What Is a DEXA Scan?
The Gold Standard for Body Composition & Bone Health
How a DEXA Scan Works
DEXA stands for Dual-Energy X-ray Absorptiometry. The scanner passes two low-energy x-ray beams through your body at different energy levels. Fat, muscle, and bone each absorb these beams differently, which is how the scanner can tell them apart with precision.
You Lie on a Padded Table
Fully clothed in athletic wear without metal. No injections, no fasting, no special prep. The table is open — no enclosed tube like an MRI.
The Scanner Arm Passes Over You
A mechanical arm moves slowly from head to toe, taking measurements as it goes. You do not feel anything. The scan itself takes about 10-12 minutes.
You Get a Detailed Report
At Desert Dexa, your 10+ page clinical report covers body fat by region, lean mass, visceral fat, bone density — all from a single 15-minute scan.
What a DEXA Scan Measures
A single DEXA scan can provide both body composition data and bone density data. Here is what you learn from each type.
Body Composition Scan
Body Fat Percentage
Your true body fat percentage — not an estimate from a bathroom scale. DEXA measures fat tissue directly, which is why it is considered the gold standard in clinical research.
Lean Muscle Mass
Total lean tissue broken down by region: left arm, right arm, left leg, right leg, and trunk. See exactly where you are building muscle and where you are not.
Visceral Fat
The fat packed around your organs that you cannot see or measure with a scale. Visceral fat is the single most important body composition metric for metabolic health — it is linked to heart disease, type 2 diabetes, and metabolic syndrome.
Regional Distribution
Fat and muscle mapped by body region. This is what makes DEXA unique — you can see left-right imbalances, track where you are gaining or losing, and understand your body at a level no other test provides.
Bone Density Scan (Osteoporosis Screening)
T-Score
Compares your bone density to a healthy 30-year-old. Above -1.0 is normal. Between -1.0 and -2.5 indicates low bone mass (osteopenia). Below -2.5 means osteoporosis. This is the number your doctor uses to assess your fracture risk.
Z-Score
Compares your bone density to others your same age and sex. Useful for understanding whether your bone loss is typical for your age or faster than expected.
Hip and Spine Density
The scan targets your lumbar spine (L1-L4) and both hips — the areas most vulnerable to osteoporotic fractures. Hip fractures in particular can be life-altering, which is why early detection matters.
Radiologist Interpretation
At Desert Dexa, every osteoporosis screening includes a final interpretation by an independent board-certified radiologist. You get a clinical-grade report you can share with your doctor.
Learn more about each scan type: Body Composition Scan or Osteoporosis Screening.
A DEXA scan is a game changer for anyone serious about fitness, offering precise metrics that can guide nutrition and exercise strategies.
The gold standard for assessing bone health is DEXA. This important test can warn you before you break a bone.
DEXA vs Other Body Composition Methods
There are several ways to measure body composition. Here is how they compare.
| Method | Accuracy | What It Measures | Limitations |
|---|---|---|---|
| DEXA | Gold standard (1-2% margin) | Body fat %, lean mass, visceral fat, bone density, regional breakdown | Requires a clinical scanner; low-dose radiation (very safe) |
| InBody / BIA Scales | Moderate (5-10% error) | Estimated body fat %, estimated lean mass | Affected by hydration, meals, exercise. No visceral fat, no bone density, no regional data. |
| BodPod | Good (3-5% error) | Body fat % and lean mass (whole body only) | No regional breakdown, no visceral fat, no bone density. Affected by body temperature and clothing. |
| Calipers (Skinfold) | Variable (depends on tester) | Estimated body fat % | Highly operator-dependent. Only measures subcutaneous fat at a few sites. No muscle, bone, or visceral data. |
| Hydrostatic Weighing | Good (2-3% error) | Body fat % and lean mass | Requires full submersion in water. No regional data, no visceral fat, no bone density. Uncomfortable for many people. |
The short version: if you want one test that gives you body fat, muscle mass, visceral fat, bone density, and regional distribution all at once — DEXA is it. Everything else is a compromise on accuracy, detail, or both.
Who Should Get a DEXA Scan?
People Tracking Fitness
If you are training regularly and want to know whether you are actually building muscle and losing fat — not just moving the number on a scale — DEXA gives you that answer with precision.
People Losing Weight
Weight loss does not always mean fat loss. Some people lose muscle along with fat, which hurts their metabolism long-term. DEXA shows you exactly what is changing.
Anyone Concerned About Visceral Fat
You can look lean and still have dangerous levels of visceral fat around your organs. DEXA is one of the few tests that can measure it accurately.
