CPT 71250 · professional fee

Ct thorax dx c- (CPT 71250): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 71250, 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

$250

P10 to P90: $137 to $465

vs Medicare

189%

non-facility rate $132.60

Payer spread

1.24×

Cigna $277 vs Aetna $222

State spread

3.0×

AK $486 to OK $163

5,781 sampled providers6,985 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 71250 in the files analyzed, at $277, 24% above Aetna ($222), the lowest of the 4 payers shown.

The state spread is 3.0×: Alaska has the highest median at $486 and Oklahoma the lowest at $163, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 189% of the Medicare non-facility rate ($132.60), which ranks 51st of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $121) and widest within Cigna ($178).

This is a top-5 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	$277	$193	$371	+10%	1	4,505	208% of Medicare
UnitedHealthcare	$266	$198	$356	+6%	2	3,957	200% of Medicare
Blue Cross Blue Shield	$243	$164	$314	-3%	3	4,516	183% of Medicare
Aetna	$222	$169	$289	-11%	4	3,856	168% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($132.60)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$486	+94%	Aetna	Cigna	61
2	North Carolina	$351	+40%	Cigna	BCBS	124
3	Georgia	$336	+34%	Cigna	Aetna	128
4	Connecticut	$316	+26%	Cigna	Aetna	119
5	Wisconsin	$314	+25%	UHC	Cigna	114
6	Washington	$313	+25%	Aetna	BCBS	117
7	Wyoming	$294	+17%	BCBS	Aetna	41
8	South Dakota	$288	+15%	Cigna	Aetna	85
9	Ohio	$287	+15%	BCBS	Aetna	127
10	Massachusetts	$283	+13%	UHC	Aetna	118
10	New Hampshire	$283	+13%	UHC	Aetna	127
12	Colorado	$280	+12%	BCBS	Aetna	116
13	Tennessee	$275	+10%	Cigna	UHC	128
13	South Carolina	$275	+10%	Cigna	BCBS	113
15	Nebraska	$274	+9%	Cigna	Aetna	120
16	Idaho	$272	+9%	Aetna	Cigna	125
17	California	$270	+8%	UHC	BCBS	107
18	Mississippi	$269	+8%	BCBS	UHC	115
19	Oregon	$269	+7%	Aetna	Cigna	106
20	North Dakota	$269	+7%	Cigna	Aetna	86
21	Rhode Island	$268	+7%	Cigna	BCBS	126
22	District of Columbia	$266	+6%	UHC	BCBS	130
23	New Jersey	$260	+4%	Cigna	BCBS	126
24	Louisiana	$259	+4%	Aetna	UHC	122
25	Iowa	$258	+3%	Cigna	Aetna	100
26	West Virginia	$257	+3%	UHC	BCBS	117
27	Delaware	$250	+0%	UHC	Aetna	98
28	Missouri	$249	-0%	BCBS	Cigna	124
29	Virginia	$248	-1%	Cigna	BCBS	120
30	Vermont	$245	-2%	Cigna	Aetna	63
31	Indiana	$243	-3%	Cigna	Aetna	135
32	Utah	$242	-3%	Aetna	BCBS	121
33	Kentucky	$241	-4%	Cigna	Aetna	134
34	Florida	$233	-7%	Cigna	BCBS	104
35	Pennsylvania	$233	-7%	UHC	Aetna	120
36	Kansas	$231	-8%	BCBS	Aetna	116
37	Minnesota	$230	-8%	UHC	Aetna	123
38	Maine	$225	-10%	UHC	Cigna	127
38	Nevada	$225	-10%	UHC	Aetna	123
40	Arkansas	$222	-11%	UHC	BCBS	121
41	Arizona	$219	-12%	Cigna	Aetna	114
42	New Mexico	$216	-14%	Cigna	BCBS	123
43	Montana	$215	-14%	Aetna	BCBS	69
44	Illinois	$209	-16%	UHC	BCBS	124
45	Michigan	$205	-18%	Cigna	Aetna	116
46	New York	$195	-22%	Cigna	Aetna	128
47	Hawaii	$195	-22%	BCBS	Cigna	105
48	Maryland	$193	-23%	UHC	BCBS	106
49	Alabama	$188	-25%	UHC	BCBS	126
50	Texas	$179	-28%	UHC	BCBS	133
51	Oklahoma	$163	-35%	UHC	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 71250?

In the files we analyzed, Cigna, at a median of $277 across 4,505 sampled providers. Aetna is lowest at $222, 24% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 189% of the 2026 Medicare non-facility rate of $132.60.

Which state has the highest median for CPT 71250?

Alaska has the highest median at $486; Oklahoma has the lowest at $163.

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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