Delaware Commercial reimbursement
Radiology reimbursement rates in Delaware
Compare price transparency averages for CPT 71046, CPT 74177 and CPT 77067 across Aetna, Anthem, Cigna and United. Preview Delaware medians, rate ranges and named provider rates for free.
Price transparency averages
Delaware averages by payer
| Service | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
| CPT 71046Chest X-ray, two views | $15.15 | $16.73 | $19.31 | $26.24 |
| CPT 74177CT abdomen and pelvis with contrast | $130.88 | $142.94 | $161.88 | $189.26 |
| CPT 77067Bilateral screening mammography with computer-aided detection | $49.83 | $57.58 | $68.02 | $80.99 |
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CPT 71046 - Chest X-ray, two views
| Payer | Delaware | National | Difference |
|---|---|---|---|
| Aetna | $15.15 | $14.60 | +3.8% |
| Cigna | $16.73 | $19.14 | -12.6% |
| United | $19.31 | $19.70 | -2.0% |
| Anthem | $26.24 | $25.54 | +2.7% |
CPT 74177 - CT abdomen and pelvis with contrast
| Payer | Delaware | National | Difference |
|---|---|---|---|
| Aetna | $130.88 | $125.63 | +4.2% |
| Cigna | $142.94 | $160.66 | -11.0% |
| United | $161.88 | $166.99 | -3.1% |
| Anthem | $189.26 | $213.94 | -11.5% |
CPT 77067 - Bilateral screening mammography with computer-aided detection
| Payer | Delaware | National | Difference |
|---|---|---|---|
| Aetna | $49.83 | $51.23 | -2.7% |
| Cigna | $57.58 | $65.42 | -12.0% |
| United | $68.02 | $68.64 | -0.9% |
| Anthem | $80.99 | $82.11 | -1.4% |
Sources and methodology
Averages calculated by PayerPrice from health plan price transparency files.
- 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.
Published negotiated rates are not claim payments or a provider's verified contract.
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