CPT 33361 · professional fee

Replace aortic valve perq (CPT 33361): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 33361, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$1,938

P10 to P90: $1,273 to $3,668

vs Medicare

180%

non-facility rate $1,079.18

Payer spread

1.36×

UHC $2,200 vs Aetna $1,620

State spread

3.6×

AK $4,782 to AZ $1,312

5,048 sampled providers6,897 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 33361 in the files analyzed, at $2,200, 36% above Aetna ($1,620), the lowest of the 4 payers shown.

The state spread is 3.6×: Alaska has the highest median at $4,782 and Arizona the lowest at $1,312, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 180% of the Medicare non-facility rate ($1,079.18), which ranks 68th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Cigna (interquartile range $932) and widest within Blue Cross Blue Shield ($1,148).

This is a top-34 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	$2,200	$1,702	$2,917	+14%	1	4,297	204% of Medicare
Cigna	$2,018	$1,677	$2,609	+4%	2	4,062	187% of Medicare
Blue Cross Blue Shield	$1,885	$1,493	$2,641	-3%	3	3,995	175% of Medicare
Aetna	$1,620	$1,361	$2,130	-16%	4	2,875	150% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($1,079.18)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$4,782	+147%	n/a	n/a	27
2	Wyoming	$3,055	+58%	n/a	n/a	20
3	Georgia	$2,958	+53%	UHC	BCBS	128
4	Wisconsin	$2,838	+46%	UHC	Aetna	100
5	Connecticut	$2,704	+40%	UHC	Aetna	118
6	South Dakota	$2,649	+37%	Cigna	UHC	34
7	Oregon	$2,596	+34%	UHC	Aetna	92
8	Minnesota	$2,584	+33%	UHC	Aetna	102
9	Iowa	$2,539	+31%	Cigna	Aetna	112
10	Washington	$2,450	+26%	UHC	BCBS	110
11	New Hampshire	$2,438	+26%	UHC	Aetna	117
12	North Carolina	$2,386	+23%	UHC	Aetna	127
13	Mississippi	$2,377	+23%	BCBS	Cigna	130
14	North Dakota	$2,357	+22%	UHC	Aetna	30
15	District of Columbia	$2,344	+21%	UHC	BCBS	80
16	Nebraska	$2,252	+16%	UHC	Aetna	81
17	Massachusetts	$2,234	+15%	UHC	Aetna	107
18	Idaho	$2,226	+15%	Aetna	Cigna	63
19	Tennessee	$2,143	+11%	UHC	Aetna	123
20	Utah	$2,074	+7%	BCBS	Cigna	97
21	New Mexico	$2,046	+6%	UHC	BCBS	83
22	Ohio	$2,016	+4%	UHC	BCBS	117
23	Missouri	$2,005	+3%	UHC	BCBS	120
24	Arkansas	$1,987	+3%	UHC	BCBS	120
25	Illinois	$1,969	+2%	UHC	BCBS	119
26	Kentucky	$1,966	+1%	UHC	Aetna	128
27	Vermont	$1,937	-0%	UHC	BCBS	25
28	New Jersey	$1,910	-1%	UHC	Aetna	113
29	Kansas	$1,902	-2%	UHC	BCBS	121
30	Colorado	$1,885	-3%	UHC	Aetna	127
31	Pennsylvania	$1,870	-4%	UHC	Aetna	98
32	Montana	$1,862	-4%	UHC	Cigna	48
33	South Carolina	$1,856	-4%	UHC	Aetna	117
34	Oklahoma	$1,852	-4%	UHC	Aetna	119
35	Alabama	$1,818	-6%	Aetna	BCBS	126
36	Maine	$1,812	-6%	UHC	Cigna	99
37	West Virginia	$1,812	-7%	Cigna	BCBS	80
38	Rhode Island	$1,727	-11%	UHC	Cigna	91
39	Louisiana	$1,691	-13%	UHC	Aetna	108
40	Indiana	$1,679	-13%	UHC	Aetna	122
41	Michigan	$1,668	-14%	UHC	Aetna	123
42	New York	$1,633	-16%	Cigna	BCBS	123
43	Virginia	$1,628	-16%	UHC	BCBS	123
44	Hawaii	$1,605	-17%	BCBS	Cigna	56
45	California	$1,586	-18%	Cigna	Aetna	107
46	Maryland	$1,568	-19%	Aetna	BCBS	112
47	Texas	$1,565	-19%	UHC	BCBS	130
48	Florida	$1,523	-21%	UHC	Aetna	111
49	Delaware	$1,518	-22%	UHC	BCBS	72
50	Nevada	$1,461	-25%	UHC	Aetna	116
51	Arizona	$1,312	-32%	Cigna	BCBS	96

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 33361?

In the files we analyzed, UnitedHealthcare, at a median of $2,200 across 4,297 sampled providers. Aetna is lowest at $1,620, 36% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 180% of the 2026 Medicare non-facility rate of $1,079.18.

Which state has the highest median for CPT 33361?

Alaska has the highest median at $4,782; Arizona has the lowest at $1,312.

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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