CPT 74177 · professional fee

Ct abd & pelvis w/contrast (CPT 74177): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 74177, 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

$448

P10 to P90: $283 to $857

vs Medicare

149%

non-facility rate $300.27

Payer spread

1.33×

UHC $514 vs Aetna $387

State spread

2.6×

AK $790 to OK $307

5,779 sampled providers7,026 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 74177 in the files analyzed, at $514, 33% above Aetna ($387), the lowest of the 4 payers shown.

The state spread is 2.6×: Alaska has the highest median at $790 and Oklahoma the lowest at $307, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 149% of the Medicare non-facility rate ($300.27), which ranks 116th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $197) and widest within Blue Cross Blue Shield ($319).

This is a top-2 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	$514	$371	$706	+15%	1	3,940	171% of Medicare
Cigna	$473	$375	$656	+6%	2	4,471	158% of Medicare
Blue Cross Blue Shield	$452	$308	$627	+1%	3	4,558	150% of Medicare
Aetna	$387	$323	$521	-14%	4	3,854	129% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($300.27)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$790	+76%	Aetna	Cigna	61
2	Washington	$679	+51%	Cigna	BCBS	117
3	Wisconsin	$669	+49%	UHC	Cigna	123
4	Wyoming	$640	+43%	BCBS	Aetna	41
5	South Dakota	$610	+36%	Cigna	Aetna	85
6	Nebraska	$585	+31%	Cigna	Aetna	119
6	Iowa	$585	+31%	Cigna	Aetna	100
8	Connecticut	$578	+29%	BCBS	Aetna	119
9	New Hampshire	$576	+28%	BCBS	Aetna	127
10	North Carolina	$565	+26%	Cigna	BCBS	121
11	North Dakota	$556	+24%	BCBS	Aetna	86
12	Colorado	$511	+14%	BCBS	Aetna	116
13	Idaho	$499	+11%	Aetna	Cigna	124
14	Ohio	$496	+11%	UHC	Cigna	127
15	Montana	$491	+10%	Aetna	UHC	69
16	Missouri	$489	+9%	UHC	Aetna	123
17	Mississippi	$481	+7%	BCBS	UHC	114
18	New Jersey	$468	+4%	Cigna	Aetna	126
19	Massachusetts	$468	+4%	UHC	Aetna	118
20	Georgia	$464	+3%	UHC	Aetna	128
21	Vermont	$461	+3%	UHC	BCBS	63
22	Tennessee	$460	+3%	Cigna	Aetna	128
23	West Virginia	$457	+2%	UHC	BCBS	117
24	Kansas	$456	+2%	BCBS	Aetna	116
25	Hawaii	$446	-1%	BCBS	Aetna	106
26	Rhode Island	$446	-1%	Cigna	Aetna	127
27	Oregon	$445	-1%	UHC	Cigna	106
28	District of Columbia	$445	-1%	UHC	BCBS	132
29	Virginia	$443	-1%	Cigna	Aetna	117
30	Michigan	$441	-2%	Cigna	UHC	116
31	Maine	$439	-2%	UHC	Cigna	127
32	Arkansas	$436	-3%	UHC	BCBS	117
33	South Carolina	$434	-3%	Cigna	Aetna	113
34	Delaware	$432	-4%	UHC	Aetna	98
35	Pennsylvania	$428	-5%	UHC	Aetna	120
36	Minnesota	$423	-6%	BCBS	Aetna	123
37	New Mexico	$421	-6%	UHC	BCBS	123
38	California	$417	-7%	UHC	Aetna	107
39	Indiana	$416	-7%	BCBS	Aetna	135
40	Utah	$412	-8%	UHC	Aetna	121
41	New York	$409	-9%	Cigna	Aetna	128
42	Arizona	$406	-9%	Cigna	Aetna	112
43	Louisiana	$404	-10%	Cigna	Aetna	122
44	Florida	$400	-11%	Cigna	Aetna	105
45	Illinois	$397	-11%	UHC	BCBS	124
46	Nevada	$394	-12%	UHC	BCBS	123
47	Maryland	$387	-14%	UHC	BCBS	106
48	Kentucky	$371	-17%	Cigna	BCBS	134
49	Alabama	$364	-19%	Aetna	BCBS	126
50	Texas	$336	-25%	UHC	BCBS	133
51	Oklahoma	$307	-32%	UHC	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 74177?

In the files we analyzed, UnitedHealthcare, at a median of $514 across 3,940 sampled providers. Aetna is lowest at $387, 33% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 149% of the 2026 Medicare non-facility rate of $300.27.

Which state has the highest median for CPT 74177?

Alaska has the highest median at $790; Oklahoma has the lowest at $307.

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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