CPT 52000 · professional fee

Cystourethroscopy (CPT 52000): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 52000, from their published in-network rate files.

UrologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$210

P10 to P90: $104 to $423

vs Medicare

296%

facility rate $71.14

Payer spread

2.36×

UHC $331 vs Aetna $140

State spread

2.9×

AK $336 to MI $118

4,227 sampled providers4,862 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 52000 in the files analyzed, at $331, 136% above Aetna ($140), the lowest of the 4 payers shown.

The state spread is 2.9×: Alaska has the highest median at $336 and Michigan the lowest at $118, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 296% of the Medicare facility rate ($71.14), which ranks 2nd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within UnitedHealthcare (interquartile range $176) and widest within Blue Cross Blue Shield ($131).

This is a top-3 code for urology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

The Medicare comparison uses the facility rate: the non-facility rate ($215.77) is 3.0× higher because it includes device or supply cost that professional-fee contracts do not.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$331	$265	$441	+57%	1	3,534	465% of Medicare
Cigna	$186	$138	$263	-11%	2	3,301	262% of Medicare
Blue Cross Blue Shield	$182	$133	$264	-14%	3	3,314	256% of Medicare
Aetna	$140	$105	$190	-33%	4	2,957	197% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare facility ($71.14)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$336	+60%	n/a	n/a	22
2	North Carolina	$305	+45%	BCBS	Aetna	123
3	Wisconsin	$300	+43%	BCBS	Aetna	103
4	Hawaii	$293	+39%	UHC	Cigna	28
5	Connecticut	$252	+20%	UHC	Cigna	116
6	Washington	$252	+20%	UHC	Cigna	111
7	Nebraska	$248	+18%	Cigna	Aetna	50
8	Georgia	$243	+16%	UHC	Aetna	118
9	Utah	$241	+15%	UHC	Cigna	76
10	New York	$236	+12%	UHC	Aetna	114
11	Mississippi	$235	+12%	BCBS	Aetna	67
12	North Dakota	$234	+11%	n/a	n/a	20
13	Minnesota	$232	+10%	UHC	Aetna	112
14	New Jersey	$231	+10%	UHC	Aetna	106
15	Ohio	$230	+9%	UHC	Aetna	111
16	New Hampshire	$226	+8%	UHC	Aetna	51
17	District of Columbia	$223	+6%	UHC	BCBS	48
18	Pennsylvania	$222	+6%	UHC	Cigna	109
19	Oregon	$216	+3%	UHC	Aetna	103
20	West Virginia	$210	-0%	UHC	Aetna	49
20	Kentucky	$210	-0%	UHC	Aetna	115
22	Massachusetts	$208	-1%	UHC	BCBS	112
23	South Carolina	$207	-2%	BCBS	Aetna	101
24	California	$206	-2%	UHC	Aetna	94
25	Tennessee	$202	-4%	UHC	Aetna	109
26	Virginia	$201	-4%	UHC	BCBS	104
27	Maryland	$200	-5%	UHC	BCBS	103
28	Arizona	$197	-6%	UHC	BCBS	100
29	Missouri	$191	-9%	UHC	Aetna	119
30	Iowa	$191	-9%	UHC	Aetna	83
31	South Dakota	$190	-10%	UHC	BCBS	33
32	Nevada	$188	-10%	UHC	Aetna	57
33	Louisiana	$183	-13%	UHC	BCBS	104
34	Delaware	$182	-13%	UHC	Aetna	29
35	Vermont	$182	-13%	UHC	Cigna	30
36	Kansas	$182	-14%	UHC	Aetna	93
37	Arkansas	$181	-14%	UHC	Aetna	67
38	New Mexico	$180	-14%	UHC	Aetna	34
39	Florida	$176	-16%	UHC	Aetna	112
40	Rhode Island	$173	-18%	UHC	BCBS	41
41	Illinois	$169	-20%	UHC	Aetna	107
41	Alabama	$169	-20%	UHC	BCBS	117
43	Colorado	$167	-20%	UHC	Aetna	114
44	Idaho	$154	-27%	UHC	BCBS	45
45	Texas	$152	-28%	UHC	Aetna	124
46	Maine	$151	-28%	UHC	Aetna	48
47	Indiana	$151	-28%	UHC	Aetna	124
48	Oklahoma	$145	-31%	UHC	Aetna	108
49	Montana	$125	-40%	UHC	BCBS	39
50	Michigan	$118	-44%	UHC	Aetna	112

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 52000?

In the files we analyzed, UnitedHealthcare, at a median of $331 across 3,534 sampled providers. Aetna is lowest at $140, 136% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 296% of the 2026 Medicare facility rate of $71.14.

Which state has the highest median for CPT 52000?

Alaska has the highest median at $336; Michigan has the lowest at $118.

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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