CPT 77080 Radiology

How Much Does DEXA Bone Density Scan Cost?

Also known as: Dxa bone density axial (CPT 77080)

A bone density scan (DEXA scan) of your spine and/or hip to check for osteoporosis or weak bones.

DEXA Bone Density Scan (CPT 77080) costs $39 at Medicare rates.

The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.

Medicare (Facility)
$39
CMS PFS 2026 national rate

Patient Guide: DEXA Bone Density Scan

What you need to know before your appointment

What to Expect

You will lie on a padded table while a low-dose X-ray arm passes over your body, measuring the density (strength) of your bones. It is painless and uses very low radiation.

How Long Does It Take?

15-20 minutes

Common Reasons Doctors Order This

Osteoporosis screening, bone loss evaluation, monitoring osteoporosis treatment, post-menopausal bone health assessment

How to Prepare

Avoid calcium supplements for 24 hours before. Wear clothing without metal zippers or buttons. Do not schedule right after a CT or barium study.

Procedures Commonly Done Together

These procedures are frequently performed alongside Dxa bone density axial

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How to Reduce Your Cost for Dxa bone density axial

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.20
Work RVU
0.96
Practice Expense RVU
0.02
Malpractice RVU
1.18
Total RVU

Payment = Total RVU (1.18) x CF ($33.40) = $39

Frequently Asked Questions

How much does Dxa bone density axial cost?

The Medicare facility rate for Dxa bone density axial is $39. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Dxa bone density axial cost without insurance?

Without insurance, the cost of Dxa bone density axial can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Dxa bone density axial?

Most commercial health insurance plans and Medicare cover Dxa bone density axial when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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