CPT 29827 · professional fee

Sho arthrs srg rt8tr cuf rpr (CPT 29827): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 29827, 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
$1,701
P10 to P90: $1,101 to $3,016
vs Medicare
174%
non-facility rate $976.31
Payer spread
1.34×
UHC $1,896 vs Aetna $1,415
State spread
3.8×
AK $4,756 to CA $1,240
5,058 sampled providers6,158 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 29827 in the files analyzed, at $1,896, 34% above Aetna ($1,415), the lowest of the 4 payers shown.

2

The state spread is 3.8×: Alaska has the highest median at $4,756 and California the lowest at $1,240, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 174% of the Medicare non-facility rate ($976.31), which ranks 77th of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $658) and widest within UnitedHealthcare ($1,058).

5

This is a top-11 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
PayerMedianP25P75vs nationalRankProvidersPosition
UnitedHealthcare$1,896$1,449$2,507+11%14,263
194% of Medicare
Cigna$1,755$1,411$2,306+3%24,029
180% of Medicare
Blue Cross Blue Shield$1,701$1,347$2,180+0%33,939
174% of Medicare
Aetna$1,415$1,114$1,771-17%43,131
145% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($976.31)
$879$1,422$1,965$2,508$3,051$3,594UnitedHealthcareCignaBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$4,756+180%AetnaBCBS65
2Wisconsin$2,589+52%BCBSAetna97
3Wyoming$2,472+45%BCBSUHC65
4South Dakota$2,412+42%UHCBCBS97
5Connecticut$2,312+36%UHCAetna114
6District of Columbia$2,291+35%AetnaBCBS35
7Washington$2,280+34%UHCAetna101
8Iowa$2,247+32%CignaAetna104
9New Jersey$2,246+32%UHCAetna95
10Nebraska$2,144+26%CignaBCBS95
11North Dakota$2,100+23%BCBSAetna45
12Oregon$2,078+22%UHCAetna92
13Massachusetts$2,038+20%UHCAetna111
14Georgia$1,961+15%UHCBCBS124
15Tennessee$1,912+12%UHCAetna115
16Rhode Island$1,902+12%UHCAetna98
17Mississippi$1,890+11%AetnaCigna112
18North Carolina$1,888+11%CignaAetna128
19Minnesota$1,865+10%UHCAetna102
20Vermont$1,819+7%UHCBCBS35
21Idaho$1,807+6%AetnaUHC120
22Illinois$1,778+5%UHCAetna104
23Colorado$1,745+3%UHCAetna106
24Maryland$1,736+2%CignaBCBS106
25Montana$1,696-0%UHCBCBS79
26Arkansas$1,677-1%CignaAetna119
27New Hampshire$1,669-2%CignaAetna118
27Alabama$1,669-2%AetnaCigna118
29South Carolina$1,648-3%BCBSAetna106
30Pennsylvania$1,625-4%UHCAetna103
31Kansas$1,621-5%CignaAetna108
32New Mexico$1,609-5%UHCBCBS104
33New York$1,592-6%CignaAetna111
34Virginia$1,581-7%UHCBCBS105
35West Virginia$1,534-10%UHCAetna89
36Delaware$1,530-10%CignaUHC59
37Utah$1,528-10%UHCBCBS97
38Michigan$1,493-12%BCBSUHC103
39Maine$1,492-12%UHCAetna93
40Ohio$1,481-13%UHCAetna110
41Arizona$1,478-13%UHCAetna99
42Kentucky$1,477-13%UHCAetna124
43Louisiana$1,471-14%BCBSAetna103
43Nevada$1,471-14%BCBSAetna109
45Missouri$1,467-14%UHCAetna112
46Hawaii$1,343-21%BCBSUHC69
47Indiana$1,339-21%UHCAetna115
48Florida$1,329-22%BCBSAetna108
49Oklahoma$1,285-24%UHCAetna100
50Texas$1,259-26%UHCAetna122
51California$1,240-27%CignaAetna109

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 29827?

In the files we analyzed, UnitedHealthcare, at a median of $1,896 across 4,263 sampled providers. Aetna is lowest at $1,415, 34% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 174% of the 2026 Medicare non-facility rate of $976.31.

Which state has the highest median for CPT 29827?

Alaska has the highest median at $4,756; California has the lowest at $1,240.

Is this the surgeon, physician or facility payment?

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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