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Radiology & Imaging IDR: win rates and median awards
What Radiology & Imaging providers win in No Surprises Act arbitration, from 424,336 published disputes.
What do Radiology & Imaging providers win at federal IDR? In the CMS federal IDR public use files, providers in Radiology & Imaging won 89.5 percent of decided federal IDR disputes under the No Surprises Act, across 424,336 published disputes. The median award was 5.4x the qualifying payment amount across decided line items in the specialty, and the median time from filing to decision was 35 days. Estimate your own case with the free IDR calculator.
Radiology & Imaging line items in the CMS federal IDR public use files, 2023 through 2025. Method on the methodology page.
A worked example
Take the most disputed Radiology & Imaging billing code, 74177, with a median qualifying payment amount of $146 in the files. A Radiology & Imaging dispute with a qualifying payment amount of $146 resolves at the specialty median of 5.4x, an estimated award of $788. A median is not a floor or a ceiling: half of decided line items in the specialty resolve higher and half lower.
Top Radiology & Imaging billing codes at federal IDR
The most disputed Radiology & Imaging codes in the public use files, at the line-item grain. Median award is the median decided award in dollars for that code. Win rates are within decided line items for the code.
| Code | Line items | Win rate | Median QPA | Median award |
|---|---|---|---|---|
| 74177 | 62,338 | 87.6% | $146 | $1,070 |
| 71046 | 46,246 | 86.0% | $15 | $130 |
| 70450 | 46,065 | 89.2% | $69 | $388 |
| 71045 | 43,227 | 89.7% | $12 | $99 |
| 74176 | 34,644 | 86.9% | $132 | $1,022 |
| 77067 | 27,070 | 95.2% | $65 | $192 |
Source: CMS federal IDR public use files, 2023 through 2025. "n/a" means CMS did not publish a usable dollar figure for that code.
Common questions
What percentage of Radiology & Imaging federal IDR disputes do providers win?
Providers won 89.5 percent of decided federal IDR disputes in Radiology & Imaging, across 424,336 disputes in the CMS federal IDR public use files. Decided disputes exclude default decisions, where one side never submitted an offer.
What is the median IDR award for code 74177?
Code 74177, the most disputed Radiology & Imaging code in the files, shows a median decided award of $1,070 against a median qualifying payment amount of $146, with an 87.6 percent provider win rate across 62,338 line items.
How long does a Radiology & Imaging IDR case take?
The median Radiology & Imaging dispute took 35 days from filing to decision. The No Surprises Act process is written only: after the payer's initial payment there are 30 business days to start open negotiation, 30 to negotiate, then 4 to initiate arbitration. There is no hearing.
Related pages
Cardiology IDR, Pathology & Lab IDR, and Emergency Medicine IDR have their own pages, and the IDR calculator covers all 22 specialties. For filing help, Lido IDR files federal IDR for a flat fee per arbitration. To browse every published dispute, see idrexplorer.com.