What does Aetna pay for CPT 72148 in Los Angeles-Long Beach-Anaheim, CA?

The local peer median for CPT 72148 under Aetna in Los Angeles-Long Beach-Anaheim, CA is $335, based on 290 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 72148 under Aetna in Los Angeles-Long Beach-Anaheim, CA?

The P90, the top of the local market and Reddenda's target rate, is $681.38.

How does Aetna's rate for CPT 72148 compare to Medicare?

The Aetna local median of $335 is 175% of Medicare's national non-facility rate of $191.72 for CPT 72148.

Reddenda · Rate Intelligence · Los Angeles-Long Beach-Anaheim, CA

72148 under Aetna in Los Angeles-Long Beach-Anaheim, CA

Name: Aetna rates for CPT 72148 in Los Angeles-Long Beach-Anaheim, CA
Creator: Reddenda

MRI, lumbar spine, w/o contrast · Local peer median $335 · High confidence

$335 local peer median. In the Los Angeles-Long Beach-Anaheim, CA market, Aetna pays a local peer median of $335 for CPT 72148 (MRI, lumbar spine, w/o contrast), based on 290 providers in Reddenda's index of Aetna's own published in-network rates. The top of the local market, the P90 target, is $681.38, 103% above the median. A provider billed below the local median is being paid less than peers holding the identical Aetna contract in Los Angeles-Long Beach-Anaheim, CA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 290 providers · 290 rate records

P10

$175.16

P25

$335

Median

$335

P75

$521.86

P90 (target)

$681.38

P10$175.16

P25$335

Median (P50)$335

P75$521.86

P90 target$681.38

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $41 – $1,678.35

The local peer median for CPT 72148 under Aetna in Los Angeles-Long Beach-Anaheim, CA is $335, drawn from 290 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
The bottom of the local market (P10) is $175.16 and the top (P90) is $681.38; the median-to-P90 spread is $346.38.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
The lowest published rate in this market is $41; the highest is $1,678.35.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
This benchmark is drawn from 290 individual rate records that Aetna itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
Medicare's national non-facility rate for CPT 72148 is $191.72, making the Aetna local median 175% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
37.2% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

290 providers bill this code to this payer in this metro.

Find yourself on this curve. Enter your NPI: no account, no email, no PHI.

Free, forever, unmetered. Possession-channel verification only if you choose to claim the record; looking is always free.

See where your rate lands

This is the local market for CPT 72148 (MRI, lumbar spine, w/o contrast) under Aetna in Los Angeles-Long Beach-Anaheim, CA. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.

Run a free RateScore on your NPI → Talk to us about Aetna

Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Aetna's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate. Page generated 2026-08-24 02:02 UTC; the live index is queried in real time on every request.