CPT 93925 · professional fee

Lower extremity study (CPT 93925): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93925, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$349
P10 to P90: $221 to $643
vs Medicare
147%
non-facility rate $237.48
Payer spread
1.53×
UHC $417 vs Aetna $273
State spread
4.0×
AK $973 to AZ $241
5,037 sampled providers6,748 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

UnitedHealthcare has the highest median for CPT 93925 in the files analyzed, at $417, 53% above Aetna ($273), the lowest of the 4 payers shown.

2

The state spread is 4.0×: Alaska has the highest median at $973 and Arizona the lowest at $241, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 147% of the Medicare non-facility rate ($237.48), which ranks 121st of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $126) and widest within Cigna ($238).

5

This is a top-26 code for cardiology 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
UnitedHealthcare$417$317$539+20%14,300
176% of Medicare
Cigna$379$280$518+9%24,065
160% of Medicare
Blue Cross Blue Shield$310$240$413-11%33,853
131% of Medicare
Aetna$273$239$365-22%43,230
115% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($237.48)
$64$207$350$494$637$781UnitedHealthcareCignaBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$973+179%n/an/a27
2Oregon$523+50%UHCBCBS92
3Washington$522+50%AetnaBCBS109
4Massachusetts$504+45%UHCAetna107
5Minnesota$503+44%UHCAetna102
6North Dakota$489+40%UHCAetna30
7District of Columbia$484+39%UHCBCBS80
8Georgia$481+38%UHCAetna129
9South Dakota$480+38%CignaBCBS34
10Wisconsin$462+33%UHCAetna103
11Iowa$458+31%UHCAetna113
12Nebraska$456+31%UHCAetna81
13Connecticut$450+29%UHCBCBS118
14North Carolina$435+25%UHCAetna114
15Wyoming$432+24%n/an/a20
16Vermont$401+15%CignaBCBS25
17Montana$379+9%UHCBCBS48
18Utah$370+6%BCBSAetna97
19Idaho$369+6%CignaAetna62
20Kansas$368+6%CignaAetna121
21Ohio$366+5%UHCBCBS117
22New Jersey$365+5%CignaAetna113
23Pennsylvania$364+4%UHCAetna98
24New Hampshire$362+4%UHCAetna115
25Missouri$354+1%UHCBCBS120
26Kentucky$350+0%CignaBCBS128
27Maine$341-2%UHCAetna99
28Tennessee$338-3%UHCAetna122
29Arkansas$333-4%UHCBCBS120
30Colorado$332-5%UHCBCBS127
31Michigan$329-6%BCBSAetna123
32Illinois$329-6%UHCBCBS119
33Delaware$329-6%UHCBCBS72
34Mississippi$327-6%UHCCigna132
35Maryland$325-7%AetnaBCBS112
36Hawaii$322-8%BCBSCigna56
37Rhode Island$314-10%UHCAetna91
38Virginia$314-10%CignaBCBS123
39South Carolina$306-12%UHCAetna113
40California$301-14%CignaAetna108
41Oklahoma$300-14%UHCBCBS119
42New Mexico$299-14%UHCBCBS85
43New York$287-18%CignaAetna122
44Louisiana$280-20%UHCCigna110
45Indiana$277-20%UHCAetna122
46West Virginia$274-21%UHCBCBS78
47Nevada$273-22%UHCBCBS116
48Florida$273-22%UHCAetna111
49Alabama$264-24%UHCCigna127
50Texas$260-26%UHCBCBS130
51Arizona$241-31%UHCAetna97

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 93925?

In the files we analyzed, UnitedHealthcare, at a median of $417 across 4,300 sampled providers. Aetna is lowest at $273, 53% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 147% of the 2026 Medicare non-facility rate of $237.48.

Which state has the highest median for CPT 93925?

Alaska has the highest median at $973; Arizona has the lowest at $241.

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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