Women Approaching or In Menopause
Bone density can change significantly during and after menopause. A bone density scan gives you a clear picture of where you stand so you can take proactive steps with your doctor.
Men Over 50
Osteoporosis affects men too, and it's significantly under-screened. Knowing your bone density gives you a head start on maintaining bone health.
Anyone Who Wants a Baseline
You cannot track what you have never measured. A single DEXA scan gives you a complete snapshot of your body composition and bone health that makes all future scans more meaningful.
Is a DEXA Scan Safe?
Yes. DEXA uses an extremely low dose of radiation — roughly 1-4 microsieverts per scan. To put that in perspective:
- A DEXA scan: ~1-4 microsieverts
- Eating 3 bananas: ~3 microsieverts
- A chest x-ray: ~20 microsieverts
- A cross-country flight: ~40 microsieverts
- A CT scan: ~7,000 microsieverts
DEXA is considered safe for routine, repeated use. The radiation exposure is negligible compared to everyday background radiation you receive from the environment. The only group who should not be scanned are women who are or may be pregnant.
Frequently Asked Questions About DEXA Scans
Do I need to prepare before my DEXA scan?
No preparation is needed for a scan at Desert Dexa. Eat, drink and take your medications normally — DEXA is not affected by a recent meal or your hydration the way bioimpedance devices are. The one thing that matters is clothing without metal: zippers, underwire and belt buckles sit in the scan field.
What is a DEXA scan?
A DEXA (or DXA) scan uses two low-dose x-ray energies to separate your body into fat, lean tissue and bone. That separation is why it can report each arm and each leg individually rather than one whole-body figure. Desert Dexa runs clinical-grade DEXA scanners at our Rancho Mirage, San Dimas, and Temecula locations in Southern California, for body composition and for bone density.
How long does the DEXA scan take?
About 15 minutes on the table at any Desert Dexa location, or roughly 20 for the Combo. You lie still, fully clothed, while the scanner arm passes over you — nothing touches you and nothing is injected. A technician reviews your Total Body results with you at the end of the visit; the Osteoporosis Screening report is written by a radiologist and follows within about 3 days.
How much does a DEXA scan cost?
At Desert Dexa, the Total Body (body composition) scan starts at $50, the Osteoporosis Screening scan starts at $80, and the Combo, which includes both, starts at $100. Monthly and quarterly options are available for each. We are cash-pay and accept credit and debit cards, so the price you book at is the price you pay — no facility fee and no separate radiology bill.
Do I need a doctor's referral for a DEXA scan?
No. You book online and come in, including for the osteoporosis screening scan. Most providers make you obtain a physician order first; our own physician orders the scan, so there is nothing for you to chase and no insurance pre-authorization to wait on. The report is written so you can hand it straight to your own physician afterwards.
Is a DEXA scan safe?
Yes. A DEXA scan uses an extremely low dose of x-ray radiation, comparable to what you would receive from eating three bananas, and it is considered very safe for most people. Desert Dexa does not scan anyone who is pregnant or may be pregnant, or who has had a contrast or nuclear medicine study in the past seven days.
What should I wear to my DEXA scan?
Comfortable clothing with no metal on it. Metal — zippers, buttons, underwire — sits in the scan field and can affect accuracy, so activewear such as leggings and a plain T-shirt is ideal, and a sports bra is preferable for women. You stay fully clothed throughout the scan at Desert Dexa.
How often should I get a DEXA scan?
For body composition, many Desert Dexa clients scan every month to see how training and nutrition are moving fat and lean mass, which is why we offer monthly and quarterly options alongside one-time scans. For bone density, follow-up timing is a clinical decision your physician makes from your first T-score and your risk factors.
Do you accept insurance for DEXA scans?
No. Desert Dexa is cash-pay and accepts credit and debit cards only. That is what keeps the price flat and the wait short — there is nothing to authorize and no claim to file. Many clients find it costs less than what a copay or deductible would have taken.
Why choose DEXA over other body composition methods?
Bioimpedance scales and handheld analyzers pass a current through you and infer the rest, which is why the reading moves when you drink water. DEXA images tissue directly. Desert Dexa uses clinical-grade DEXA and reports regional and total body fat, lean mass by limb and bone density from one 15-minute scan — measurements a scale, calipers or a gym analyzer cannot produce.
Do DEXA scans measure visceral fat?
Yes, and every Desert Dexa Total Body scan reports it as its own value rather than an add-on. Visceral fat sits around your organs rather than under your skin, so neither a scale nor a mirror gives any read on it, and it tracks with metabolic risk more closely than total weight does.
Why should I get a bone density scan?
