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Bone Microarchitecture Score Calculation

Illinois rates for HCPCS 77089

This service calculates a score reflecting bone microarchitecture and quality using data from an existing bone density scan, rather than performing a new imaging exam. It's typically used alongside bone density results to give a fuller picture of fracture risk. The ordering provider receives a written interpretation of the score.

Rates data updated July 2026.

How much does Bone Microarchitecture Score Calculation cost?

$51.29

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $67.61 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$51.29$38.02 to $74.13
FacilityA hospital or hospital-owned outpatient department$67.61$47.86 to $112

How much rates vary

Facilitymedian $68 · 10th to 90th $39 to $229Professionalmedian $51 · 10th to 90th $34 to $91
$50$100$200$500$1Kfacility $68professional $51

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$67.61
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.90
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$630.96
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$56.23
Typical High
$79.43
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$100.00
Typical High
$204.17
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$52.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$120.23

Where Illinois sits

The same service costs 2.7 times more in Alaska than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 17th of 51

$51.29

AK $100SC $37.15

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.