CPT 73630 · professional fee

X-ray exam of foot (CPT 73630): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 73630, 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
$44
P10 to P90: $28 to $82
vs Medicare
131%
non-facility rate $34.07
Payer spread
1.27×
BCBS $49 vs Aetna $38
State spread
4.7×
AK $128 to FL $27
5,030 sampled providers5,845 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 73630 in the files analyzed, at $49, 27% above Aetna ($38), the lowest of the 4 payers shown.

2

The state spread is 4.7×: Alaska has the highest median at $128 and Florida the lowest at $27, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 131% of the Medicare non-facility rate ($34.07), which ranks 152nd of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $19) and widest within UnitedHealthcare ($28).

5

This is a top-32 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$49$34$65+10%13,747
144% of Medicare
Cigna$49$35$64+9%24,034
143% of Medicare
UnitedHealthcare$43$33$61-4%34,263
126% of Medicare
Aetna$38$32$51-14%43,236
113% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($34.07)
$13$29$45$61$77$92Blue Cross Blue ShieldCignaUnitedHealthcareAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$128+187%UHCAetna63
2Wyoming$88+98%BCBSCigna65
3Nebraska$68+52%CignaAetna95
4North Dakota$67+51%BCBSAetna46
4South Dakota$67+51%CignaUHC97
6Wisconsin$66+48%BCBSAetna100
7Washington$64+44%BCBSAetna100
8Iowa$60+35%CignaAetna104
9Oregon$60+34%CignaUHC94
10Minnesota$57+28%BCBSAetna102
11Colorado$53+19%UHCCigna106
12Idaho$53+19%BCBSUHC120
13District of Columbia$53+19%AetnaBCBS35
14Georgia$51+15%CignaBCBS124
15New Jersey$50+12%BCBSUHC95
16Hawaii$50+11%BCBSCigna71
17New Hampshire$49+10%CignaAetna118
18Utah$49+10%BCBSAetna96
19Connecticut$49+10%CignaAetna114
20North Carolina$48+9%CignaAetna114
21Massachusetts$48+8%CignaAetna102
22Tennessee$45+1%BCBSAetna115
22Mississippi$45+1%AetnaUHC112
24Pennsylvania$45+0%BCBSAetna103
25Vermont$44-0%UHCBCBS35
26Illinois$44-1%UHCBCBS105
27Maryland$43-3%AetnaBCBS105
28Alabama$43-4%BCBSCigna118
29Maine$43-4%BCBSAetna94
30Rhode Island$43-4%UHCAetna98
31Ohio$42-6%AetnaUHC109
32Virginia$42-6%CignaAetna103
33West Virginia$41-7%UHCBCBS84
34Kansas$41-7%CignaUHC108
35Delaware$41-8%BCBSCigna59
36Michigan$41-8%BCBSUHC102
37South Carolina$41-8%UHCAetna106
38New York$40-9%CignaAetna111
39Arkansas$40-10%UHCAetna120
40California$40-11%CignaAetna109
41Montana$39-12%CignaBCBS79
42Missouri$37-17%BCBSAetna112
43Arizona$37-17%CignaBCBS99
44Nevada$37-17%BCBSCigna108
45Louisiana$37-18%AetnaCigna103
46Kentucky$36-20%CignaBCBS124
47Indiana$35-22%CignaUHC115
48New Mexico$33-25%CignaBCBS103
49Texas$29-35%UHCBCBS122
50Oklahoma$29-36%UHCBCBS100
51Florida$27-39%BCBSCigna108

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 73630?

In the files we analyzed, Blue Cross Blue Shield, at a median of $49 across 3,747 sampled providers. Aetna is lowest at $38, 27% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 131% of the 2026 Medicare non-facility rate of $34.07.

Which state has the highest median for CPT 73630?

Alaska has the highest median at $128; 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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