What Radiology teams should benchmark
Radiology IDR outcomes are shaped by code mix. The same payer can look fair in one lane and misaligned in another. Start with the codes that dominate your disputed claims, then compare state and payer behavior.
The purpose of this page is to help a specialty leader or RCM team decide where the federal IDR data supports a closer claim-level review.
Top Radiology service codes
| Code | Service | Disputes | Provider win rate | Median award | Median award dollars |
|---|---|---|---|---|---|
| 74177 | CT scan of the abdomen and pelvis with IV contrast | 62,338 | 87.6% | 6.5x | $1,070 |
| 71046 | Chest X-ray, 2 views | 46,246 | 86% | 7.6x | $130 |
| 70450 | CT scan of the head/brain without contrast | 46,065 | 89.2% | 5.3x | $388 |
| 71045 | Chest X-ray, single view | 43,227 | 89.7% | 6.2x | $99 |
| 74176 | CT scan of the abdomen and pelvis without contrast | 34,644 | 86.9% | 6.6x | $1,022 |
| 77067 | Screening mammography, bilateral | 27,070 | 95.2% | 3.1x | $192 |
| 77063 | Screening digital breast tomosynthesis (3D mammogram), bilateral | 26,620 | 95.1% | 2.6x | $130 |
| Q9967 | Low osmolar radiology contrast material, per mL | 22,838 | 81.5% | 5.7x | $352 |
Top states for Radiology disputes
Top payers in Radiology
| Payer | Disputes | Provider win rate | Median award |
|---|---|---|---|
| UnitedHealthcare | 121,297 | 89.1% | 6.5x |
| Aetna | 101,746 | 96.9% | 4.4x |
| BCBSTX | 66,636 | 82.7% | 6.8x |
| Cigna / MultiPlan | 49,603 | 86% | 7.7x |
| UMR | 25,568 | 92% | 4.5x |
| Cigna (cigna.com) | 16,339 | 86.5% | 2.9x |
| Anthem Blue Cross | 6,208 | 88.4% | 4.5x |
| BLUE CROSS AND BLUE SHIELD OF ARIZONA | 5,832 | 78.9% | 12.6x |
Open the Radiology dashboard
Filter the live explorer by state, payer, and year to compare Radiology outcomes against your own claim mix.
FAQ
How many Radiology federal IDR disputes are in the dataset?
This benchmark shows 424,336 Radiology disputes.
What is the Radiology provider win rate?
The non-default provider win rate is 89.5%.
What should Radiology groups compare first?
Start with service-code mix, then narrow by payer and state. That sequence usually gives a more useful answer than a national specialty average.
Related benchmarks
Sources and method
- CMS: Federal IDR reports and public use files
- CMS: About Independent Dispute Resolution
- CMS: Federal IDR timeline for claims
Data source: CMS Federal IDR public use files, coverage through 2025Q4; data build 2026-09-21. Counts are CMS dispute counts unless a table says line items. Win rates labeled non-default exclude payer no-show defaults. Award multiples are medians versus QPA. Dollar figures, where shown, are anchored estimates from CMS QPA-and-offer fields, not payment records. This page is informational, not legal or reimbursement advice.