| behavioral |
| Psychotherapy 30 minutes | CPT | 90832 | 1 | $172 | $172 | $154.8 | $154.8 | 1.0× | $154.8 |
| Psychotherapy 45 minutes | CPT | 90834 | 1 | $230 | $230 | $207 | $207 | 1.3× | $207 |
| Psychotherapy 60 minutes | CPT | 90837 | 1 | $344 | $344 | $309.6 | $309.6 | 1.6× | $309.6 |
| imaging |
| CT head without contrast | CPT | 70450 | 6 | $3,312 | $3,312 | $709 | $789 | 3.8× | $2,980.8 |
| CT head with contrast | CPT | 70460 | 6 | $3,445 | $3,445 | $709 | $789 | 3.4× | $3,100.5 |
| CT head with and without contrast | CPT | 70470 | 6 | $4,409 | $4,409 | $709 | $789 | 3.0× | $3,968.1 |
| CT neck with contrast | CPT | 70491 | 6 | $4,181 | $4,181 | $709 | $789 | 2.9× | $3,762.9 |
| MRI brain without contrast | CPT | 70551 | 6 | $4,227 | $4,227 | $856 | $1,147.5 | 2.8× | $3,804.3 |
| MRI brain with and without contrast | CPT | 70553 | 6 | $4,664 | $4,664 | $856 | $1,136 | 1.9× | $4,197.6 |
| Chest X-ray single view | CPT | 71045 | 1 | $492 | $492 | $327.6 | $385.2 | 4.1× | $442.8 |
| Chest X-ray 2 views | CPT | 71046 | 1 | $802 | $802 | $721.8 | $721.8 | 7.3× | $721.8 |
| Chest X-ray 3 views | CPT | 71047 | 1 | $802 | $802 | $721.8 | $721.8 | 7.5× | $721.8 |
| CT chest without contrast | CPT | 71250 | 6 | $951 | $951 | $709 | $789 | 3.7× | $855.9 |
| CT chest with contrast | CPT | 71260 | 6 | $4,103 | $4,103 | $709 | $789 | 2.8× | $3,692.7 |
| Lumbosacral spine X-ray | CPT | 72100 | 1 | $1,554 | $1,554 | $1,398.6 | $1,398.6 | 13.5× | $1,398.6 |
| CT cervical spine without contrast | CPT | 72125 | 6 | $3,787 | $3,787 | $709 | $789 | 3.9× | $3,408.3 |
| CT thoracic spine without contrast | CPT | 72128 | 6 | $951 | $951 | $709 | $789 | 4.0× | $855.9 |
| CT lumbar spine without contrast | CPT | 72131 | 6 | $3,751 | $3,751 | $709 | $789 | 3.9× | $3,375.9 |
| MRI cervical spine without contrast | CPT | 72141 | 6 | $4,227 | $4,227 | $856 | $1,136 | 2.9× | $3,804.3 |
| MRI thoracic spine without contrast | CPT | 72146 | 6 | $4,227 | $4,227 | $856 | $1,136 | 3.0× | $3,804.3 |
| MRI lumbar spine without contrast | CPT | 72148 | 6 | $4,300 | $4,300 | $856 | $1,136 | 3.0× | $3,870 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 6 | $3,524 | $3,524 | $856 | $1,136 | 2.5× | $3,171.6 |
| MRI cervical spine with and without contrast | CPT | 72156 | 6 | $2,990 | $2,990 | $856 | $1,136 | 2.1× | $2,691 |
| MRI lumbar spine with contrast | CPT | 72158 | 6 | $2,990 | $2,990 | $856 | $1,136 | 2.1× | $2,691 |
| CT pelvis without contrast | CPT | 72192 | 6 | $2,629 | $2,629 | $709 | $789 | 3.9× | $2,366.1 |
| CT pelvis with contrast | CPT | 72193 | 6 | $2,998 | $2,998 | $709 | $789 | 2.8× | $2,698.2 |
| Shoulder X-ray | CPT | 73030 | 1 | $1,358 | $1,358 | $1,222.2 | $1,222.2 | 13.2× | $1,222.2 |
| Humerus X-ray | CPT | 73060 | 1 | $743 | $743 | $668.7 | $668.7 | 7.5× | $668.7 |
| Hand X-ray 3 views | CPT | 73130 | 1 | $1,259 | $1,259 | $1,133.1 | $1,133.1 | 12.2× | $1,133.1 |
| MRI upper extremity joint without contrast | CPT | 73221 | 6 | $3,288 | $3,288 | $856 | $1,136 | 2.7× | $2,959.2 |
| Knee X-ray 1-2 views | CPT | 73560 | 1 | $587 | $587 | $504 | $516.15 | 5.5× | $528.3 |
