CPT 97110 · professional fee

Therapeutic exercises (CPT 97110): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 97110, from their published in-network rate files.

Orthopedic surgerySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$31

P10 to P90: $22 to $63

vs Medicare

108%

non-facility rate $29.06

Payer spread

1.22×

Cigna $34 vs Aetna $28

State spread

3.1×

AK $70 to FL $22

5,047 sampled providers6,021 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 97110 in the files analyzed, at $34, 22% above Aetna ($28), the lowest of the 4 payers shown.

The state spread is 3.1×: Alaska has the highest median at $70 and Florida the lowest at $22, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 108% of the Medicare non-facility rate ($29.06), which ranks 179th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within UnitedHealthcare (interquartile range $11) and widest within Cigna ($23).

This is a top-30 code for orthopedic surgery 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	$34	$26	$49	+9%	1	3,845	118% of Medicare
Blue Cross Blue Shield	$33	$27	$46	+6%	2	3,886	115% of Medicare
UnitedHealthcare	$31	$28	$39	+0%	3	4,263	108% of Medicare
Aetna	$28	$23	$38	-10%	4	2,845	97% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($29.06)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$70	+122%	UHC	BCBS	65
2	North Dakota	$52	+65%	BCBS	Aetna	46
3	Washington	$48	+52%	UHC	Aetna	101
4	Montana	$46	+47%	BCBS	UHC	79
5	Nebraska	$45	+42%	Aetna	UHC	95
6	South Dakota	$43	+38%	Cigna	UHC	97
7	Wyoming	$43	+37%	BCBS	UHC	65
8	District of Columbia	$43	+37%	Cigna	BCBS	35
9	Iowa	$42	+33%	Cigna	Aetna	104
10	Hawaii	$38	+22%	Cigna	BCBS	69
11	Delaware	$38	+21%	Aetna	BCBS	58
12	Mississippi	$38	+21%	BCBS	UHC	112
13	Colorado	$37	+19%	BCBS	UHC	107
14	Wisconsin	$37	+18%	BCBS	Aetna	100
15	Georgia	$37	+17%	Cigna	BCBS	124
16	Vermont	$35	+10%	UHC	BCBS	35
17	Maryland	$35	+10%	Cigna	BCBS	105
18	New Jersey	$35	+10%	Cigna	UHC	93
19	Oklahoma	$34	+9%	BCBS	Aetna	100
20	Kansas	$33	+7%	BCBS	Aetna	107
21	Massachusetts	$33	+6%	Cigna	Aetna	111
22	Tennessee	$33	+5%	BCBS	UHC	115
23	Pennsylvania	$33	+5%	Cigna	Aetna	99
24	Minnesota	$33	+5%	UHC	Aetna	102
25	California	$33	+4%	BCBS	Aetna	109
26	Illinois	$32	+3%	Cigna	BCBS	105
27	Maine	$32	+3%	Cigna	BCBS	94
28	New York	$32	+2%	Cigna	Aetna	110
29	New Mexico	$32	+2%	Cigna	BCBS	105
30	West Virginia	$32	+0%	UHC	BCBS	89
31	Nevada	$31	+0%	BCBS	Cigna	108
31	Idaho	$31	+0%	BCBS	Aetna	120
31	Oregon	$31	+0%	Cigna	Aetna	93
34	Rhode Island	$31	-1%	UHC	Aetna	98
35	Virginia	$31	-1%	Aetna	BCBS	105
36	Utah	$31	-2%	Aetna	UHC	96
37	New Hampshire	$31	-3%	Cigna	Aetna	118
38	Connecticut	$30	-3%	Cigna	Aetna	114
39	Arizona	$30	-3%	UHC	Aetna	98
40	Ohio	$30	-4%	Cigna	Aetna	110
41	Arkansas	$30	-5%	Cigna	Aetna	119
42	Kentucky	$29	-8%	Cigna	Aetna	124
43	Alabama	$28	-9%	BCBS	Cigna	118
44	Louisiana	$28	-11%	BCBS	Cigna	103
45	Missouri	$27	-13%	BCBS	Aetna	112
46	North Carolina	$27	-14%	UHC	BCBS	128
47	Michigan	$27	-15%	BCBS	Aetna	96
48	Texas	$27	-15%	UHC	Aetna	122
49	South Carolina	$26	-17%	UHC	Aetna	106
50	Indiana	$26	-18%	Cigna	Aetna	115
51	Florida	$22	-28%	BCBS	Aetna	108

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 97110?

In the files we analyzed, Cigna, at a median of $34 across 3,845 sampled providers. Aetna is lowest at $28, 22% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 108% of the 2026 Medicare non-facility rate of $29.06.

Which state has the highest median for CPT 97110?

Alaska has the highest median at $70; Florida has the lowest at $22.

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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