CPT 93971 · professional fee

Extremity study (CPT 93971): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 93971, 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

$172

P10 to P90: $114 to $322

vs Medicare

148%

non-facility rate $116.24

Payer spread

1.42×

UHC $203 vs Aetna $143

State spread

2.1×

AK $262 to OK $124

5,827 sampled providers7,351 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 93971 in the files analyzed, at $203, 42% above Aetna ($143), the lowest of the 4 payers shown.

The state spread is 2.1×: Alaska has the highest median at $262 and Oklahoma the lowest at $124, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 148% of the Medicare non-facility rate ($116.24), which ranks 117th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $66) and widest within UnitedHealthcare ($130).

This is a top-35 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	$203	$149	$279	+18%	1	3,959	174% of Medicare
Cigna	$194	$151	$252	+13%	2	4,628	167% of Medicare
Blue Cross Blue Shield	$155	$121	$197	-10%	3	4,654	133% of Medicare
Aetna	$143	$125	$192	-17%	4	3,858	123% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($116.24)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$262	+52%	UHC	Cigna	61
2	Washington	$259	+51%	Aetna	BCBS	117
3	South Dakota	$228	+33%	UHC	Aetna	85
4	North Carolina	$224	+30%	Cigna	BCBS	124
5	North Dakota	$216	+25%	BCBS	Aetna	86
6	Iowa	$213	+24%	Cigna	Aetna	100
7	Oregon	$208	+21%	UHC	BCBS	107
8	Connecticut	$206	+20%	UHC	BCBS	124
9	Wisconsin	$205	+19%	UHC	Aetna	123
10	Nebraska	$205	+19%	UHC	Aetna	121
11	Massachusetts	$200	+16%	UHC	Aetna	120
12	Ohio	$192	+12%	UHC	Aetna	128
13	Georgia	$192	+12%	UHC	Aetna	128
14	New Jersey	$189	+10%	Cigna	Aetna	126
15	Montana	$188	+9%	Aetna	BCBS	69
16	Colorado	$181	+5%	UHC	BCBS	125
17	Pennsylvania	$179	+4%	UHC	Aetna	120
18	Wyoming	$179	+4%	Cigna	Aetna	41
19	Delaware	$178	+4%	UHC	Aetna	97
20	Idaho	$178	+3%	Cigna	UHC	125
21	District of Columbia	$177	+3%	UHC	BCBS	133
22	Virginia	$173	+1%	Cigna	BCBS	122
23	California	$173	+0%	UHC	Aetna	107
24	Maine	$173	+0%	UHC	BCBS	127
25	Nevada	$172	+0%	UHC	Aetna	123
26	Missouri	$172	-0%	Cigna	BCBS	124
27	Michigan	$171	-1%	Cigna	Aetna	116
28	Minnesota	$169	-2%	UHC	Aetna	123
29	Vermont	$167	-3%	UHC	BCBS	63
30	Kansas	$165	-4%	Cigna	Aetna	116
31	South Carolina	$163	-5%	Cigna	Aetna	113
32	New Hampshire	$162	-6%	UHC	Aetna	128
33	Tennessee	$161	-6%	UHC	Aetna	131
34	Hawaii	$161	-7%	BCBS	Cigna	106
35	Utah	$160	-7%	Cigna	Aetna	121
36	New Mexico	$160	-7%	Cigna	BCBS	123
37	Florida	$160	-7%	UHC	BCBS	109
38	West Virginia	$156	-9%	UHC	BCBS	117
39	Louisiana	$156	-9%	UHC	BCBS	122
40	Rhode Island	$154	-10%	UHC	Cigna	126
41	Mississippi	$154	-10%	UHC	Cigna	115
42	Arkansas	$153	-11%	Cigna	BCBS	120
43	Illinois	$152	-12%	UHC	BCBS	124
44	Arizona	$151	-12%	Cigna	Aetna	115
45	Kentucky	$148	-14%	Cigna	BCBS	134
46	New York	$148	-14%	Cigna	BCBS	129
47	Maryland	$147	-15%	UHC	BCBS	108
48	Alabama	$138	-20%	Aetna	Cigna	126
49	Texas	$134	-22%	UHC	BCBS	133
50	Indiana	$124	-28%	Cigna	Aetna	136
51	Oklahoma	$124	-28%	Cigna	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 93971?

In the files we analyzed, UnitedHealthcare, at a median of $203 across 3,959 sampled providers. Aetna is lowest at $143, 42% 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 $116.24.

Which state has the highest median for CPT 93971?

Alaska has the highest median at $262; Oklahoma has the lowest at $124.

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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