CPT 73030 · professional fee

X-ray exam of shoulder (CPT 73030): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 73030, 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

$45

P10 to P90: $28 to $83

vs Medicare

126%

non-facility rate $35.74

Payer spread

1.26×

Cigna $49 vs Aetna $39

State spread

4.9×

AK $135 to FL $27

5,035 sampled providers5,971 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 73030 in the files analyzed, at $49, 26% above Aetna ($39), the lowest of the 4 payers shown.

The state spread is 4.9×: Alaska has the highest median at $135 and Florida the lowest at $27, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 126% of the Medicare non-facility rate ($35.74), which ranks 158th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $20) and widest within Blue Cross Blue Shield ($32).

This is a top-18 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

Payer	Median	P25	P75	vs national	Rank	Providers	Position
Cigna	$49	$35	$64	+10%	1	4,034	138% of Medicare
Blue Cross Blue Shield	$48	$35	$67	+7%	2	3,813	135% of Medicare
UnitedHealthcare	$43	$34	$62	-4%	3	4,263	121% of Medicare
Aetna	$39	$32	$52	-13%	4	3,272	109% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($35.74)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$135	+199%	BCBS	Aetna	63
2	Wyoming	$89	+98%	BCBS	Cigna	65
3	North Dakota	$68	+51%	BCBS	Aetna	46
4	Wisconsin	$67	+49%	BCBS	Aetna	100
5	Nebraska	$67	+48%	Cigna	Aetna	95
6	South Dakota	$67	+48%	BCBS	Aetna	97
7	Washington	$65	+45%	BCBS	Aetna	101
8	Iowa	$63	+39%	Cigna	Aetna	104
9	Oregon	$61	+35%	Cigna	UHC	94
10	Minnesota	$60	+32%	BCBS	Aetna	102
11	Massachusetts	$54	+20%	Cigna	Aetna	111
12	Colorado	$54	+19%	UHC	Cigna	104
13	District of Columbia	$53	+18%	Aetna	BCBS	35
14	Idaho	$53	+17%	BCBS	UHC	120
15	Hawaii	$50	+12%	Cigna	BCBS	71
16	Georgia	$50	+11%	Cigna	BCBS	124
17	New Jersey	$50	+11%	BCBS	UHC	95
18	Connecticut	$50	+11%	Cigna	Aetna	114
19	New Hampshire	$49	+10%	BCBS	Aetna	115
20	North Carolina	$49	+9%	Cigna	Aetna	114
21	Utah	$49	+8%	BCBS	Aetna	96
22	Illinois	$46	+2%	UHC	BCBS	104
23	Mississippi	$46	+2%	Aetna	UHC	112
23	Tennessee	$46	+2%	BCBS	UHC	115
25	Vermont	$45	-1%	UHC	BCBS	34
26	Pennsylvania	$45	-1%	BCBS	Aetna	103
27	Rhode Island	$43	-4%	UHC	Aetna	98
28	Kansas	$43	-4%	Cigna	UHC	108
29	Maryland	$43	-4%	Aetna	BCBS	105
30	Ohio	$43	-5%	Aetna	UHC	109
31	Maine	$43	-5%	UHC	Aetna	94
32	Alabama	$42	-6%	Aetna	Cigna	118
33	West Virginia	$42	-6%	UHC	Aetna	85
34	South Carolina	$41	-8%	UHC	Aetna	106
35	Michigan	$41	-8%	BCBS	UHC	102
36	Virginia	$41	-9%	Cigna	Aetna	103
37	Delaware	$41	-9%	Aetna	Cigna	59
38	California	$41	-10%	Cigna	Aetna	109
39	Indiana	$40	-11%	BCBS	UHC	115
40	Montana	$40	-11%	Cigna	BCBS	79
41	Arkansas	$40	-12%	UHC	Aetna	119
42	New York	$40	-12%	Cigna	Aetna	111
43	Missouri	$38	-15%	BCBS	Cigna	112
44	Arizona	$38	-15%	Cigna	BCBS	99
45	Nevada	$38	-16%	BCBS	Cigna	109
46	Kentucky	$38	-16%	Cigna	UHC	124
47	Louisiana	$37	-18%	Aetna	Cigna	103
48	New Mexico	$36	-20%	Cigna	BCBS	104
49	Texas	$30	-34%	UHC	BCBS	122
50	Oklahoma	$29	-36%	UHC	BCBS	100
51	Florida	$27	-39%	BCBS	Cigna	108

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 73030?

In the files we analyzed, Cigna, at a median of $49 across 4,034 sampled providers. Aetna is lowest at $39, 26% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 126% of the 2026 Medicare non-facility rate of $35.74.

Which state has the highest median for CPT 73030?

Alaska has the highest median at $135; Florida has the lowest at $27.

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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