CPT 74174 · professional fee

Cta abd&plvs w/contrast (CPT 74174): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 74174, 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

$601

P10 to P90: $360 to $1,129

vs Medicare

159%

non-facility rate $378.43

Payer spread

1.37×

UHC $680 vs Aetna $495

State spread

2.6×

AK $976 to OK $378

5,771 sampled providers6,998 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 74174 in the files analyzed, at $680, 37% above Aetna ($495), the lowest of the 4 payers shown.

The state spread is 2.6×: Alaska has the highest median at $976 and Oklahoma the lowest at $378, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 159% of the Medicare non-facility rate ($378.43), which ranks 98th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $245) and widest within Blue Cross Blue Shield ($361).

This is a top-26 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
UnitedHealthcare	$680	$494	$907	+13%	1	3,939	180% of Medicare
Cigna	$672	$508	$898	+12%	2	4,471	178% of Medicare
Blue Cross Blue Shield	$585	$446	$808	-3%	3	4,555	154% of Medicare
Aetna	$495	$416	$660	-18%	4	3,721	131% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($378.43)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$976	+62%	Aetna	Cigna	60
2	Washington	$862	+43%	Cigna	BCBS	117
3	Wisconsin	$841	+40%	UHC	Cigna	122
4	Wyoming	$820	+36%	BCBS	Cigna	41
5	New Hampshire	$763	+27%	BCBS	Aetna	127
6	Connecticut	$760	+26%	BCBS	Aetna	119
7	South Dakota	$755	+26%	Cigna	Aetna	85
8	North Carolina	$751	+25%	Cigna	Aetna	121
9	North Dakota	$740	+23%	BCBS	Aetna	86
10	Nebraska	$739	+23%	Cigna	Aetna	119
11	Iowa	$738	+23%	Cigna	Aetna	100
12	Mississippi	$689	+15%	BCBS	UHC	114
13	Ohio	$686	+14%	UHC	Cigna	127
14	West Virginia	$666	+11%	UHC	Aetna	117
15	Delaware	$660	+10%	UHC	Aetna	98
16	Idaho	$647	+8%	Aetna	Cigna	124
16	Massachusetts	$647	+8%	UHC	Aetna	118
18	Colorado	$636	+6%	BCBS	Aetna	116
19	Vermont	$634	+6%	UHC	Aetna	63
20	New Jersey	$628	+4%	Cigna	BCBS	126
21	Missouri	$622	+3%	BCBS	Aetna	123
22	California	$621	+3%	UHC	Aetna	107
23	Montana	$616	+2%	Aetna	UHC	69
24	Tennessee	$613	+2%	Cigna	Aetna	128
25	Rhode Island	$607	+1%	Cigna	BCBS	126
26	Utah	$603	+0%	UHC	Cigna	121
27	Nevada	$601	+0%	Cigna	Aetna	123
27	Georgia	$601	+0%	Cigna	Aetna	128
27	Indiana	$601	+0%	Cigna	Aetna	135
30	District of Columbia	$587	-2%	UHC	BCBS	132
31	Michigan	$585	-3%	Cigna	Aetna	116
32	Kansas	$577	-4%	BCBS	Aetna	116
33	Pennsylvania	$577	-4%	UHC	Aetna	119
34	Virginia	$575	-4%	Cigna	BCBS	117
35	New Mexico	$573	-5%	Cigna	BCBS	123
36	Oregon	$570	-5%	UHC	Cigna	106
37	Hawaii	$562	-7%	Cigna	BCBS	105
38	Maine	$560	-7%	UHC	Cigna	127
39	South Carolina	$556	-7%	Cigna	Aetna	113
40	Arkansas	$552	-8%	UHC	BCBS	117
41	Illinois	$543	-10%	UHC	BCBS	122
42	Florida	$543	-10%	Cigna	Aetna	104
43	Minnesota	$542	-10%	UHC	Aetna	123
44	Arizona	$542	-10%	Cigna	Aetna	112
45	Maryland	$512	-15%	UHC	BCBS	106
46	Louisiana	$508	-15%	Cigna	Aetna	122
47	New York	$508	-16%	Cigna	Aetna	128
48	Kentucky	$507	-16%	Cigna	Aetna	134
49	Alabama	$473	-21%	Aetna	BCBS	126
50	Texas	$430	-28%	UHC	BCBS	133
51	Oklahoma	$378	-37%	UHC	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 74174?

In the files we analyzed, UnitedHealthcare, at a median of $680 across 3,939 sampled providers. Aetna is lowest at $495, 37% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 159% of the 2026 Medicare non-facility rate of $378.43.

Which state has the highest median for CPT 74174?

Alaska has the highest median at $976; Oklahoma has the lowest at $378.

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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