CPT 93970 · professional fee

Extremity study (CPT 93970): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93970, from their published in-network rate files.

Cardiology Diagnostic radiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$272

P10 to P90: $179 to $500

vs Medicare

148%

non-facility rate $184.04

Payer spread

1.48×

UHC $325 vs Aetna $220

State spread

2.3×

AK $459 to OK $200

10,861 sampled providers12,459 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 93970 in the files analyzed, at $325, 48% above Aetna ($220), the lowest of the 4 payers shown.

The state spread is 2.3×: Alaska has the highest median at $459 and Oklahoma the lowest at $200, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 148% of the Medicare non-facility rate ($184.04), which ranks 118th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $100) and widest within UnitedHealthcare ($193).

This is a top-27 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

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$325	$243	$436	+19%	1	8,259	176% of Medicare
Cigna	$300	$231	$400	+10%	2	8,700	163% of Medicare
Blue Cross Blue Shield	$254	$187	$320	-7%	3	8,500	138% of Medicare
Aetna	$220	$197	$297	-19%	4	7,122	120% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($184.04)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$459	+68%	BCBS	Cigna	87
2	Washington	$413	+52%	Aetna	BCBS	226
3	South Dakota	$368	+35%	UHC	Aetna	119
4	Wisconsin	$362	+33%	UHC	Aetna	221
5	North Dakota	$356	+31%	BCBS	Aetna	116
6	Oregon	$352	+29%	UHC	BCBS	198
7	Georgia	$350	+29%	UHC	Aetna	257
8	Nebraska	$347	+27%	UHC	Aetna	202
9	Massachusetts	$345	+27%	UHC	Aetna	228
10	North Carolina	$344	+26%	Cigna	Aetna	238
11	Connecticut	$342	+26%	UHC	Aetna	242
12	Iowa	$337	+24%	UHC	Aetna	213
13	Wyoming	$309	+13%	UHC	Aetna	61
14	District of Columbia	$304	+12%	UHC	BCBS	213
15	Montana	$295	+8%	UHC	BCBS	117
16	Ohio	$295	+8%	UHC	BCBS	245
17	New Jersey	$290	+6%	Cigna	Aetna	239
18	Utah	$285	+5%	UHC	Aetna	218
19	Minnesota	$284	+4%	UHC	Aetna	225
20	Colorado	$280	+3%	UHC	BCBS	252
21	Idaho	$279	+2%	Cigna	Aetna	187
22	Pennsylvania	$278	+2%	UHC	Aetna	218
23	New Hampshire	$278	+2%	UHC	Aetna	245
24	Missouri	$274	+1%	Cigna	BCBS	244
25	California	$274	+1%	UHC	Aetna	215
26	Kansas	$270	-1%	Cigna	BCBS	237
27	Michigan	$270	-1%	Cigna	Aetna	239
28	Maine	$269	-1%	UHC	Aetna	227
29	Virginia	$269	-1%	UHC	BCBS	245
30	Delaware	$267	-2%	UHC	BCBS	169
31	Vermont	$258	-5%	UHC	BCBS	88
32	Tennessee	$256	-6%	UHC	Aetna	253
33	Kentucky	$256	-6%	Cigna	Aetna	262
34	Mississippi	$255	-6%	UHC	Cigna	247
35	Hawaii	$251	-8%	BCBS	Aetna	160
36	South Carolina	$250	-8%	BCBS	Aetna	226
37	Illinois	$247	-9%	UHC	BCBS	243
38	Rhode Island	$245	-10%	UHC	Cigna	217
39	Nevada	$242	-11%	UHC	Aetna	239
40	Arkansas	$241	-11%	UHC	BCBS	240
41	Louisiana	$241	-12%	UHC	Cigna	233
42	Florida	$238	-13%	Cigna	Aetna	220
43	New Mexico	$237	-13%	UHC	BCBS	208
44	New York	$235	-14%	Cigna	BCBS	251
45	Maryland	$231	-15%	UHC	BCBS	220
46	West Virginia	$230	-15%	Cigna	BCBS	195
47	Arizona	$220	-19%	Cigna	Aetna	213
48	Alabama	$214	-21%	UHC	Cigna	253
49	Indiana	$212	-22%	UHC	Aetna	258
50	Texas	$209	-23%	UHC	BCBS	263
51	Oklahoma	$200	-26%	UHC	BCBS	229

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 93970?

In the files we analyzed, UnitedHealthcare, at a median of $325 across 8,259 sampled providers. Aetna is lowest at $220, 48% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 148% of the 2026 Medicare non-facility rate of $184.04.

Which state has the highest median for CPT 93970?

Alaska has the highest median at $459; Oklahoma has the lowest at $200.

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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