CPT 51729 · professional fee

Cystometrogram w/vp&up (CPT 51729): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 51729, from their published in-network rate files.

UrologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$554
P10 to P90: $350 to $1,055
vs Medicare
156%
non-facility rate $354.05
Payer spread
1.34×
UHC $636 vs Aetna $476
State spread
3.7×
AK $1,554 to AL $417
4,192 sampled providers4,626 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 51729 in the files analyzed, at $636, 34% above Aetna ($476), the lowest of the 4 payers shown.

2

The state spread is 3.7×: Alaska has the highest median at $1,554 and Alabama the lowest at $417, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 156% of the Medicare non-facility rate ($354.05), which ranks 102nd of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $270) and widest within Blue Cross Blue Shield ($351).

5

This is a top-29 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
PayerMedianP25P75vs nationalRankProvidersPosition
UnitedHealthcare$636$477$850+15%13,579
180% of Medicare
Cigna$581$457$807+5%23,373
164% of Medicare
Blue Cross Blue Shield$496$357$708-11%33,230
140% of Medicare
Aetna$476$388$657-14%42,139
134% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($354.05)
$231$428$626$824$1,022$1,220UnitedHealthcareCignaBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 50 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$1,554+180%n/an/a22
2Oregon$1,000+80%UHCAetna102
3Wisconsin$940+70%BCBSAetna114
4New Hampshire$813+47%UHCAetna51
5Washington$777+40%AetnaBCBS111
6District of Columbia$773+39%CignaBCBS47
7South Dakota$763+38%CignaUHC33
8Connecticut$746+35%CignaAetna116
9Minnesota$736+33%UHCAetna111
10Nebraska$713+29%CignaBCBS50
11Iowa$708+28%UHCAetna83
12North Dakota$657+18%n/an/a21
13Massachusetts$651+17%CignaAetna111
14New Jersey$636+15%UHCAetna104
15Mississippi$616+11%AetnaUHC66
16Colorado$616+11%BCBSAetna114
17North Carolina$611+10%UHCAetna109
18Vermont$591+7%UHCBCBS30
19Idaho$589+6%AetnaUHC45
19Utah$589+6%AetnaUHC73
21Ohio$585+6%UHCBCBS111
22Rhode Island$581+5%UHCBCBS40
23Georgia$580+5%UHCCigna118
24Maryland$568+2%AetnaBCBS101
25Montana$562+1%CignaBCBS39
26Nevada$553-0%CignaBCBS54
27Pennsylvania$553-0%AetnaBCBS107
28Illinois$551-1%UHCBCBS107
29Missouri$546-2%UHCBCBS118
30South Carolina$541-2%UHCAetna98
31Arkansas$539-3%UHCAetna64
32Maine$537-3%UHCAetna48
33West Virginia$519-6%CignaAetna48
34Tennessee$508-8%CignaAetna106
35California$508-8%UHCAetna95
36Virginia$501-10%UHCBCBS104
37New York$497-10%CignaAetna115
38Louisiana$494-11%AetnaBCBS103
39New Mexico$487-12%UHCBCBS33
40Florida$482-13%UHCAetna112
41Michigan$481-13%BCBSUHC110
42Hawaii$477-14%UHCCigna27
43Kentucky$469-15%UHCBCBS116
44Arizona$465-16%UHCBCBS99
45Kansas$462-17%CignaBCBS93
46Texas$443-20%UHCBCBS124
47Delaware$432-22%UHCCigna29
48Oklahoma$429-23%UHCBCBS108
49Indiana$422-24%UHCBCBS124
50Alabama$417-25%AetnaCigna116

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 51729?

In the files we analyzed, UnitedHealthcare, at a median of $636 across 3,579 sampled providers. Aetna is lowest at $476, 34% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 156% of the 2026 Medicare non-facility rate of $354.05.

Which state has the highest median for CPT 51729?

Alaska has the highest median at $1,554; Alabama has the lowest at $417.

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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