How much does REMS Echolight cost without in-network insurance?

The self-pay price is $250, or $149 through December 23, 2026. If you are out of network, we can also provide a superbill for you to submit to your plan.

Is REMS Echolight radiation-free?

Yes. REMS Echolight uses ultrasound, not X-rays, so there is no ionizing radiation.

Can I have REMS Echolight if I recently had a DEXA?

Often, yes. The REMS Echolight billing code differs from the DEXA code, but coverage rules vary by plan, so we recommend checking with your insurer.

REMS Echolight Bone Density Scan in Chandler, Arizona

Q: Does URPrecious Imaging bill insurance for REMS Echolight?

Yes. For in-network plans, URPrecious Imaging in Chandler, AZ submits the REMS Echolight exam as an office visit with Dr. Krishnan, who reviews your results with you in person. A referral is required for insurance billing, and we can help you obtain one. Your out-of-pocket cost depends on your plan, so please check your benefits.

Q: What is the difference between bone density and bone quality?

Bone density is the amount of mineralized bone, reported as a T-score and Z-score. Bone quality describes the internal structure (microarchitecture) of the bone. REMS Echolight reports both in one exam, with the Fragility Score representing bone quality.

Accepting appointments with insurance billing!

Insurance: URPrecious Imaging bills REMS Echolight to in-network insurance as an office visit with Dr. Krishnan, who reviews your results with you in person. A referral is required for insurance billing, and we can help you obtain one. Not in network? Self-pay is $250, or $149 through December 23, 2026. We can also provide a superbill for you to submit to your plan.

REMS Echolight is a radiation-free ultrasound bone density scan of the spine and hip, now available in Chandler, AZ. Serving Phoenix, Scottsdale, Mesa, Gilbert and Tempe. Book with URPrecious Imaging.

Bone Quality vs Bone Density: Why It Matters

Dr. Meghna Krishnan, a board-certified breast and body imaging radiologist at URPrecious Imaging in Chandler, Arizona, explains the difference between bone density and bone quality, and why it matters if you or a loved one has been told you have osteopenia or osteoporosis. REMS Echolight is a radiation-free, FDA-cleared ultrasound exam that measures both bone density and bone quality (the Fragility Score) of the lumbar spine and both femoral necks in one visit. The scan takes about 80 seconds for the spine and 40 seconds for the femur, and the report is available immediately.

Read the transcript

Ask about bone quality, not just bone density

Have you or your loved one been diagnosed with osteoporosis or osteopenia? Then please ask about bone quality, not just bone density. A standard X-ray DEXA measures bone density, meaning how much mineralized bone you have. It doesn't tell us about how that bone is arranged, what we call microarchitecture or bone quality.

Why petite women can be misclassified

Density is compared to an average 30-year-old. So petite women often score low on the amount of bone simply because they are small. They don't need to make as much bone. Take this patient. She's 110 pounds, so she's small, and her T-score is minus 3.6 by WHO standard. That is called osteoporosis. But does she really have porous bone? When you look at her bone quality, which is called the Fragility Score, it is in the green, which is normal-quality bone. That's not porous bone.

Understanding bone quality

When we hear a sound, we can make out not just how loud it is, but also what the quality is. Is it a guitar? Is it a flute? Is it a drum? Here you can make out, through ultrasound, normal quality, decreased quality with some gaps, and low quality with big gaps, which is porous bone.

Why it changes decisions

If we only rely on density, which is the amount of bone, sadly this patient would have been told that she absolutely needs medication right now. But because she has bone quality information, she can make a shared decision with her own provider about whether she needs medication at all. These drugs do have some side effects, and benefits should always outweigh the risks.

REMS Echolight at URPrecious

At URPrecious, we offer this REMS Echolight bone density and bone quality ultrasound, checking your lumbar spine and both femoral necks. This test is often covered as an office visit through your insurance. Otherwise, the cost is $250, but through the end of December it's just $149. If you are able to add it to a screening breast ultrasound or whole body ultrasound, you save even more.

Start early

Please don't wait until you are 65 to start assessing your bone health. Start screening for bone health in the pre- or perimenopausal state, so you are not forced into drastic lifestyle changes or medications all at once at 65.

