CPT 77049 · professional fee

Mri breast c-+ w/cad bi (CPT 77049): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 77049, 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

$558

P10 to P90: $323 to $1,064

vs Medicare

164%

non-facility rate $339.69

Payer spread

1.60×

UHC $714 vs Aetna $445

State spread

2.9×

AK $962 to OK $329

5,764 sampled providers7,198 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 77049 in the files analyzed, at $714, 60% above Aetna ($445), the lowest of the 4 payers shown.

The state spread is 2.9×: Alaska has the highest median at $962 and Oklahoma the lowest at $329, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 164% of the Medicare non-facility rate ($339.69), which ranks 89th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $256) and widest within Blue Cross Blue Shield ($380).

This is a top-37 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	$714	$516	$964	+28%	1	3,894	210% of Medicare
Cigna	$563	$445	$781	+1%	2	4,446	166% of Medicare
Blue Cross Blue Shield	$512	$366	$746	-8%	3	4,609	151% of Medicare
Aetna	$445	$366	$622	-20%	4	3,658	131% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($339.69)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$962	+72%	UHC	Cigna	60
2	Washington	$778	+39%	Cigna	BCBS	117
3	Wyoming	$754	+35%	BCBS	Aetna	41
4	Wisconsin	$753	+35%	UHC	Cigna	118
5	South Dakota	$742	+33%	Cigna	Aetna	85
6	Iowa	$741	+33%	BCBS	Aetna	100
7	Maine	$726	+30%	UHC	Aetna	127
8	North Carolina	$723	+30%	UHC	Aetna	121
9	Nebraska	$713	+28%	UHC	Aetna	119
10	Georgia	$700	+25%	UHC	Aetna	128
11	Connecticut	$693	+24%	UHC	Aetna	122
12	North Dakota	$689	+23%	UHC	Aetna	83
13	Idaho	$676	+21%	Aetna	Cigna	124
14	Colorado	$672	+20%	BCBS	Cigna	116
15	Massachusetts	$641	+15%	UHC	Cigna	120
16	Ohio	$609	+9%	UHC	Aetna	127
17	West Virginia	$601	+8%	UHC	BCBS	117
18	New Hampshire	$600	+8%	BCBS	Aetna	128
18	Rhode Island	$600	+8%	Cigna	BCBS	126
20	Arkansas	$583	+5%	UHC	BCBS	117
21	Mississippi	$574	+3%	BCBS	Aetna	112
22	Tennessee	$567	+2%	UHC	Aetna	128
23	California	$565	+1%	UHC	Aetna	107
24	New Jersey	$563	+1%	UHC	Aetna	125
25	Missouri	$560	+0%	UHC	Aetna	123
26	Montana	$556	-0%	Aetna	BCBS	69
26	Virginia	$556	-0%	UHC	BCBS	117
28	Kansas	$551	-1%	UHC	Aetna	116
29	Oregon	$550	-2%	UHC	Cigna	106
30	Vermont	$534	-4%	UHC	Aetna	63
31	Pennsylvania	$533	-5%	UHC	Aetna	119
32	Michigan	$525	-6%	UHC	Aetna	116
33	Utah	$524	-6%	UHC	Cigna	121
34	South Carolina	$506	-9%	Cigna	Aetna	111
35	Hawaii	$503	-10%	Aetna	BCBS	105
36	Florida	$501	-10%	UHC	Aetna	104
37	Delaware	$500	-10%	UHC	Aetna	100
38	District of Columbia	$500	-10%	UHC	BCBS	130
39	Arizona	$496	-11%	UHC	Aetna	112
40	Minnesota	$496	-11%	UHC	Aetna	123
41	Louisiana	$492	-12%	UHC	BCBS	120
42	Nevada	$482	-14%	UHC	Aetna	123
43	Illinois	$475	-15%	UHC	BCBS	122
44	New York	$459	-18%	Cigna	Aetna	129
45	New Mexico	$445	-20%	UHC	BCBS	123
46	Alabama	$439	-21%	UHC	BCBS	126
47	Kentucky	$437	-22%	UHC	BCBS	134
48	Maryland	$436	-22%	UHC	BCBS	106
49	Indiana	$424	-24%	UHC	Aetna	135
50	Texas	$410	-26%	UHC	BCBS	133
51	Oklahoma	$329	-41%	UHC	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 77049?

In the files we analyzed, UnitedHealthcare, at a median of $714 across 3,894 sampled providers. Aetna is lowest at $445, 60% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 164% of the 2026 Medicare non-facility rate of $339.69.

Which state has the highest median for CPT 77049?

Alaska has the highest median at $962; Oklahoma has the lowest at $329.

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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