CPT 74178 · professional fee

Ct abd&plv wo cntr flwd cntr (CPT 74178): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 74178, from their published in-network rate files.

Diagnostic radiology UrologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$511

P10 to P90: $315 to $992

vs Medicare

151%

non-facility rate $338.02

Payer spread

1.26×

Cigna $551 vs Aetna $437

State spread

2.5×

AK $887 to OK $352

9,963 sampled providers10,184 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 74178 in the files analyzed, at $551, 26% above Aetna ($437), the lowest of the 4 payers shown.

The state spread is 2.5×: Alaska has the highest median at $887 and Oklahoma the lowest at $352, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 151% of the Medicare non-facility rate ($338.02), which ranks 114th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $212) and widest within Cigna ($360).

This is a top-16 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
Cigna	$551	$418	$778	+8%	1	7,565	163% of Medicare
UnitedHealthcare	$549	$412	$763	+8%	2	7,524	162% of Medicare
Blue Cross Blue Shield	$522	$380	$718	+2%	3	7,665	154% of Medicare
Aetna	$437	$370	$582	-14%	4	6,120	129% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($338.02)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$887	+74%	Aetna	Cigna	82
2	Wisconsin	$861	+69%	BCBS	Cigna	236
3	Wyoming	$765	+50%	BCBS	Aetna	53
4	Connecticut	$738	+45%	BCBS	Aetna	230
5	Washington	$729	+43%	Cigna	BCBS	228
6	New Hampshire	$723	+42%	BCBS	Aetna	178
7	South Dakota	$686	+34%	Cigna	Aetna	118
8	Nebraska	$662	+30%	Cigna	Aetna	169
9	Iowa	$659	+29%	Cigna	Aetna	182
10	North Dakota	$653	+28%	BCBS	Aetna	107
11	North Carolina	$648	+27%	Cigna	Aetna	230
12	Oregon	$634	+24%	UHC	Aetna	208
13	Georgia	$590	+16%	Cigna	Aetna	246
14	New Jersey	$589	+15%	Cigna	Aetna	230
15	Colorado	$567	+11%	BCBS	Aetna	231
16	Mississippi	$559	+9%	BCBS	UHC	180
17	Idaho	$556	+9%	Aetna	Cigna	169
18	Montana	$551	+8%	Aetna	UHC	108
19	Ohio	$538	+5%	UHC	Cigna	238
19	District of Columbia	$538	+5%	UHC	BCBS	179
21	Utah	$526	+3%	UHC	Aetna	194
22	Virginia	$522	+2%	Cigna	Aetna	224
23	Massachusetts	$520	+2%	BCBS	Aetna	220
24	Indiana	$517	+1%	BCBS	Aetna	259
25	Vermont	$516	+1%	UHC	Aetna	93
26	Pennsylvania	$516	+1%	UHC	Aetna	227
27	Kansas	$514	+1%	BCBS	UHC	209
28	California	$514	+1%	UHC	Aetna	202
29	Delaware	$505	-1%	UHC	Aetna	126
30	Missouri	$505	-1%	BCBS	Aetna	241
31	Hawaii	$500	-2%	BCBS	Aetna	134
32	Rhode Island	$499	-2%	Cigna	Aetna	166
33	Nevada	$499	-2%	Cigna	BCBS	177
34	Illinois	$497	-3%	UHC	BCBS	231
35	Minnesota	$497	-3%	BCBS	Aetna	234
36	Maine	$491	-4%	BCBS	Aetna	175
37	New Mexico	$490	-4%	UHC	BCBS	157
38	South Carolina	$486	-5%	UHC	Aetna	211
39	Tennessee	$486	-5%	BCBS	Aetna	237
40	Michigan	$474	-7%	Cigna	UHC	225
41	Arkansas	$473	-7%	UHC	BCBS	183
42	West Virginia	$461	-10%	UHC	BCBS	166
43	New York	$459	-10%	Cigna	Aetna	243
44	Maryland	$446	-13%	Aetna	Cigna	209
45	Arizona	$430	-16%	Cigna	UHC	209
46	Kentucky	$424	-17%	Cigna	BCBS	249
47	Louisiana	$418	-18%	Cigna	Aetna	226
48	Florida	$395	-23%	Cigna	Aetna	217
49	Alabama	$378	-26%	Aetna	BCBS	242
50	Texas	$378	-26%	Cigna	BCBS	257
51	Oklahoma	$352	-31%	Aetna	BCBS	218

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 74178?

In the files we analyzed, Cigna, at a median of $551 across 7,565 sampled providers. Aetna is lowest at $437, 26% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 151% of the 2026 Medicare non-facility rate of $338.02.

Which state has the highest median for CPT 74178?

Alaska has the highest median at $887; Oklahoma has the lowest at $352.

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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