Bone loss is silent — most people have no idea where they stand until a fracture proves it. A Desert Dexa osteoporosis screening scan measures your hips and spine and returns a T-score, a Z-score and BMD for each site, with a radiologist's final interpretation you can take to your doctor.
What happens during a DEXA scan at Desert Dexa?
You stay fully clothed and lie still on a padded table while the scanner arm passes over you. Nothing touches you, nothing is injected, and there is no tunnel or enclosure. It takes about 15 minutes for a single scan and roughly 20 for the Combo. A Desert Dexa technician positions you at the start and reviews your Total Body results with you at the end.
When will I get my DEXA scan results?
Your Total Body (body composition) results are reviewed with you at the end of your visit at Desert Dexa — you do not go home waiting on them. The Osteoporosis Screening report is different: it is written by an independent board-certified radiologist and reaches you within about 3 days.
What is on a Desert Dexa Total Body (body composition) report?
More than 10 pages. Fat and lean mass overall and by region, muscle symmetry comparing your left side against your right, and visceral fat as its own value. Then resting metabolic rate derived from your measured lean mass, and Appendicular Lean Mass Index. It also reports total body bone mineral density with a T-score and Z-score, plus regional readings for arms, ribs, legs, spine, trunk and pelvis. It also includes a guide to interpreting your own results.
Can I share my DEXA results with my doctor?
Yes — both reports are yours to share. The Desert Dexa Osteoporosis Screening report is written by the radiologist and designed to hand off to your physician, with T-score, Z-score and BMD for each femur and the spine, and osteoporosis or osteopenia indications where they apply. The Total Body (body composition) report can be shared the same way.
Does it matter where I get my DEXA scan?
Yes. DEXA accuracy depends on calibration and a stable scanning environment. Desert Dexa's scanners are fixed-site clinical systems in permanent rooms — not mobile units transported in vans and re-levelled in a parking lot — which is what makes your second scan genuinely comparable to your first. We also offer both body composition analysis and clinical osteoporosis screening with independent radiologist interpretation; most providers offer one or the other.
What does DEXA stand for?
Dual-Energy X-ray Absorptiometry. You may also see it written as DXA. It uses two low-energy x-ray beams at different energy levels to distinguish between fat, lean tissue, and bone in your body.
How much radiation does a DEXA scan use?
Very little. A DEXA scan exposes you to about 1-4 microsieverts of radiation — roughly the same as eating 3-4 bananas or spending a couple hours outdoors. For comparison, a chest x-ray is about 20 microsieverts, and a CT scan can be 7,000 microsieverts or more.
Is a DEXA scan the same as a bone density test?
A DEXA scan can be used for bone density testing, but it can also measure body composition (body fat, muscle mass, visceral fat). At Desert Dexa, we offer both: a total body composition scan and an osteoporosis screening scan that focuses on the hips and spine.
How accurate is a DEXA scan compared to other methods?
DEXA is the clinical gold standard. Bioimpedance devices like InBody scales can be off by 5-10% depending on hydration and meal timing. Calipers depend on the skill of the person measuring. DEXA provides consistent, repeatable measurements that are trusted in research and clinical settings.
Does a DEXA scan hurt?
No. You lie on a padded table fully clothed while a scanner arm passes over you. There are no injections, no enclosed spaces, no discomfort. Most people say it is the easiest medical test they have ever had.
Who should get a DEXA scan?
Anyone who wants accurate data about their body composition or bone health. Common reasons include tracking a fitness program, monitoring weight loss, checking visceral fat, screening for osteoporosis, or simply establishing a health baseline.
What is the difference between a DEXA scan and an InBody scan?
InBody uses bioelectrical impedance — it sends an electrical current through your body and estimates composition based on resistance. It is sensitive to hydration, recent meals, and exercise. DEXA uses x-ray technology and directly measures fat, lean tissue, and bone. DEXA is significantly more accurate and is the method used in clinical research.
Get Your DEXA Scan
Desert Dexa has Rancho Mirage (Coachella Valley), San Dimas (San Gabriel Valley), and Temecula (Temecula Valley) locations in Southern California. No referral needed. Book online and come in.
Book Your DEXA ScanOur Locations
Rancho Mirage
Coachella Valley / Palm Springs
69848 Highway 111 Suite 7
Rancho Mirage, CA 92270
San Dimas
San Gabriel Valley / Inland Empire
237 W Bonita Ave Suite B
San Dimas, CA 91773
Temecula
Temecula Valley / SW Riverside
27349 Jefferson Ave Ste 104
Temecula, CA 92590
Ready to See Your Numbers?
Book a DEXA scan at our Rancho Mirage, San Dimas, or Temecula location. No referral needed.
Want to learn more? Read our articles on body composition and bone health.