Last updated: March 2026
How Much Does Bone Density Test (DEXA Scan) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Central DEXA (Hip and Spine) | $150 – $350 | $0 – $75 |
| Peripheral DEXA (Wrist/Heel) | $50 – $150 | $0 – $30 |
| Vertebral Fracture Assessment | $75 – $200 | $0 – $50 |
CPT/ADA Code: 77080
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Preventive screening — covered at no cost for women 65+ and at-risk populations; covered every 2 years by Medicare
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
A DEXA scan costs $150 to $400 without insurance. Many insurance plans cover it at no cost as a preventive screening.
Recommended for women 65+, men 70+, postmenopausal women under 65 with risk factors, and anyone with a fragility fracture.
Screening is typically recommended every 2 years. More frequent testing may be needed if you are taking osteoporosis medication.