CPT 73721 · professional fee

Mri jnt of lwr extre w/o dye (CPT 73721): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 73721, from their published in-network rate files.

Diagnostic radiologyOrthopedic surgerySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$399
P10 to P90: $208 to $760
vs Medicare
195%
non-facility rate $204.41
Payer spread
1.06×
Cigna $405 vs BCBS $382
State spread
3.3×
AK $776 to OK $232
10,779 sampled providers11,432 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 73721 in the files analyzed, at $405, 6% above Blue Cross Blue Shield ($382), the lowest of the 4 payers shown.

2

The state spread is 3.3×: Alaska has the highest median at $776 and Oklahoma the lowest at $232, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 195% of the Medicare non-facility rate ($204.41), which ranks 41st of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $244) and widest within Cigna ($319).

5

This is a top-15 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$405$281$600+2%18,280
198% of Medicare
Aetna$402$304$548+1%26,559
197% of Medicare
UnitedHealthcare$399$272$545+0%38,198
195% of Medicare
Blue Cross Blue Shield$382$256$502-4%48,255
187% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($204.41)
$134$277$419$562$705$847CignaAetnaUnitedHealthcareBlue Cross Blue ShieldMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$776+94%AetnaCigna123
2Wyoming$638+60%BCBSAetna106
3Connecticut$600+50%UHCBCBS233
4Georgia$515+29%CignaAetna252
5Wisconsin$504+26%BCBSCigna210
6North Carolina$498+25%CignaAetna238
7Iowa$477+19%BCBSAetna204
8South Dakota$476+19%CignaAetna182
9Washington$459+15%AetnaBCBS217
10Colorado$449+13%BCBSAetna211
11Mississippi$444+11%BCBSUHC227
12California$443+11%CignaBCBS215
13Massachusetts$437+10%UHCAetna220
13New Hampshire$437+10%UHCAetna245
15Oregon$435+9%AetnaCigna199
16Tennessee$434+9%CignaUHC242
17Nebraska$426+7%CignaAetna215
18Maine$426+7%AetnaUHC221
19Rhode Island$426+7%AetnaBCBS224
20Delaware$425+7%UHCBCBS159
21North Dakota$423+6%BCBSAetna132
22Virginia$422+6%CignaBCBS223
23New Jersey$418+5%CignaBCBS219
24Indiana$412+3%CignaAetna250
25District of Columbia$400+0%UHCBCBS165
26Vermont$400+0%CignaBCBS98
27West Virginia$397-1%UHCAetna203
28Idaho$396-1%AetnaCigna245
29Ohio$392-2%BCBSCigna237
30Nevada$390-2%CignaAetna231
31South Carolina$378-5%CignaAetna219
32Arizona$375-6%CignaBCBS211
33Kansas$373-6%BCBSUHC223
34Louisiana$373-7%AetnaCigna225
35New York$370-7%CignaBCBS236
35Pennsylvania$370-7%AetnaCigna223
37Utah$370-7%AetnaCigna217
38Minnesota$369-8%UHCAetna225
39New Mexico$346-13%CignaBCBS226
40Arkansas$342-14%UHCBCBS240
41Michigan$338-15%CignaAetna217
42Missouri$337-15%AetnaCigna236
43Maryland$333-17%AetnaBCBS207
44Kentucky$332-17%BCBSAetna258
45Montana$329-18%AetnaBCBS148
46Illinois$320-20%UHCBCBS226
47Florida$305-24%AetnaUHC211
48Hawaii$302-24%BCBSCigna176
49Alabama$299-25%AetnaBCBS244
50Texas$238-40%UHCBCBS255
51Oklahoma$232-42%UHCBCBS210

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 73721?

In the files we analyzed, Cigna, at a median of $405 across 8,280 sampled providers. Blue Cross Blue Shield is lowest at $382, 6% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 195% of the 2026 Medicare non-facility rate of $204.41.

Which state has the highest median for CPT 73721?

Alaska has the highest median at $776; Oklahoma has the lowest at $232.

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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