CPT 72125 · professional fee

Ct neck spine w/o dye (CPT 72125): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 72125, 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
$249
P10 to P90: $137 to $469
vs Medicare
190%
non-facility rate $130.60
Payer spread
1.23×
Cigna $275 vs Aetna $223
State spread
3.0×
AK $474 to OK $159
5,777 sampled providers6,943 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

Cigna has the highest median for CPT 72125 in the files analyzed, at $275, 23% above Aetna ($223), the lowest of the 4 payers shown.

2

The state spread is 3.0×: Alaska has the highest median at $474 and Oklahoma the lowest at $159, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 190% of the Medicare non-facility rate ($130.60), which ranks 46th of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $119) and widest within Cigna ($180).

5

This is a top-13 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
PayerMedianP25P75vs nationalRankProvidersPosition
Cigna$275$191$371+11%14,505
211% of Medicare
UnitedHealthcare$265$196$359+6%23,957
203% of Medicare
Blue Cross Blue Shield$241$166$317-3%34,503
184% of Medicare
Aetna$223$166$284-10%43,837
171% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($130.60)
$91$182$272$363$454$545CignaUnitedHealthcareBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$474+90%AetnaCigna61
2North Carolina$348+40%CignaBCBS124
3Georgia$338+36%CignaAetna128
4Connecticut$313+26%CignaAetna119
5Wisconsin$310+25%UHCCigna114
6Washington$307+24%AetnaBCBS117
7Wyoming$293+18%BCBSAetna41
8Ohio$287+15%BCBSAetna127
9Tennessee$285+14%CignaUHC128
10South Dakota$282+13%CignaAetna85
11Massachusetts$279+12%UHCAetna118
11New Hampshire$279+12%UHCAetna127
13Colorado$278+12%CignaAetna116
14Mississippi$276+11%BCBSUHC115
15South Carolina$275+11%CignaBCBS113
16California$272+9%UHCBCBS106
17Idaho$269+8%AetnaCigna125
18Oregon$268+8%AetnaCigna106
19Rhode Island$268+8%CignaBCBS126
20Nebraska$268+8%CignaAetna120
21North Dakota$265+6%CignaAetna86
22West Virginia$257+3%UHCBCBS117
23New Jersey$255+3%CignaBCBS126
24Iowa$255+2%CignaAetna100
25Louisiana$254+2%AetnaUHC122
26Florida$246-1%CignaBCBS104
27Delaware$246-1%UHCAetna98
28Vermont$245-2%CignaAetna63
29Missouri$243-2%BCBSCigna124
30Indiana$243-2%CignaAetna135
31Virginia$243-2%CignaBCBS120
32Utah$240-3%AetnaBCBS121
33Kentucky$238-4%CignaAetna134
34Pennsylvania$234-6%UHCAetna120
35Kansas$229-8%BCBSAetna116
36Maine$228-8%UHCCigna127
37Arkansas$226-9%UHCBCBS121
38Minnesota$225-10%UHCAetna123
39District of Columbia$224-10%UHCBCBS130
40Nevada$222-11%UHCAetna123
41Arizona$218-12%CignaAetna113
42New Mexico$212-15%CignaBCBS123
43Montana$210-15%AetnaBCBS69
44Maryland$207-17%UHCBCBS106
45Illinois$204-18%UHCBCBS123
46Michigan$202-19%CignaAetna116
47Alabama$192-23%CignaAetna126
48New York$191-23%CignaAetna128
49Hawaii$191-23%AetnaBCBS104
50Texas$179-28%UHCBCBS133
51Oklahoma$159-36%UHCBCBS110

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 72125?

In the files we analyzed, Cigna, at a median of $275 across 4,505 sampled providers. Aetna is lowest at $223, 23% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 190% of the 2026 Medicare non-facility rate of $130.60.

Which state has the highest median for CPT 72125?

Alaska has the highest median at $474; Oklahoma has the lowest at $159.

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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