$37.42
Choose 77080 for dual-energy measurement of the axial skeleton, such as the spine or hip. G0130 represents a single-energy X-ray study.
On this page
CMS RVU26D · Effective 2026-10-01
G0130 Bone density study Medicare reimbursement rates in Utah
Reports a single-energy X-ray bone density measurement at one or more sites, used to assess bone mineral status, including in osteoporosis evaluation. Compare G0130 office and facility rates across CMS payment localities in Utah.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for G0130 in Utah?
Utah has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$37.76
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Diagnostic imaging
About G0130: Single-energy bone density study
Reports a single-energy X-ray bone density measurement at one or more sites, used to assess bone mineral status, including in osteoporosis evaluation.
G0130 describes single-energy X-ray absorptiometry (SEXA) for measuring bone density at one or more sites. It may be used in an osteoporosis evaluation when this single-energy technique is performed. Imaging staff acquire the measurement, and a qualified physician interprets the study. The service is generally encountered in outpatient imaging settings; the selected code should reflect the technique actually performed rather than simply the clinical reason for testing.
Report the study with documentation identifying the single-energy method and the measured site or sites, along with the interpretation when performed. The global service includes both the technical work of equipment and staff and the professional interpretation. When those portions are billed separately, modifier 26 identifies the professional component and modifier TC identifies the technical component; CMS separately prices both modifiers. The report should support the component billed and distinguish this method from dual-energy X-ray absorptiometry or CT-based bone density measurement.
CMS billing rules for G0130
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU0.21 · 18%
- Practice expense (office) RVU0.96 · 81%
- Malpractice RVU0.02 · 2%
213
Medicare services in 2024 · #4268 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
G0130 compared with similar codes
Office rates for Utah, from the same CMS release.
$30.20
Choose 77081 for dual-energy measurement of the appendicular skeleton. G0130 identifies the single-energy method rather than a dual-energy peripheral study.
$93.39
77078 represents CT-based bone density measurement. G0130 is for single-energy X-ray absorptiometry, not CT.
Compare G0130 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Utah →
Office / nonfacility
$37.76
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0130 in Utah.
PPRRVU2026_Oct_nonQPP.csv
15,100
- Code
- G0130
- Physician work
- 0.21
- Practice expense
- 0.96
- Malpractice
- 0.02
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.21 | × 1.000 | 0.2100 |
| Practice expense | 0.96 | × 0.940 | 0.9024 |
| Malpractice | 0.02 | × 0.898 | 0.0180 |
| Total RVUs | 1.1304 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$37.76
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.21 | 1 |
| Practice expense | 0.96 | 0.94 |
| Malpractice | 0.02 | 0.898 |
(0.21 × 1 + 0.96 × 0.94 + 0.02 × 0.898) × $33.4009 = $37.76
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
G0130 billing questions
How does G0130 differ from a dual-energy bone density study?
G0130 represents the single-energy X-ray method. Use a dual-energy code, such as 77080 or 77081, when that is the technique documented.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 reports the interpretation, and modifier TC reports the equipment and staff portion. Without either modifier, the claim represents the global service.
What documentation supports G0130?
The record should identify the single-energy X-ray method, the site or sites measured, and the physician's interpretation when billing the professional component.
Is G0130 reported once for each measured site?
The code describes a study covering one or more sites. Follow the applicable code instructions for units and report the sites performed in the imaging documentation.
Should G0130 be used for CT bone density measurement?
No. G0130 is for the single-energy X-ray technique; CT-based bone density measurement is represented by a different code, such as 77078.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
15,097G0127,,Trim nail(s),R,,0.17,0.53,,0.02,,0.01,0.71,0.20,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,098G0128,,Corf skilled nursing service,R,,0.00,0.32,,0.32,NA,0.01,0.33,0.33,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,099G0129,,Php/iop ot service,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,100G0130,,Single energy x-ray study,A,,0.21,0.96,,0.96,NA,0.02,1.19,1.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.27,3.27,0.05
15,101G0130,26,Single energy x-ray study,A,,0.21,0.11,,0.11,,0.01,0.33,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,102G0130,TC,Single energy x-ray study,A,,0.00,0.85,,0.85,NA,0.01,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.16,3.16,0.04
15,103G0136,,Adm of pa/n assess 5-15 m,A,,0.18,0.41,,0.05,,0.01,0.60,0.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985