benchmarks calculated from price transparency data. Reference benchmarks cover 71046, 74177 and 77067 across Aetna, Anthem, Cigna and United. Reporting periods: Jun–Jul 2026.
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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 median published rate across billing entities for that payer.
National 74177 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 102,302 | $108.54 | $125.63 | |||
| Cigna | Jun–Jul 2026 | 122,913 | $141.83 | $160.66 | |||
| United | Jun–Jul 2026 | 87,728 | $143.69 | $166.99 | |||
| Anthem | Jun–Jul 2026 | 122,650 | $158.35 | $213.94 |
- Source
- Negotiated or fee-schedule amounts 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.
Confirm coverage for your codes, payers and markets.
How do specific radiology providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Radiology provider rates by payer (CPT 74177)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| LECONTE RADIOLOGY PCNPI 1003021783 · Tax ID 621868986 | TN | 135 | $55 | -$53.54 | Below P25 |
| USA VEIN CLINICS OF TENNESSEE PLLCNPI 1922041896 · Tax ID 920428186 | TN | 164 | $76.50 | -$32.04 | Below P25 |
| MERIDIAN MEDICAL SERVICES, INC.NPI 1598188260 · Tax ID 351939249 | IN | 46 | $87.84 | -$20.70 | Below P25 |
| PORTLAND MEDICAL IMAGING LLCNPI 1033377643 · Tax ID 201054971 | OR | 33 | $94.60 | -$13.94 | P25 to median |
| ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLCNPI 1063843605 · Tax ID 208928235 | LA | 132 | Median to P75 | ||
| WOMENS HEALTHCARE ASSOCIATES LLCNPI 1285830513 · Tax ID 931271596 | OR | 268 | Above P75 |
Choose one state to replace the mixed-state examples with payer-specific provider rates for available preview codes.
No trial or data preparation required.Which providers have the highest claim volume in the radiology market?
Provider organizations with the highest combined 2024 Medicare and Medicaid claim volume in the radiology market.
- 1MULTIIndiana University Radiology Associates INC Iu MedicalNPI 1336192665Medicare 234,693Medicaid 35,211269,904 total
- 2MULTIBeverly Radiology Medical GroupNPI 1962457812Medicare 214,593Medicaid 21,820236,413 total
- 3MULTIUniversity Radiology Group LLCNPI 1154367803Medicare 182,521Medicaid 16,339198,860 total
- 4MULTIUniv Of Penn Medical GroupNPI 1558759571Medicare 13,631Medicaid 107,218120,849 total
- 5MULTIRadiology Imaging Associates PCNPI 1679513196Medicare 7,500Medicaid 107,890115,390 total
- 6CABay Imaging Consultants Medical Group INCNPI 1548769284Medicare 54,340Medicaid 54,272108,612 total
- 7MESpectrum Healthcare Partners PANPI 1669488011Medicare 27,938Medicaid 78,360106,298 total
- 8MULTIKern Radiology Medical Group INCNPI 1720023997Medicare 98,813Medicaid 4,007102,820 total
- 9MULTISonoran Radiology LtdNPI 1033745708Medicare 8,917Medicaid 93,065101,982 total
- 10OHKettering Network Radiologists INCNPI 1346299153Medicare 68,365Medicaid 26,42994,794 total
- 11PAMedical Imaging of Lehigh Valley PCNPI 1134178023Medicare 44,428Medicaid 50,09594,523 total
- 12MULTIRadia INC PsNPI 1932196607Medicare 91,742Medicaid 31892,060 total
- 13CAKc Tan MD Medical CorporationNPI 1215394036Medicare 56,982Medicaid 34,34791,329 total
- 14MULTIRegents Of The University Of MichiganNPI 1871528026Medicare 65,574Medicaid 11,85277,426 total
- 15TXRadiology Associates Of North Texas PANPI 1710970975Medicare 75,620Medicaid 88076,500 total
- 16CALambert Radiology Medical GroupNPI 1609826684Medicare 73,469Medicaid 2,20475,673 total
- 17CARenaissance Imaging Medical Associates INCNPI 1487608931Medicare 74,690Medicaid 64775,337 total
- 18MULTICentral Illinois Radiological Associates LtdNPI 1538192828Medicare 45,495Medicaid 29,34174,836 total
- 19OHRadiology Physicians INCNPI 1851390850Medicare 51,749Medicaid 21,30373,052 total
- 20INRadiology Of Indiana PCNPI 1992723829Medicare 50,847Medicaid 19,62470,471 total
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 | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per service · 7 codes | ||||
71045Chest X-ray, one view | $12.22 | $15.98 | $16.42 | $21.42 |
71046Chest X-ray, two views | $14.60 | $19.14 | $19.70 | $25.54 |
72100Lumbar spine X-ray, two or three views | $15.69 | $19.92 | $20.29 | $25.29 |
73030Shoulder X-ray | $13.22 | $16.77 | $17.11 | $21.28 |
73560Knee X-ray, one or two views | $11.94 | $15.26 | $15.34 | $19.20 |
