CPT 64721 · professional fee

Carpal tunnel surgery (CPT 64721): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 64721, from their published in-network rate files.

Orthopedic surgerySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$700

P10 to P90: $447 to $1,263

vs Medicare

145%

non-facility rate $482.64

Payer spread

1.31×

UHC $765 vs Aetna $584

State spread

3.5×

AK $1,836 to FL $524

5,064 sampled providers6,164 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 64721 in the files analyzed, at $765, 31% above Aetna ($584), the lowest of the 4 payers shown.

The state spread is 3.5×: Alaska has the highest median at $1,836 and Florida the lowest at $524, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 145% of the Medicare non-facility rate ($482.64), which ranks 126th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $282) and widest within UnitedHealthcare ($438).

This is a top-22 code for orthopedic surgery 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	$765	$584	$1,022	+9%	1	4,263	158% of Medicare
Blue Cross Blue Shield	$717	$556	$948	+2%	2	3,948	149% of Medicare
Cigna	$714	$581	$969	+2%	3	4,049	148% of Medicare
Aetna	$584	$453	$734	-17%	4	3,123	121% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($482.64)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$1,836	+162%	Aetna	BCBS	65
2	Wisconsin	$1,014	+45%	BCBS	Aetna	100
3	South Dakota	$969	+38%	UHC	Cigna	97
4	Connecticut	$968	+38%	UHC	Aetna	114
5	Iowa	$965	+38%	UHC	Aetna	104
6	Washington	$931	+33%	UHC	BCBS	101
7	North Dakota	$923	+32%	BCBS	Aetna	46
8	District of Columbia	$920	+31%	Aetna	BCBS	35
9	Nebraska	$914	+31%	Cigna	BCBS	95
9	Wyoming	$914	+31%	BCBS	Cigna	65
11	Massachusetts	$884	+26%	UHC	Aetna	111
12	New Jersey	$883	+26%	Cigna	Aetna	96
13	Oregon	$862	+23%	Cigna	Aetna	93
14	Mississippi	$854	+22%	Aetna	Cigna	112
15	North Carolina	$831	+19%	Cigna	Aetna	128
16	Minnesota	$820	+17%	UHC	Aetna	102
17	Georgia	$769	+10%	UHC	Aetna	124
18	Tennessee	$753	+8%	UHC	Aetna	115
19	Rhode Island	$753	+8%	UHC	Aetna	98
20	Vermont	$748	+7%	UHC	Cigna	35
21	Idaho	$740	+6%	Aetna	UHC	120
22	Illinois	$724	+3%	UHC	Aetna	104
23	Colorado	$722	+3%	UHC	Aetna	106
24	Maryland	$718	+3%	Cigna	BCBS	106
25	New Hampshire	$711	+2%	Cigna	Aetna	118
26	Montana	$703	+0%	UHC	Cigna	79
27	Pennsylvania	$702	+0%	UHC	Aetna	104
28	Alabama	$684	-2%	BCBS	Cigna	118
29	Arkansas	$683	-2%	Cigna	Aetna	119
30	New York	$682	-3%	UHC	BCBS	111
31	Delaware	$663	-5%	BCBS	UHC	59
32	Utah	$661	-6%	BCBS	Cigna	97
33	Virginia	$652	-7%	UHC	Aetna	105
34	South Carolina	$652	-7%	UHC	Aetna	106
35	New Mexico	$642	-8%	UHC	BCBS	105
36	Louisiana	$641	-8%	BCBS	Cigna	103
37	Nevada	$624	-11%	BCBS	Aetna	109
38	West Virginia	$622	-11%	UHC	Aetna	89
39	Michigan	$607	-13%	BCBS	UHC	103
40	Ohio	$602	-14%	UHC	Aetna	110
41	Arizona	$601	-14%	UHC	Aetna	99
42	Kansas	$597	-15%	BCBS	Aetna	108
43	Maine	$593	-15%	UHC	Aetna	93
44	Missouri	$586	-16%	UHC	Aetna	112
45	Hawaii	$584	-17%	BCBS	Cigna	68
46	Kentucky	$576	-18%	Cigna	Aetna	124
47	Oklahoma	$541	-23%	Cigna	Aetna	100
48	Indiana	$540	-23%	UHC	BCBS	115
49	California	$537	-23%	Cigna	Aetna	109
50	Texas	$531	-24%	UHC	Aetna	121
51	Florida	$524	-25%	BCBS	Aetna	108

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 64721?

In the files we analyzed, UnitedHealthcare, at a median of $765 across 4,263 sampled providers. Aetna is lowest at $584, 31% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 145% of the 2026 Medicare non-facility rate of $482.64.

Which state has the highest median for CPT 64721?

Alaska has the highest median at $1,836; Florida has the lowest at $524.

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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