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Bone Microarchitecture Score Calculation

North Carolina 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?

$57.54

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $42.66 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 8 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$57.54$41.69 to $91.20
FacilityA hospital or hospital-owned outpatient department$42.66$34.67 to $60.26

How much rates vary

Facilitymedian $43 · 10th to 90th $35 to $89Professionalmedian $58 · 10th to 90th $35 to $110
$20$50$100$200facility $43professional $58

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
$34.67
Median
$34.67
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.90
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$37.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$60.26
Typical High
$107.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$75.86
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$41.69
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$56.23
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$51.29
Typical High
$97.72
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$338.84

Where North Carolina 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.

North Carolina· 10th of 51

$57.54

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.