CPT 72110 · professional fee

X-ray exam l-2 spine 4/>vws (CPT 72110): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 72110, from their published in-network rate files.

Orthopedic surgerySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$71
P10 to P90: $44 to $128
vs Medicare
132%
non-facility rate $53.44
Payer spread
1.31×
BCBS $77 vs Aetna $59
State spread
4.8×
AK $200 to FL $42
5,021 sampled providers5,801 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

Blue Cross Blue Shield has the highest median for CPT 72110 in the files analyzed, at $77, 31% above Aetna ($59), the lowest of the 4 payers shown.

2

The state spread is 4.8×: Alaska has the highest median at $200 and Florida the lowest at $42, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 132% of the Medicare non-facility rate ($53.44), which ranks 148th of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $27) and widest within UnitedHealthcare ($43).

5

This is a top-38 code for orthopedic surgery 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
PayerMedianP25P75vs nationalRankProvidersPosition
Blue Cross Blue Shield$77$55$100+9%13,704
144% of Medicare
Cigna$76$58$98+8%24,034
142% of Medicare
UnitedHealthcare$67$52$95-5%34,263
126% of Medicare
Aetna$59$52$79-17%43,036
110% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($53.44)
$21$46$70$94$119$143Blue Cross Blue ShieldCignaUnitedHealthcareAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$200+183%BCBSAetna63
2Wyoming$134+90%BCBSCigna65
3Nebraska$102+44%CignaBCBS95
4South Dakota$101+44%CignaUHC97
5North Dakota$101+43%BCBSAetna46
6Wisconsin$98+39%BCBSAetna97
7Washington$95+35%BCBSUHC100
8Oregon$94+33%CignaUHC91
9Iowa$94+33%CignaAetna104
10Minnesota$89+26%BCBSAetna102
11Idaho$82+16%BCBSUHC120
12Colorado$80+14%UHCCigna106
13Georgia$80+13%CignaBCBS124
14District of Columbia$79+12%UHCBCBS35
15New Hampshire$77+9%CignaAetna118
16Mississippi$77+9%AetnaUHC112
17Hawaii$76+8%CignaBCBS69
18New Jersey$75+7%BCBSUHC95
19Connecticut$75+6%UHCAetna114
20North Carolina$75+6%CignaAetna115
21Massachusetts$75+6%CignaAetna102
22Utah$74+5%BCBSCigna97
23Tennessee$74+4%BCBSAetna115
24Delaware$70-0%BCBSCigna59
25Vermont$70-0%UHCBCBS35
26Illinois$69-2%UHCBCBS104
27South Carolina$69-3%UHCAetna106
28Pennsylvania$68-4%BCBSAetna102
29Maryland$68-4%AetnaBCBS104
30West Virginia$68-4%UHCAetna84
31California$67-5%CignaAetna108
32Virginia$66-6%CignaUHC104
33Alabama$66-7%BCBSCigna118
34Rhode Island$65-8%UHCAetna98
35Kansas$65-8%CignaUHC108
36Arkansas$65-8%UHCAetna119
37Ohio$64-9%AetnaUHC109
38Maine$64-10%UHCAetna94
39New York$63-11%CignaBCBS111
40Montana$62-12%CignaBCBS79
41Indiana$62-12%CignaUHC115
42Michigan$61-14%BCBSUHC102
43Arizona$59-16%CignaBCBS99
44Nevada$59-16%BCBSUHC109
45Kentucky$59-16%CignaUHC124
46Missouri$58-18%BCBSUHC112
47Louisiana$55-22%UHCCigna103
48New Mexico$54-23%CignaBCBS103
49Texas$46-35%UHCBCBS122
50Oklahoma$44-38%UHCBCBS100
51Florida$42-41%BCBSAetna108

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 72110?

In the files we analyzed, Blue Cross Blue Shield, at a median of $77 across 3,704 sampled providers. Aetna is lowest at $59, 31% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 132% of the 2026 Medicare non-facility rate of $53.44.

Which state has the highest median for CPT 72110?

Alaska has the highest median at $200; Florida has the lowest at $42.

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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