CPT 70498 · professional fee

Ct angiography neck (CPT 70498): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 70498, 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

$459

P10 to P90: $266 to $867

vs Medicare

168%

non-facility rate $273.89

Payer spread

1.45×

Cigna $537 vs Aetna $371

State spread

2.7×

AK $826 to OK $301

5,777 sampled providers7,005 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 70498 in the files analyzed, at $537, 45% above Aetna ($371), the lowest of the 4 payers shown.

The state spread is 2.7×: Alaska has the highest median at $826 and Oklahoma the lowest at $301, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 168% of the Medicare non-facility rate ($273.89), which ranks 85th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $203) and widest within Cigna ($350).

This is a top-18 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	$537	$386	$736	+17%	1	4,499	196% of Medicare
UnitedHealthcare	$528	$386	$687	+15%	2	3,960	193% of Medicare
Blue Cross Blue Shield	$419	$328	$574	-9%	3	4,531	153% of Medicare
Aetna	$371	$300	$503	-19%	4	3,812	136% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($273.89)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$826	+80%	Aetna	Cigna	61
2	Washington	$632	+38%	Cigna	BCBS	117
3	Wisconsin	$607	+32%	UHC	Cigna	118
4	North Carolina	$603	+32%	Cigna	Aetna	124
5	Connecticut	$565	+23%	BCBS	Aetna	119
6	Wyoming	$555	+21%	BCBS	Aetna	41
6	New Hampshire	$555	+21%	BCBS	Aetna	127
8	South Dakota	$552	+20%	Cigna	Aetna	85
9	Nebraska	$543	+18%	Cigna	Aetna	120
10	North Dakota	$542	+18%	BCBS	Aetna	86
11	Iowa	$534	+16%	Cigna	Aetna	100
12	Massachusetts	$529	+15%	UHC	Aetna	118
13	Mississippi	$526	+15%	BCBS	Aetna	115
14	Delaware	$522	+14%	UHC	Aetna	98
15	Georgia	$515	+12%	Cigna	Aetna	128
16	Colorado	$501	+9%	UHC	Aetna	116
17	Ohio	$493	+8%	UHC	Aetna	127
18	New Jersey	$491	+7%	Cigna	BCBS	126
19	California	$491	+7%	UHC	BCBS	106
20	Idaho	$490	+7%	BCBS	Cigna	124
21	Tennessee	$487	+6%	Cigna	Aetna	128
22	West Virginia	$483	+5%	Cigna	Aetna	117
23	District of Columbia	$470	+3%	UHC	BCBS	129
24	Rhode Island	$467	+2%	Cigna	BCBS	127
25	Utah	$464	+1%	UHC	Cigna	121
26	Missouri	$464	+1%	BCBS	Aetna	124
27	Virginia	$454	-1%	Cigna	BCBS	120
28	Montana	$446	-3%	Aetna	BCBS	69
29	Oregon	$445	-3%	UHC	Cigna	106
30	Nevada	$443	-3%	UHC	Aetna	123
31	Kansas	$432	-6%	BCBS	Aetna	116
32	Pennsylvania	$426	-7%	UHC	Aetna	119
33	Michigan	$423	-8%	Cigna	Aetna	116
34	Vermont	$422	-8%	UHC	Aetna	63
35	Maine	$421	-8%	UHC	Cigna	127
36	Minnesota	$417	-9%	UHC	Aetna	123
37	Maryland	$416	-9%	UHC	BCBS	106
38	Arkansas	$414	-10%	UHC	BCBS	119
39	Arizona	$413	-10%	Cigna	Aetna	113
40	Florida	$411	-10%	Cigna	BCBS	104
41	New Mexico	$405	-12%	Cigna	BCBS	123
42	South Carolina	$403	-12%	Cigna	Aetna	113
43	Illinois	$399	-13%	UHC	BCBS	123
44	Hawaii	$386	-16%	BCBS	UHC	104
45	Indiana	$385	-16%	Cigna	Aetna	135
46	New York	$382	-17%	Cigna	Aetna	128
47	Kentucky	$379	-17%	Cigna	Aetna	134
48	Louisiana	$370	-19%	Cigna	Aetna	122
49	Alabama	$359	-22%	UHC	BCBS	126
50	Texas	$334	-27%	UHC	BCBS	133
51	Oklahoma	$301	-34%	UHC	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 70498?

In the files we analyzed, Cigna, at a median of $537 across 4,499 sampled providers. Aetna is lowest at $371, 45% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 168% of the 2026 Medicare non-facility rate of $273.89.

Which state has the highest median for CPT 70498?

Alaska has the highest median at $826; Oklahoma has the lowest at $301.

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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