CPT 52287 · professional fee

Cystoscopy chemodenervation (CPT 52287): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 52287, from their published in-network rate files.

UrologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$367

P10 to P90: $198 to $757

vs Medicare

247%

facility rate $148.97

Payer spread

2.39×

UHC $593 vs Aetna $248

State spread

2.7×

AK $674 to MI $246

4,217 sampled providers4,854 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 52287 in the files analyzed, at $593, 139% above Aetna ($248), the lowest of the 4 payers shown.

The state spread is 2.7×: Alaska has the highest median at $674 and Michigan the lowest at $246, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 247% of the Medicare facility rate ($148.97), which ranks 15th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $136) and widest within Blue Cross Blue Shield ($208).

This is a top-20 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 ($363.74) is 2.4× 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	$593	$445	$786	+61%	1	3,549	398% of Medicare
Blue Cross Blue Shield	$334	$248	$456	-9%	2	3,368	224% of Medicare
Cigna	$328	$260	$455	-11%	3	3,351	220% of Medicare
Aetna	$248	$198	$335	-33%	4	2,561	166% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare facility ($148.97)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$674	+83%	n/a	n/a	22
2	Wisconsin	$585	+59%	UHC	Aetna	103
3	North Carolina	$535	+46%	UHC	Aetna	123
4	Washington	$493	+34%	UHC	Aetna	111
5	Hawaii	$480	+31%	UHC	Cigna	28
6	Oregon	$467	+27%	UHC	Aetna	103
7	Georgia	$463	+26%	UHC	Aetna	118
8	Nebraska	$457	+24%	UHC	BCBS	50
9	Minnesota	$449	+22%	UHC	Aetna	112
10	Mississippi	$444	+21%	UHC	Cigna	66
11	New Hampshire	$438	+19%	UHC	Aetna	51
12	North Dakota	$435	+18%	n/a	n/a	20
13	District of Columbia	$430	+17%	UHC	BCBS	48
14	Connecticut	$422	+15%	UHC	Aetna	116
15	Vermont	$402	+9%	UHC	BCBS	30
16	South Dakota	$396	+8%	UHC	BCBS	33
16	Iowa	$396	+8%	UHC	Aetna	83
18	Pennsylvania	$391	+7%	UHC	Cigna	111
19	Massachusetts	$391	+6%	UHC	Aetna	112
20	New York	$378	+3%	UHC	Aetna	114
21	New Jersey	$374	+2%	UHC	Aetna	106
22	Ohio	$362	-1%	UHC	Aetna	111
23	Missouri	$361	-2%	UHC	Aetna	119
24	South Carolina	$355	-3%	UHC	Aetna	100
25	Utah	$355	-3%	UHC	Cigna	76
26	Illinois	$355	-3%	UHC	Aetna	106
27	Virginia	$353	-4%	UHC	Aetna	104
28	West Virginia	$340	-8%	UHC	Aetna	48
29	Colorado	$338	-8%	UHC	Aetna	113
30	Indiana	$334	-9%	UHC	Aetna	124
31	Rhode Island	$331	-10%	UHC	Aetna	41
32	Arkansas	$330	-10%	UHC	Aetna	64
33	Alabama	$330	-10%	UHC	BCBS	117
34	California	$329	-10%	UHC	Aetna	95
35	Kentucky	$328	-11%	UHC	BCBS	116
36	Tennessee	$326	-11%	UHC	Aetna	107
37	Nevada	$323	-12%	UHC	Cigna	57
38	Idaho	$323	-12%	UHC	BCBS	45
39	Arizona	$323	-12%	UHC	BCBS	99
40	Maine	$318	-13%	UHC	Aetna	48
41	Florida	$308	-16%	UHC	Aetna	112
42	New Mexico	$302	-18%	UHC	BCBS	33
43	Maryland	$300	-18%	UHC	BCBS	102
44	Louisiana	$299	-19%	UHC	BCBS	104
45	Delaware	$296	-19%	UHC	Aetna	29
46	Texas	$288	-22%	UHC	Aetna	124
47	Kansas	$282	-23%	UHC	Aetna	93
48	Oklahoma	$269	-27%	UHC	Aetna	108
49	Montana	$262	-29%	UHC	BCBS	39
50	Michigan	$246	-33%	UHC	Aetna	111

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 52287?

In the files we analyzed, UnitedHealthcare, at a median of $593 across 3,549 sampled providers. Aetna is lowest at $248, 139% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 247% of the 2026 Medicare facility rate of $148.97.

Which state has the highest median for CPT 52287?

Alaska has the highest median at $674; Michigan has the lowest at $246.

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.

See how your contracts compare for CPT 52287

Benchmark your negotiated rates for 52287 and the rest of your book against these payer and state medians.

Request a rate benchmark