Contact us

To learn more or book, call or text 602-878-7501 or visit urprecious.com.

Book your appointments today!

Book Appointments Now

REMS Echolight scan insurance billing available. The REMS Echolight CPT code differs from the DEXA CPT code, so it is not restricted even if you have already undergone a DEXA scan. Medicare and Medicaid patients pay no upfront fee)

Includes Echolight scan, In person radiologist consultation, Results sent via email along with consolidated formal radiologist report

For those with out of network insurances, we can issue a Superbill. Self pay price $250

R.E.M.S. Technology

Radiofrequency Echographic Multi Spectrometry

REMS Echolight (Radiofrequency Echographic Multi Spectrometry) is an FDA-cleared ultrasound scan that assesses bone density and bone quality at the lumbar spine and hip, without ionizing radiation. URPrecious Imaging offers it in Chandler for patients across the Phoenix metro area, including Scottsdale, Mesa, Gilbert and Tempe. Your scan includes an in-person consultation with Dr. Krishnan, a board-certified radiologist.

Who can benefit from a REMS Echolight scan?
Adults 21 and older who want to check bone health, including postmenopausal women, people with a family history of osteoporosis, and people on medications that affect bone. Because there is no radiation, it can also suit people who need frequent follow-up scans. It can be done when spinal hardware, scoliosis or bone spurs make DEXA harder to interpret. Your physician can advise whether it fits your situation.

How is REMS different from DEXA?
DEXA uses low-dose X-rays. REMS uses ultrasound and reports bone density (BMD, T-score, Z-score) together with a Fragility Score, a measure of bone quality, in one scan. Published studies show REMS results correlate closely with DEXA. Each method works best when follow-up scans use the same technology, so please bring prior DEXA reports for comparison.

When should I have a scan?
Your doctor may recommend one at menopause, after a fracture, when starting or stopping bone-affecting medication, or to monitor treatment. REMS may detect changes sooner than DEXA, which can allow follow-up at shorter intervals. Ask your physician what schedule is right for you.

Cost and insurance

Billed through insurance: Your REMS Echolight scan is billed to your insurance as part of your office visit with Dr. Krishnan, who reviews your results with you in person. Your out-of-pocket cost depends on your plan’s benefits, so we recommend checking with your insurer before your visit. For out-of-network plans, we can provide a superbill.

Self-pay: $250. This includes the scan, an in-person radiologist consultation, and a formal radiologist report emailed to you.

Limited-time special: Self-pay patients pay $149 through December 23, 2026.

FAQ

Does URPrecious Imaging bill insurance for REMS Echolight? Yes. For in-network plans, we submit the exam as an office visit with Dr. Krishnan. Your out-of-pocket cost depends on your plan, so please check your benefits. If you are out of network, the self-pay price is $250 ($149 through December 23, 2026), and we can provide a superbill.
Is REMS Echolight FDA-cleared? Yes. The device is FDA-cleared for bone density assessment.
How long does the scan take? About 80 seconds for the spine and 40 for the hip. Plan for a longer visit, since it includes your consultation.
Is there radiation? No. It is an ultrasound scan.
Do I need a referral? Yes for insurance billing. We can assist you in obtaining a referral. Please call or text us at 602-878-7501
Where are you located? 655 S. Dobson Rd, Bldg A, Unit 103, Chandler, AZ 85224. Call (602) 878-7501.

Radiation-free
Ultrasound Technology

Lumbar Vertebrae
Proximal Femur

Bone Density
Bone Quality

Patented
FDA Cleared

What is the difference between a DEXA scan and a REMS Echolight scan?

