CPT 72158 · professional fee

Mri lumbar spine w/o & w/dye (CPT 72158): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 72158, 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

$593

P10 to P90: $338 to $1,205

vs Medicare

186%

non-facility rate $318.31

Payer spread

1.28×

Cigna $677 vs Aetna $529

State spread

2.9×

AK $1,066 to OK $375

5,782 sampled providers7,055 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 72158 in the files analyzed, at $677, 28% above Aetna ($529), the lowest of the 4 payers shown.

The state spread is 2.9×: Alaska has the highest median at $1,066 and Oklahoma the lowest at $375, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 186% of the Medicare non-facility rate ($318.31), which ranks 56th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $286) and widest within Cigna ($520).

This is a top-38 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	$677	$466	$986	+14%	1	4,485	213% of Medicare
UnitedHealthcare	$656	$469	$882	+11%	2	3,916	206% of Medicare
Blue Cross Blue Shield	$579	$404	$750	-2%	3	4,532	182% of Medicare
Aetna	$529	$411	$697	-11%	4	3,794	166% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($318.31)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$1,066	+80%	Aetna	Cigna	60
2	Wyoming	$831	+40%	BCBS	Cigna	41
3	Connecticut	$814	+37%	Cigna	Aetna	119
4	North Carolina	$774	+31%	Cigna	BCBS	124
5	Wisconsin	$773	+30%	UHC	Cigna	118
6	Washington	$734	+24%	Aetna	BCBS	117
7	Georgia	$700	+18%	Cigna	Aetna	128
8	Iowa	$692	+17%	BCBS	Aetna	100
9	South Dakota	$684	+15%	Cigna	Aetna	85
10	Maine	$680	+15%	Cigna	Aetna	127
10	Massachusetts	$680	+15%	UHC	Aetna	118
12	Nebraska	$672	+13%	UHC	Aetna	120
13	Colorado	$671	+13%	BCBS	Aetna	116
14	New Hampshire	$668	+13%	BCBS	Aetna	127
15	Ohio	$650	+10%	UHC	Aetna	127
16	North Dakota	$645	+9%	Cigna	Aetna	86
17	New Jersey	$638	+8%	Cigna	BCBS	126
18	Tennessee	$628	+6%	Cigna	Aetna	128
19	Idaho	$620	+5%	Aetna	Cigna	125
20	Delaware	$612	+3%	UHC	Aetna	100
21	California	$604	+2%	Cigna	Aetna	106
22	Oregon	$603	+2%	UHC	Cigna	106
23	Rhode Island	$600	+1%	Cigna	BCBS	126
24	District of Columbia	$594	+0%	Cigna	BCBS	132
25	Indiana	$593	+0%	Cigna	Aetna	135
26	Mississippi	$589	-1%	BCBS	UHC	115
27	Virginia	$588	-1%	Cigna	BCBS	120
28	Missouri	$587	-1%	UHC	Cigna	124
28	Kansas	$587	-1%	Aetna	UHC	116
30	Pennsylvania	$565	-5%	UHC	Aetna	118
31	West Virginia	$564	-5%	UHC	BCBS	117
32	Arizona	$563	-5%	Cigna	Aetna	113
33	Nevada	$559	-6%	UHC	Aetna	123
34	New Mexico	$559	-6%	Cigna	BCBS	123
35	Louisiana	$550	-7%	Aetna	BCBS	122
36	South Carolina	$548	-8%	Cigna	Aetna	113
37	Arkansas	$543	-8%	Aetna	BCBS	121
38	Utah	$543	-9%	UHC	Aetna	121
39	Florida	$526	-11%	Cigna	BCBS	104
40	Minnesota	$525	-11%	UHC	Aetna	123
41	Kentucky	$523	-12%	Cigna	Aetna	134
42	Vermont	$522	-12%	Cigna	Aetna	63
43	Montana	$518	-13%	Aetna	BCBS	69
44	Maryland	$517	-13%	UHC	BCBS	106
45	Michigan	$492	-17%	Cigna	Aetna	116
46	Illinois	$490	-17%	UHC	BCBS	122
47	Alabama	$478	-19%	Aetna	BCBS	126
48	Hawaii	$471	-21%	BCBS	UHC	105
49	New York	$447	-25%	Cigna	Aetna	128
50	Texas	$439	-26%	UHC	BCBS	133
51	Oklahoma	$375	-37%	Aetna	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 72158?

In the files we analyzed, Cigna, at a median of $677 across 4,485 sampled providers. Aetna is lowest at $529, 28% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 186% of the 2026 Medicare non-facility rate of $318.31.

Which state has the highest median for CPT 72158?

Alaska has the highest median at $1,066; Oklahoma has the lowest at $375.

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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