| Ankle X-ray 3 views | CPT | 73610 | 1 | $1,057 | $1,057 | $951.3 | $951.3 | 10.3× | $951.3 |
| MRI lower extremity joint without contrast | CPT | 73721 | 6 | $4,227 | $4,227 | $856 | $1,147.5 | 2.5× | $3,804.3 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 6 | $5,661 | $5,661 | $856 | $1,136 | 1.8× | $5,094.9 |
| CT abdomen without contrast | CPT | 74150 | 6 | $2,748 | $2,748 | $709 | $789 | 4.2× | $2,473.2 |
| CT abdomen with contrast | CPT | 74160 | 6 | $3,085 | $3,085 | $709 | $789 | 2.8× | $2,776.5 |
| CT abdomen with and without contrast | CPT | 74170 | 6 | $3,842 | $3,842 | $709 | $789 | 2.4× | $3,457.8 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 6 | $3,547 | $3,547 | $709 | $789 | 2.2× | $3,192.3 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 6 | $5,356 | $5,356 | $709 | $789 | 1.4× | $4,820.4 |
| MRI abdomen without contrast | CPT | 74181 | 6 | $4,227 | $4,227 | $856 | $1,136 | 2.9× | $3,804.3 |
| MRI abdomen with and without contrast | CPT | 74183 | 6 | $4,054 | $4,054 | $856 | $1,136 | 2.0× | $3,648.6 |
| Abdominal ultrasound complete | CPT | 76700 | 1 | $3,007 | $3,007 | $2,706.3 | $2,706.3 | 18.1× | $2,706.3 |
| Abdominal ultrasound limited | CPT | 76705 | 1 | $1,429 | $1,429 | $1,008 | $1,035 | 7.1× | $1,286.1 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 1 | $2,637 | $2,637 | $1,012.5 | $1,692.9 | 11.8× | $2,373.3 |
| Obstetric ultrasound first trimester | CPT | 76801 | 1 | $1,952 | $1,952 | $1,756.8 | $1,756.8 | 12.4× | $1,756.8 |
| Transvaginal ultrasound | CPT | 76830 | 1 | $2,797 | $2,797 | $1,715.4 | $2,116.35 | 14.3× | $2,517.3 |
| Pelvic ultrasound complete | CPT | 76856 | 1 | $2,797 | $2,797 | $1,715.4 | $2,116.35 | 14.8× | $2,517.3 |
| Scrotal ultrasound | CPT | 76870 | 1 | $1,673 | $1,673 | $1,505.7 | $1,505.7 | 11.5× | $1,505.7 |
| EKG tracing only | CPT | 93005 | 1 | $29 | $29 | $26.1 | $26.1 | 0.22× | $26.1 |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 1 | $64 | $64 | $57.6 | $57.6 | 1.8× | $57.6 |
| Electrolyte panel | CPT | 80051 | 1 | $56 | $56 | $50.4 | $50.4 | 2.1× | $50.4 |
| Comprehensive metabolic panel | CPT | 80053 | 1 | $79 | $79 | $71.1 | $71.1 | 1.6× | $71.1 |
| Lipid panel | CPT | 80061 | 1 | $83 | $83 | $74.7 | $74.7 | 2.0× | $74.7 |
| Renal function panel | CPT | 80069 | 1 | $54 | $54 | $48.6 | $48.6 | 1.8× | $48.6 |
| Hepatic function panel | CPT | 80076 | 1 | $96 | $96 | $86.4 | $86.4 | 3.2× | $86.4 |
| Urinalysis non-automated | CPT | 81002 | 1 | $50 | $50 | $23.4 | $27.9 | 4.0× | $45 |
| Urinalysis automated | CPT | 81003 | 1 | $41 | $41 | $36.9 | $36.9 | 2.6× | $36.9 |
| Glucose quantitative | CPT | 82947 | 1 | $33 | $33 | $29.7 | $29.7 | 1.7× | $29.7 |
| Hemoglobin A1c | CPT | 83036 | 1 | $84 | $84 | $75.6 | $75.6 | 2.8× | $75.6 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 1 | $107 | $107 | $96.3 | $96.3 | 2.0× | $96.3 |
| Complete blood count with automated differential | CPT | 85025 | 1 | $183 | $183 | $164.7 | $164.7 | 6.2× | $164.7 |
| Complete blood count without differential | CPT | 85027 | 1 | $64 | $64 | $57.6 | $57.6 | 2.7× | $57.6 |
| Urine culture bacterial | CPT | 87086 | 1 | $36 | $36 | $32.4 | $32.4 | 1.4× | $32.4 |