CPT 52648 · professional fee

Laser surgery of prostate (CPT 52648): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 52648, from their published in-network rate files.

UrologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$1,508

P10 to P90: $803 to $3,423

vs Medicare

285%

non-facility rate $528.40

Payer spread

2.82×

UHC $2,820 vs Aetna $1,001

State spread

3.2×

AK $2,797 to MI $878

4,192 sampled providers4,763 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 52648 in the files analyzed, at $2,820, 182% above Aetna ($1,001), the lowest of the 4 payers shown.

The state spread is 3.2×: Alaska has the highest median at $2,797 and Michigan the lowest at $878, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 285% of the Medicare non-facility rate ($528.40), which ranks 4th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within UnitedHealthcare (interquartile range $1,281) and widest within Cigna ($777).

This is a top-35 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	$2,820	$2,241	$3,521	+87%	1	3,506	534% of Medicare
Blue Cross Blue Shield	$1,295	$1,056	$1,752	-14%	2	3,273	245% of Medicare
Cigna	$1,276	$1,012	$1,789	-15%	3	3,321	241% of Medicare
Aetna	$1,001	$775	$1,360	-34%	4	2,015	190% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($528.40)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$2,797	+85%	n/a	n/a	22
2	Wisconsin	$2,397	+59%	UHC	Aetna	102
3	Washington	$2,203	+46%	UHC	Cigna	111
4	Nebraska	$2,144	+42%	UHC	BCBS	50
5	Hawaii	$2,062	+37%	UHC	Cigna	27
6	Oregon	$1,916	+27%	UHC	BCBS	95
7	Georgia	$1,891	+25%	UHC	Cigna	118
8	New York	$1,884	+25%	UHC	Aetna	114
9	Minnesota	$1,840	+22%	UHC	Aetna	110
10	North Dakota	$1,799	+19%	n/a	n/a	20
11	District of Columbia	$1,786	+18%	UHC	BCBS	47
12	California	$1,748	+16%	UHC	Aetna	94
13	Connecticut	$1,742	+15%	UHC	Aetna	116
14	Massachusetts	$1,736	+15%	UHC	Aetna	112
15	New Hampshire	$1,626	+8%	UHC	Aetna	51
16	South Dakota	$1,618	+7%	UHC	BCBS	33
17	New Jersey	$1,563	+4%	UHC	Aetna	104
18	Vermont	$1,561	+4%	UHC	BCBS	30
19	North Carolina	$1,520	+1%	UHC	Aetna	123
20	Iowa	$1,518	+1%	UHC	Aetna	83
21	Alabama	$1,508	+0%	UHC	Cigna	116
22	Missouri	$1,482	-2%	UHC	Aetna	119
23	Ohio	$1,466	-3%	UHC	Aetna	112
24	Arizona	$1,445	-4%	UHC	BCBS	99
25	Kentucky	$1,443	-4%	UHC	Aetna	116
26	Utah	$1,436	-5%	UHC	Cigna	73
27	Rhode Island	$1,418	-6%	UHC	Aetna	40
28	Colorado	$1,400	-7%	UHC	Aetna	113
29	Arkansas	$1,380	-8%	UHC	Aetna	66
30	Pennsylvania	$1,374	-9%	UHC	Aetna	107
31	South Carolina	$1,362	-10%	UHC	Aetna	100
32	Mississippi	$1,360	-10%	UHC	Cigna	67
33	Nevada	$1,341	-11%	UHC	Aetna	57
34	Idaho	$1,330	-12%	UHC	BCBS	45
35	West Virginia	$1,329	-12%	UHC	Aetna	48
35	Virginia	$1,329	-12%	UHC	Aetna	104
37	Maine	$1,323	-12%	UHC	Aetna	48
38	Tennessee	$1,301	-14%	UHC	Aetna	106
39	Florida	$1,277	-15%	UHC	Aetna	112
40	New Mexico	$1,259	-17%	UHC	BCBS	33
41	Indiana	$1,254	-17%	UHC	Aetna	124
42	Maryland	$1,237	-18%	UHC	BCBS	102
43	Illinois	$1,237	-18%	UHC	Aetna	106
44	Louisiana	$1,231	-18%	UHC	Aetna	102
45	Delaware	$1,219	-19%	UHC	Cigna	29
46	Texas	$1,205	-20%	UHC	Aetna	124
47	Kansas	$1,156	-23%	UHC	Aetna	93
48	Montana	$1,089	-28%	UHC	BCBS	39
49	Oklahoma	$1,073	-29%	UHC	Aetna	108
50	Michigan	$878	-42%	UHC	BCBS	110

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 52648?

In the files we analyzed, UnitedHealthcare, at a median of $2,820 across 3,506 sampled providers. Aetna is lowest at $1,001, 182% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 285% of the 2026 Medicare non-facility rate of $528.40.

Which state has the highest median for CPT 52648?

Alaska has the highest median at $2,797; Michigan has the lowest at $878.

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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