CPT 52601 · professional fee

Prostatectomy (turp) (CPT 52601): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 52601, from their published in-network rate files.

UrologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$1,181

P10 to P90: $748 to $2,116

vs Medicare

224%

non-facility rate $526.06

Payer spread

1.37×

UHC $1,320 vs Aetna $963

State spread

3.6×

AK $2,934 to DE $821

4,216 sampled providers4,813 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 52601 in the files analyzed, at $1,320, 37% above Aetna ($963), the lowest of the 4 payers shown.

The state spread is 3.6×: Alaska has the highest median at $2,934 and Delaware the lowest at $821, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 224% of the Medicare non-facility rate ($526.06), which ranks 22nd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Cigna (interquartile range $679) and widest within Blue Cross Blue Shield ($706).

This is a top-18 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	$1,320	$1,033	$1,756	+12%	1	3,573	251% of Medicare
Cigna	$1,249	$982	$1,661	+6%	2	3,389	237% of Medicare
Blue Cross Blue Shield	$1,134	$899	$1,605	-4%	3	3,320	216% of Medicare
Aetna	$963	$774	$1,333	-18%	4	2,595	183% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($526.06)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$2,934	+148%	n/a	n/a	22
2	Oregon	$1,911	+62%	UHC	Aetna	102
3	Wisconsin	$1,739	+47%	UHC	Aetna	103
4	District of Columbia	$1,617	+37%	Cigna	BCBS	47
5	New Hampshire	$1,593	+35%	UHC	BCBS	51
6	Connecticut	$1,535	+30%	Cigna	Aetna	116
7	Washington	$1,510	+28%	UHC	BCBS	111
8	Mississippi	$1,467	+24%	Aetna	UHC	67
9	Nebraska	$1,454	+23%	Cigna	BCBS	50
10	New Jersey	$1,375	+16%	Cigna	Aetna	106
11	North Carolina	$1,371	+16%	UHC	Aetna	123
12	Minnesota	$1,357	+15%	UHC	Aetna	111
13	Alabama	$1,340	+13%	BCBS	Cigna	117
14	South Dakota	$1,287	+9%	Cigna	BCBS	33
15	North Dakota	$1,278	+8%	n/a	n/a	20
16	Georgia	$1,261	+7%	UHC	Aetna	118
17	Iowa	$1,237	+5%	UHC	Aetna	83
18	Ohio	$1,234	+4%	UHC	Aetna	112
19	Utah	$1,216	+3%	UHC	BCBS	73
20	Vermont	$1,205	+2%	UHC	BCBS	30
21	Massachusetts	$1,185	+0%	UHC	Aetna	112
22	Virginia	$1,179	-0%	UHC	BCBS	105
23	Maryland	$1,177	-0%	UHC	BCBS	103
24	Arkansas	$1,170	-1%	UHC	Aetna	65
25	Colorado	$1,168	-1%	UHC	Aetna	114
26	Idaho	$1,159	-2%	Aetna	BCBS	45
27	Maine	$1,158	-2%	UHC	Aetna	48
28	South Carolina	$1,157	-2%	BCBS	Aetna	101
29	Missouri	$1,152	-2%	UHC	Aetna	119
30	Rhode Island	$1,149	-3%	UHC	BCBS	40
31	Kansas	$1,146	-3%	UHC	Aetna	93
32	Montana	$1,143	-3%	UHC	Cigna	39
33	Tennessee	$1,141	-3%	Cigna	Aetna	108
34	California	$1,137	-4%	UHC	Aetna	95
35	Kentucky	$1,129	-4%	UHC	Aetna	116
36	West Virginia	$1,113	-6%	Cigna	Aetna	49
37	New Mexico	$1,093	-7%	UHC	BCBS	33
38	Louisiana	$1,084	-8%	Aetna	Cigna	104
39	Indiana	$1,082	-8%	UHC	Aetna	124
40	Pennsylvania	$1,080	-9%	UHC	Aetna	107
41	Illinois	$1,051	-11%	UHC	Cigna	106
42	Texas	$1,044	-12%	UHC	BCBS	124
43	Nevada	$1,038	-12%	Cigna	Aetna	57
44	New York	$1,029	-13%	Cigna	BCBS	115
45	Florida	$1,015	-14%	UHC	Aetna	112
46	Oklahoma	$982	-17%	UHC	Aetna	108
47	Arizona	$976	-17%	UHC	BCBS	99
48	Michigan	$924	-22%	UHC	BCBS	111
49	Hawaii	$898	-24%	Cigna	UHC	28
50	Delaware	$821	-31%	UHC	Aetna	29

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 52601?

In the files we analyzed, UnitedHealthcare, at a median of $1,320 across 3,573 sampled providers. Aetna is lowest at $963, 37% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 224% of the 2026 Medicare non-facility rate of $526.06.

Which state has the highest median for CPT 52601?

Alaska has the highest median at $2,934; Delaware has the lowest at $821.

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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