CPT 64566 · professional fee

Neuroeltrd stim post tibial (CPT 64566): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 64566, from their published in-network rate files.

UrologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$69

P10 to P90: $35 to $199

vs Medicare

266%

facility rate $26.05

Payer spread

3.30×

UHC $149 vs Aetna $45

State spread

3.5×

HI $152 to MI $43

4,195 sampled providers4,821 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 64566 in the files analyzed, at $149, 230% above Aetna ($45), the lowest of the 4 payers shown.

The state spread is 3.5×: Hawaii has the highest median at $152 and Michigan the lowest at $43, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 266% of the Medicare facility rate ($26.05), which ranks 8th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $26) and widest within Blue Cross Blue Shield ($45).

This is a top-33 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 ($117.24) is 4.5× 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	$149	$94	$196	+115%	1	3,473	571% of Medicare
Cigna	$61	$47	$83	-12%	2	3,229	235% of Medicare
Blue Cross Blue Shield	$56	$42	$87	-19%	3	3,320	215% of Medicare
Aetna	$45	$33	$58	-35%	4	2,048	173% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare facility ($26.05)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Hawaii	$152	+120%	BCBS	Cigna	28
2	Alaska	$122	+75%	n/a	n/a	22
3	Wisconsin	$119	+72%	UHC	Aetna	103
4	New York	$110	+58%	UHC	Aetna	113
5	Vermont	$103	+49%	UHC	Cigna	30
6	North Carolina	$95	+38%	BCBS	Aetna	123
7	Mississippi	$88	+27%	BCBS	Cigna	65
8	Georgia	$83	+19%	Cigna	BCBS	118
9	West Virginia	$82	+18%	UHC	BCBS	48
10	Oregon	$80	+16%	UHC	Aetna	102
11	New Hampshire	$78	+13%	UHC	BCBS	51
12	Pennsylvania	$77	+12%	UHC	Cigna	111
13	Utah	$76	+10%	UHC	Cigna	73
14	Ohio	$76	+10%	UHC	Aetna	110
15	Washington	$75	+8%	UHC	Aetna	111
16	North Dakota	$74	+7%	n/a	n/a	20
17	California	$74	+6%	UHC	Aetna	92
18	Minnesota	$73	+6%	UHC	Aetna	111
19	District of Columbia	$72	+4%	UHC	BCBS	45
20	South Carolina	$72	+4%	BCBS	Aetna	100
21	Connecticut	$72	+3%	UHC	BCBS	116
22	Nebraska	$71	+3%	Cigna	BCBS	50
23	South Dakota	$71	+2%	UHC	BCBS	33
24	Massachusetts	$71	+2%	UHC	Aetna	112
25	Arkansas	$69	-0%	UHC	Cigna	64
26	Florida	$69	-1%	UHC	Aetna	111
27	New Mexico	$68	-2%	UHC	Cigna	33
28	New Jersey	$68	-2%	Cigna	Aetna	103
29	Idaho	$67	-4%	UHC	Cigna	45
30	Rhode Island	$66	-5%	UHC	Aetna	40
31	Arizona	$65	-6%	UHC	Aetna	99
32	Iowa	$65	-6%	UHC	Aetna	83
33	Maryland	$64	-7%	Cigna	BCBS	102
34	Louisiana	$63	-9%	UHC	BCBS	102
35	Virginia	$63	-9%	UHC	BCBS	103
36	Tennessee	$62	-11%	UHC	Aetna	107
37	Missouri	$58	-16%	UHC	Aetna	118
38	Colorado	$58	-16%	UHC	Aetna	113
39	Illinois	$58	-16%	UHC	Aetna	107
40	Nevada	$57	-17%	UHC	Aetna	57
41	Kentucky	$57	-18%	UHC	Aetna	116
42	Maine	$56	-19%	UHC	Aetna	48
43	Texas	$56	-19%	UHC	Aetna	124
44	Oklahoma	$55	-21%	UHC	Aetna	108
45	Delaware	$54	-22%	UHC	Aetna	29
46	Kansas	$52	-25%	UHC	Aetna	93
47	Indiana	$51	-27%	UHC	Aetna	124
48	Montana	$47	-32%	UHC	Cigna	39
49	Alabama	$47	-32%	UHC	BCBS	117
50	Michigan	$43	-38%	UHC	Aetna	111

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 64566?

In the files we analyzed, UnitedHealthcare, at a median of $149 across 3,473 sampled providers. Aetna is lowest at $45, 230% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 266% of the 2026 Medicare facility rate of $26.05.

Which state has the highest median for CPT 64566?

Hawaii has the highest median at $152; Michigan has the lowest at $43.

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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