Knee MRI cost in San Jose (2026): what Aetna, Anthem, Blue Shield, UnitedHealthcare and Cigna pay
Knee MRI cost in San Jose, 2026: in the San Jose area, insurers pay a typical $445 for a knee MRI at doctors' offices and imaging centers. By insurer, the typical office rate runs from $339 (Blue Shield of California) to $562 (Cigna). Original Medicare's rate is $277 here. Rates from five insurers' published files, for providers within 20 miles of downtown San Jose.
What each insurer pays
| Insurer | Offices and imaging centers median, middle half | Billing entities |
|---|---|---|
| Anthem Blue Cross | $449 $301 to $647 | 309 |
| Blue Shield of California | $339 $307 to $582 | 84 |
| Aetna | $500 $365 to $630 | 176 |
| UnitedHealthcare | $389 $277 to $508 | 142 |
| Cigna | $562 $367 to $691 | 141 |
| Original Medicare | $277 | - |
Anthem Blue Cross figures reflect the menu of rates Anthem lists across its contracts, not contract-specific prices (why). Kaiser Permanente is not listed. Most Kaiser care is prepaid inside its own system, and it does not publish usable per-service rates.
Anthem Blue Cross negotiated rate for a knee MRI in San Jose
Across 309 billing entities in the San Jose area, the middle of Anthem's rate menu for a knee MRI at offices and imaging centers is $449, and the middle half of those values runs from $301 to $647. That office median is 1.6 times what Original Medicare pays. Anthem lists the same menu of rates under nearly every contract, so these figures show the middle of that menu, not the rate a specific provider is paid. For your plan's exact price, use Anthem's Find Care and cost estimates.
Blue Shield of California negotiated rate for a knee MRI in San Jose
Blue Shield of California pays a median of $339 for a knee MRI at offices and imaging centers in the San Jose area, with the middle half of 84 billing entities between $307 and $582. That office median is 1.2 times what Original Medicare pays. For your plan's exact price, use Blue Shield's Treatment Cost Estimator.
Aetna negotiated rate for a knee MRI in San Jose
Aetna pays a median of $500 for a knee MRI at offices and imaging centers in the San Jose area, with the middle half of 176 billing entities between $365 and $630. That office median is 1.8 times what Original Medicare pays. For your plan's exact price, use Aetna's Find Care cost estimates.
UnitedHealthcare negotiated rate for a knee MRI in San Jose
UnitedHealthcare pays a median of $389 for a knee MRI at offices and imaging centers in the San Jose area, with the middle half of 142 billing entities between $277 and $508. That office median is 1.4 times what Original Medicare pays. For your plan's exact price, use UnitedHealthcare's price transparency tool.
Cigna negotiated rate for a knee MRI in San Jose
Cigna pays a median of $562 for a knee MRI at offices and imaging centers in the San Jose area, with the middle half of 141 billing entities between $367 and $691. That office median is 2 times what Original Medicare pays. For your plan's exact price, use the myCigna cost estimator (sign in).
About a knee MRI
An MRI of a leg joint without contrast dye. The same code covers the knee, ankle and hip, so these prices apply to all three. It is the usual scan for a suspected ligament or meniscus tear. Billing code: CPT 73721.
What the price covers
- Rates here are for the whole service billed as one charge: the scan and the radiologist's reading.
- An MRI of the arm joints (shoulder, elbow, wrist) is a different code (73221).
What you would actually pay
The negotiated rate is the total the provider is paid. Your share depends on your plan. If you have not met your deductible, you usually pay the whole negotiated rate: at a $445 rate, that is $445. Once the deductible is met, coinsurance applies: at 20% coinsurance you would pay $89 and the insurer the rest. Plans with a flat copay for this service charge the copay instead.
Going out of network is different. The provider has no agreed rate with your insurer, so they can usually bill their full listed price. Federal and California law limit that in emergencies and for some out-of-network clinicians at in-network hospitals.
Paying without insurance
The rates on this page are what insurers pay in network, not cash prices. If you are paying yourself, they are still a useful benchmark: ask the provider for its self-pay price before you book and compare it with these rates and with Original Medicare's $277 for a knee MRI in San Jose. Many freestanding imaging centers post cash prices for scans. Hospitals must publish a discounted cash price under federal price transparency rules, and if you are uninsured or paying yourself, the No Surprises Act entitles you to a written good faith estimate before scheduled care.
Get the price for your exact plan
An insurer has many contracts, and each plan uses one of them. The figures on this page cover all of an insurer's contracts in the area. The price for your plan depends on which one applies, and that is set by your employer or the plan name on your insurance card.
Your insurer's own cost tool gives a plan-specific estimate once you sign in:
- Anthem Blue Cross: Anthem's Find Care and cost estimates
- Blue Shield of California: Blue Shield's Treatment Cost Estimator
- Aetna: Aetna's Find Care cost estimates
- UnitedHealthcare: UnitedHealthcare's price transparency tool
- Cigna: the myCigna cost estimator (sign in)
AI assistants can look it up too. Arlo's free price transparency API and the Arlo MCP server for Claude and ChatGPT take a service, a ZIP code and a plan, and return nearby in-network providers with their negotiated rates.
Where these numbers come from
Rates come from the price transparency files Anthem Blue Cross, Blue Shield of California, Aetna, UnitedHealthcare and Cigna publish, for providers within 20 miles of downtown San Jose. We clean the files before summarizing them and only show an insurer when enough providers report a rate. Medicare figures are from the 2026 Physician Fee Schedule. More on how these pages are built.
Related
- Head CT in San Jose
- Brain MRI in San Jose
- Brain MRI with contrast in San Jose
- Chest X-ray in San Jose
- Chest CT in San Jose
- Lung cancer screening CT in San Jose
- Cervical spine MRI in San Jose
- Lumbar spine MRI in San Jose
- Shoulder MRI in San Jose
- CT abdomen and pelvis in San Jose
- Abdominal ultrasound in San Jose
- First trimester ultrasound in San Jose
- Pelvic ultrasound in San Jose
- Diagnostic mammogram in San Jose
- Screening mammogram in San Jose
- Bone density scan in San Jose
- Echocardiogram in San Jose