DEXA utilizes ionizing radiation or X-ray while REMS utilizes ultrasound waves.
DEXA is dependent on factors like life of cathode ray tube, patient positioning, scoliosis, metallic hardware and bone spurs, unlike REMS which can be performed even in these clinical situations.
A major advantage of the REMS technology is the evaluation of both Bone mineral density (BMD) and Fragility (bone quality) both in one exam (bone density and bone quality). The DEXA scan does not evaluate both unless there is a TBS software package and even then, the DEXA TBS evaluates only lumbar spine only, and not the femoral neck.
European research studies have demonstrated a high correlation of REMS BMD to DEXA BMD and that REMS offers significantly increased levels of accuracy, sensitivity to bone mass changes, and diagnostic reproducibility over DEXA.
Measure of bone quality is better than BMD alone in predicting fracture risk.
The REMS Fragility Score, coupled with the absence of ionizing radiation, allows for osteoporosis diagnosis at an earlier stage and more accurate monitoring post diagnosis.
Although those who are closely following their bone health would do better to compare their DEXA exam results with follow up DEXA exams and REMS exam results to follow up REMS exams, unlike DEXA, REMS may be possible to detect changes in bone density and quality in as early as 4-6 months, unlike DEXA which may typically take 1-2 years. Hence REMS could allow closer follow up and monitoring. This is a huge benefit for those who may need to evaluate treatment response for osteopenia or osteoporosis.

Is this exam covered by insurance?

Yes, we can submit your claim to in-network insurance as an office visit, because our radiologist reviews your results with you in person and answers all of your questions.

If you are not in network, the self-pay price is $250 for the lumbar spine and both femoral necks. Through December 2026, our promo price is $149.

FDA Approved

The most advanced bone densitometer for bone health assessment for your daily clinical activities.

Through an ultrasound scan of axial anatomical sites such as the spine and femur, this innovative technology allows to measure bone mineral density without using
ionising radiation, by processing a true bone identity card. Besides ensuring a high level of accuracy, it does not require radiological protection, it is easy to use and its distinctive transportability facilitates the use thereof among patients hospitalised with fractures who cannot be transferred and the continuity of care at home.

Furthermore, the absence of radiation allows this method to be used on a
heterogeneous variety of patients, including paediatric patients, patients at risk of secondary osteoporosis, diabetic patients, patients who have undergone cancer treatments and pregnant women.

Learn More

Why R.E.M.S Echolight

Radiation-Free

The first ultrasound system that allows access to prevention, early diagnosis of osteoporosis and monitoring through primary healthcare. EchoS is able to evaluate the state of bone health of people no longer with the use of X-rays, but with a simple ultrasound done directly in the doctor's office or even in your own home.

Age 21+

The lack of radiation and database including those who are 21 years and older, allows early in life screening for osteopenia/osteoporosis to help proactively take early precautionary measures to minimize future risk of fracture and overally live with optimal bone health.

Quick Scan

The ultrasound scan lasts just 80 seconds for the spine and 40 for the femur, allowing for accurate prevention, diagnosis and monitoring of bone health without the limitations of patient positioning and manual image segmentation.

Immediate Report

The exam produces an immediate medical report which, in addition to including all the most common parameters used in the diagnosis of osteoporosis, BMD (g/cm2), T-Score, Z-Score also includes the independent evaluation of the internal bone structure which provides an frailty index and body composition index.

Portable Solution

We are able to provide mobile service for residential homes and facilities, upon request.

Allow Short Interval Follow Up

Useful to monitor treatment, as it may be possibly detect changes in as early as 6 months (unlike DEXA which may take 1-2 years).

What Does Echolight Measure?

View Sample Report Femur

View Sample Report Lumbar

1. Bone Mineral Density (BMD)
This is the actual measurement of bone density, typically measured in grams per square centimeter (g/cm2). BMD is used to determine the T-score and the Z-score.

2. T-Score
This is a numerical value that compares an individual's BMD to the mean BMD value of a large database of healthy 30-year-old women. A T-score with a standard deviation of -2.5 from the mean value indicates
osteoporosis.

3. Z-Score
Similar to the T-score, the Z-score compares an individual's BMD to the BMD of people of the same age and gender.

4. Fragility Score
This is a measure of bone quality, indicating how likely someone is to sustain a fragility fracture. It is derived through statistical calculations using data obtained during the Echolight scan and comparing it to a database
of people with and without fractures.

These data points collectively provide valuable information about bone health,
including the risk of osteoporosis and fragility fractures.