CPT 50590 · professional fee

Fragmenting of kidney stone (CPT 50590): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 50590, from their published in-network rate files.

UrologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$1,065

P10 to P90: $675 to $1,922

vs Medicare

140%

non-facility rate $760.20

Payer spread

1.60×

UHC $1,315 vs Aetna $823

State spread

3.7×

AK $3,005 to OK $813

4,234 sampled providers4,883 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 50590 in the files analyzed, at $1,315, 60% above Aetna ($823), the lowest of the 4 payers shown.

The state spread is 3.7×: Alaska has the highest median at $3,005 and Oklahoma the lowest at $813, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 140% of the Medicare non-facility rate ($760.20), which ranks 142nd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Blue Cross Blue Shield (interquartile range $461) and widest within Cigna ($560).

This is a top-19 code for urology 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	$1,315	$1,031	$1,729	+23%	1	3,588	173% of Medicare
Blue Cross Blue Shield	$1,076	$855	$1,315	+1%	2	3,396	142% of Medicare
Cigna	$1,016	$816	$1,375	-5%	3	3,400	134% of Medicare
Aetna	$823	$685	$1,118	-23%	4	2,622	108% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($760.20)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$3,005	+182%	n/a	n/a	22
2	Wisconsin	$1,860	+75%	UHC	Aetna	114
3	Oregon	$1,570	+47%	UHC	Aetna	102
4	Nebraska	$1,315	+23%	Cigna	BCBS	50
5	New Hampshire	$1,315	+23%	UHC	Aetna	51
6	Connecticut	$1,301	+22%	UHC	Aetna	116
7	District of Columbia	$1,301	+22%	UHC	BCBS	48
8	North Dakota	$1,299	+22%	n/a	n/a	21
9	Mississippi	$1,288	+21%	Aetna	Cigna	67
10	Minnesota	$1,274	+20%	UHC	Aetna	111
10	South Dakota	$1,274	+20%	UHC	BCBS	33
12	Iowa	$1,250	+17%	UHC	Aetna	83
13	Georgia	$1,230	+15%	UHC	Cigna	118
14	Washington	$1,228	+15%	UHC	Aetna	111
15	Vermont	$1,157	+9%	UHC	BCBS	30
16	North Carolina	$1,145	+8%	UHC	Aetna	123
17	Massachusetts	$1,141	+7%	UHC	Aetna	112
18	New York	$1,136	+7%	UHC	Aetna	115
19	Alabama	$1,123	+5%	BCBS	Cigna	117
20	Utah	$1,110	+4%	UHC	Cigna	76
21	Colorado	$1,102	+4%	UHC	Aetna	114
22	Rhode Island	$1,065	+0%	UHC	BCBS	40
23	Ohio	$1,061	-0%	UHC	Aetna	112
24	New Jersey	$1,056	-1%	UHC	Aetna	106
25	Illinois	$1,040	-2%	UHC	Aetna	107
26	California	$1,038	-3%	UHC	Aetna	95
27	Michigan	$1,035	-3%	BCBS	Aetna	111
28	Pennsylvania	$1,030	-3%	UHC	Cigna	111
29	Nevada	$1,029	-3%	UHC	BCBS	57
30	Missouri	$1,019	-4%	UHC	Aetna	119
31	South Carolina	$1,018	-4%	UHC	Aetna	101
32	Virginia	$1,015	-5%	UHC	BCBS	105
33	Idaho	$1,014	-5%	Aetna	BCBS	45
34	Kentucky	$1,013	-5%	UHC	Aetna	116
35	Maine	$1,004	-6%	UHC	Aetna	48
36	Kansas	$1,002	-6%	BCBS	Aetna	93
37	Maryland	$1,001	-6%	UHC	BCBS	102
38	West Virginia	$1,000	-6%	UHC	Aetna	48
39	Indiana	$973	-9%	UHC	Aetna	124
40	Arkansas	$949	-11%	UHC	Aetna	67
41	Delaware	$945	-11%	UHC	Aetna	29
42	New Mexico	$943	-11%	UHC	BCBS	33
42	Hawaii	$943	-11%	Cigna	UHC	27
44	Tennessee	$935	-12%	UHC	Aetna	107
45	Louisiana	$930	-13%	UHC	Cigna	103
46	Montana	$902	-15%	UHC	Cigna	39
47	Florida	$889	-17%	UHC	Aetna	112
48	Texas	$865	-19%	UHC	BCBS	124
49	Arizona	$845	-21%	UHC	Aetna	99
50	Oklahoma	$813	-24%	UHC	Aetna	108

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 50590?

In the files we analyzed, UnitedHealthcare, at a median of $1,315 across 3,588 sampled providers. Aetna is lowest at $823, 60% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 140% of the 2026 Medicare non-facility rate of $760.20.

Which state has the highest median for CPT 50590?

Alaska has the highest median at $3,005; Oklahoma has the lowest at $813.

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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