73630Foot X-ray | $11.73 | $14.99 | $15.23 | $18.92 |
74018Abdominal X-ray, one view | $12.28 | $16.05 | $16.43 | $21.10 |
$ per service · 7 codes | ||||
70450CT head or brain without contrast | $64.01 | $75.54 | $77.61 | $102.48 |
71250CT chest without contrast | $80.17 | $97.43 | $102.26 | $130.79 |
71260CT chest with contrast | $88.21 | $106.80 | $111.72 | $143.93 |
71275CT angiography of the chest | $131.29 | $162.86 | $166.68 | $211.29 |
72125CT cervical spine without contrast | $77.07 | $93.67 | $93.04 | $125.69 |
74176CT abdomen and pelvis without contrast | $120.04 | $153.25 | $159.43 | $205.02 |
74177CT abdomen and pelvis with contrast | $125.63 | $160.66 | $166.99 | $213.94 |
$ per service · 5 codes | ||||
70551MRI brain without contrast | $133.19 | $131.50 | $138.41 | $176.90 |
70553MRI brain without and with contrast | $178.59 | $204.55 | $213.63 | $275.76 |
72141MRI cervical spine without contrast | $133.95 | $134.29 | $139.57 | $180.98 |
72148MRI lumbar spine without contrast | $133.06 | $131.92 | $138.69 | $177.31 |
73721MRI lower-extremity joint without contrast | $125.69 | $120.26 | $126.47 | $161.13 |
$ per service · 1 code | ||||
77067Bilateral screening mammography with computer-aided detection | $51.23 | $65.42 | $68.64 | $82.11 |
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 to read these radiology rates
Benchmarks calculated by PayerPrice from health plan price transparency files. CMS price transparency requirements.
- Published rates, not paymentsThese figures summarize negotiated rates reported by health plans. They are not claim payments, patient prices or a provider's verified contract.
- Average vs. medianThe average combines eligible billing-entity rates; the median is the middle rate. A large gap between them can signal that high or low rates are pulling the average.
- What a provider row meansA billing entity may be a clinician, practice, facility or health system. A named row does not always represent one individual provider.
- Compare like for likeMatch the code, billing component, setting, payment unit, network and reporting period. Facility, drug and other service payments may be separate.
Calculation details and specialty-specific notes
Use this methodology to understand what each published rate represents and which billing details must match before comparing radiology services.
- Rate source
- Each value is a negotiated professional radiology rate published in a payer machine-readable file, not a claim, charge, or imaging facility payment.
- Rate calculation
- National 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. The calculation targets the lowest and highest 2% of entity rates for removal, rounded down to whole entities. Tied boundary values stay together, so fewer rates may be removed. A payer, code and geography cohort is published only when at least 10 billing entities remain after trimming. A missing benchmark does not mean the rate is zero.
- Provider entity
- Named examples use payer-file NPI and TIN records. An entity may represent a radiology group, imaging center, health system, or another billing organization. Each NPI and TIN combination contributes one representative rate: its most frequent normalized value. When multiple values are equally frequent, those values are averaged.
- Comparable rates
- Match the exact code, modality, anatomy, views, contrast, professional, technical, or global component, site of service, payer product, and network. Facility payments may be separate. Benchmarks keep the payer, service code, geography, reporting period and billing unit separate. Different services or payment units are not blended into one rate.
Compare Radiology rates in your market
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- Define the scopeChoose the codes, payers, networks and providers.
- Match the billing detailsWe align services, settings and payment units.
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Explore radiology rates by state
Choose a state to compare payer reference averages for common services.
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 or fee-schedule 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?
Provider examples are sampled 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. The national overview includes public provider samples; state provider-level comparisons require a free state preview.