CPT 76770 · professional fee

Us exam abdo back wall comp (CPT 76770): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 76770, from their published in-network rate files.

UrologyDiagnostic radiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$156
P10 to P90: $99 to $300
vs Medicare
147%
non-facility rate $106.21
Payer spread
1.29×
Cigna $171 vs Aetna $132
State spread
3.1×
AK $316 to OK $101
9,993 sampled providers10,290 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

Cigna has the highest median for CPT 76770 in the files analyzed, at $171, 29% above Aetna ($132), the lowest of the 4 payers shown.

2

The state spread is 3.1×: Alaska has the highest median at $316 and Oklahoma the lowest at $101, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 147% of the Medicare non-facility rate ($106.21), which ranks 122nd of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $63) and widest within UnitedHealthcare ($106).

5

This is a top-14 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
PayerMedianP25P75vs nationalRankProvidersPosition
Cigna$171$132$235+10%17,816
161% of Medicare
UnitedHealthcare$168$128$234+8%27,542
158% of Medicare
Blue Cross Blue Shield$154$117$204-1%37,739
145% of Medicare
Aetna$132$110$173-15%46,362
125% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($106.21)
$73$130$187$244$301$358CignaUnitedHealthcareBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 51 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$316+103%AetnaCigna82
2Wisconsin$239+53%BCBSAetna231
3Washington$223+43%CignaUHC228
4Wyoming$223+43%BCBSAetna53
5Oregon$219+41%CignaAetna209
6South Dakota$211+36%CignaAetna118
7Nebraska$203+30%CignaAetna171
8North Dakota$197+26%BCBSAetna106
9Iowa$195+25%CignaAetna182
10North Carolina$191+22%CignaAetna233
11Georgia$186+19%CignaAetna246
12Idaho$182+16%BCBSUHC170
13Colorado$176+13%UHCCigna238
14New Hampshire$176+13%UHCAetna178
15Ohio$172+11%CignaUHC239
16Montana$171+10%AetnaBCBS108
17District of Columbia$168+8%UHCBCBS177
18New Jersey$168+7%UHCAetna230
19Utah$166+7%UHCAetna197
20Connecticut$165+6%UHCAetna231
21Mississippi$162+4%BCBSUHC182
22Virginia$159+2%UHCBCBS226
23Massachusetts$159+2%CignaAetna221
24Vermont$157+1%UHCAetna93
25Michigan$156+0%CignaAetna228
26California$156-0%UHCAetna202
26Hawaii$156-0%AetnaBCBS133
28Maine$155-0%UHCAetna175
29Minnesota$155-1%BCBSAetna234
30West Virginia$154-1%CignaAetna166
31Missouri$154-1%BCBSAetna242
32Pennsylvania$152-3%UHCAetna225
33South Carolina$150-4%CignaAetna211
34Illinois$148-5%UHCBCBS231
35Tennessee$148-5%BCBSAetna237
36Arkansas$146-6%UHCBCBS187
37Kansas$142-9%CignaAetna209
38Rhode Island$141-9%UHCAetna167
39Nevada$140-10%CignaAetna177
40Alabama$137-12%BCBSUHC242
41Kentucky$136-13%CignaAetna250
42Delaware$136-13%UHCAetna126
43New Mexico$134-14%UHCBCBS157
44Louisiana$132-15%CignaAetna226
45Arizona$132-16%CignaBCBS214
46Indiana$131-16%UHCAetna260
47Maryland$129-17%UHCBCBS208
48New York$128-18%CignaAetna243
49Florida$122-22%BCBSAetna219
50Texas$119-24%UHCBCBS257
51Oklahoma$101-35%UHCBCBS218

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 76770?

In the files we analyzed, Cigna, at a median of $171 across 7,816 sampled providers. Aetna is lowest at $132, 29% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 147% of the 2026 Medicare non-facility rate of $106.21.

Which state has the highest median for CPT 76770?

Alaska has the highest median at $316; Oklahoma has the lowest at $101.

Is this a professional fee?

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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