CPT 70450 · professional fee

Ct head/brain w/o dye (CPT 70450): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 70450, from their published in-network rate files.

Diagnostic radiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$194

P10 to P90: $109 to $367

vs Medicare

182%

non-facility rate $106.55

Payer spread

1.19×

Cigna $209 vs Aetna $176

State spread

2.8×

AK $337 to OK $122

5,786 sampled providers7,062 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

Cigna has the highest median for CPT 70450 in the files analyzed, at $209, 19% above Aetna ($176), the lowest of the 4 payers shown.

The state spread is 2.8×: Alaska has the highest median at $337 and Oklahoma the lowest at $122, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 182% of the Medicare non-facility rate ($106.55), which ranks 63rd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $102) and widest within Cigna ($131).

This is a top-3 code for diagnostic radiology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
Cigna	$209	$151	$282	+8%	1	4,504	196% of Medicare
UnitedHealthcare	$199	$150	$267	+3%	2	3,958	187% of Medicare
Blue Cross Blue Shield	$191	$134	$244	-2%	3	4,538	179% of Medicare
Aetna	$176	$132	$234	-9%	4	3,858	165% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($106.55)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$337	+74%	Aetna	Cigna	61
2	Georgia	$281	+44%	BCBS	UHC	128
3	Wisconsin	$262	+35%	BCBS	Cigna	118
4	North Carolina	$257	+32%	Cigna	BCBS	124
5	Washington	$245	+26%	Aetna	BCBS	117
6	Connecticut	$239	+23%	Cigna	Aetna	119
7	South Carolina	$230	+18%	Cigna	BCBS	113
8	New Hampshire	$228	+17%	BCBS	Aetna	127
8	Wyoming	$228	+17%	BCBS	Aetna	41
10	Tennessee	$219	+13%	Aetna	UHC	128
11	Ohio	$217	+12%	BCBS	Aetna	127
12	Nebraska	$217	+12%	Cigna	Aetna	120
13	South Dakota	$214	+10%	Cigna	Aetna	85
14	Oregon	$214	+10%	Aetna	Cigna	106
15	Massachusetts	$211	+9%	UHC	Aetna	118
16	Colorado	$211	+9%	BCBS	Aetna	116
17	West Virginia	$211	+9%	Cigna	BCBS	117
18	North Dakota	$210	+8%	BCBS	Aetna	86
19	California	$210	+8%	UHC	BCBS	107
20	Mississippi	$208	+7%	BCBS	UHC	115
21	Iowa	$208	+7%	Cigna	Aetna	100
22	Rhode Island	$201	+4%	Cigna	BCBS	126
23	Delaware	$199	+2%	UHC	Aetna	98
24	Indiana	$199	+2%	BCBS	Aetna	136
25	Louisiana	$198	+2%	Aetna	UHC	122
26	New Jersey	$198	+2%	Cigna	BCBS	126
27	Idaho	$194	+0%	Aetna	Cigna	125
28	Virginia	$194	-0%	Cigna	BCBS	120
29	District of Columbia	$193	-1%	UHC	BCBS	130
30	Utah	$193	-1%	Aetna	Cigna	121
31	Missouri	$185	-5%	Aetna	Cigna	124
32	Kentucky	$183	-6%	Cigna	Aetna	134
33	Pennsylvania	$182	-7%	UHC	Aetna	120
34	Nevada	$177	-9%	UHC	Aetna	122
35	Vermont	$175	-10%	Cigna	Aetna	63
36	Minnesota	$174	-10%	UHC	Aetna	123
37	Florida	$174	-10%	Aetna	BCBS	105
38	New Mexico	$172	-11%	Cigna	BCBS	123
39	Montana	$171	-12%	Aetna	BCBS	69
40	Kansas	$171	-12%	BCBS	Aetna	116
41	Arizona	$170	-12%	Cigna	Aetna	114
42	Maine	$170	-12%	UHC	Cigna	127
43	Michigan	$165	-15%	Cigna	Aetna	116
44	Illinois	$165	-15%	UHC	BCBS	124
45	Arkansas	$162	-17%	UHC	BCBS	121
46	Hawaii	$156	-20%	Aetna	UHC	105
47	New York	$154	-21%	Cigna	Aetna	128
48	Alabama	$147	-24%	Aetna	BCBS	126
49	Maryland	$147	-25%	UHC	BCBS	106
50	Texas	$131	-33%	UHC	BCBS	133
51	Oklahoma	$122	-37%	UHC	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 70450?

In the files we analyzed, Cigna, at a median of $209 across 4,504 sampled providers. Aetna is lowest at $176, 19% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 182% of the 2026 Medicare non-facility rate of $106.55.

Which state has the highest median for CPT 70450?

Alaska has the highest median at $337; Oklahoma has the lowest at $122.

Is this a professional fee?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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