CPT 76872 · professional fee

Us transrectal (CPT 76872): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 76872, from their published in-network rate files.

UrologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$188

P10 to P90: $109 to $433

vs Medicare

157%

non-facility rate $120.24

Payer spread

1.59×

Cigna $232 vs Aetna $146

State spread

4.7×

AK $587 to OK $126

4,206 sampled providers4,600 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

Cigna has the highest median for CPT 76872 in the files analyzed, at $232, 59% above Aetna ($146), the lowest of the 4 payers shown.

The state spread is 4.7×: Alaska has the highest median at $587 and Oklahoma the lowest at $126, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 157% of the Medicare non-facility rate ($120.24), which ranks 101st of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $68) and widest within Cigna ($198).

This is a top-10 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
Cigna	$232	$144	$342	+23%	1	3,384	193% of Medicare
UnitedHealthcare	$203	$160	$306	+8%	2	3,576	168% of Medicare
Blue Cross Blue Shield	$190	$129	$257	+1%	3	3,183	158% of Medicare
Aetna	$146	$125	$193	-22%	4	2,757	122% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($120.24)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$587	+212%	n/a	n/a	22
2	Oregon	$428	+127%	Cigna	Aetna	103
3	Wisconsin	$345	+83%	BCBS	Aetna	114
4	District of Columbia	$312	+66%	Cigna	BCBS	47
5	Washington	$295	+56%	Cigna	UHC	111
6	Idaho	$281	+49%	BCBS	UHC	45
7	Nebraska	$260	+38%	Cigna	BCBS	50
8	Massachusetts	$258	+37%	Cigna	Aetna	103
9	South Dakota	$251	+33%	Cigna	UHC	33
10	Utah	$248	+31%	BCBS	Aetna	76
11	Colorado	$239	+27%	UHC	Cigna	115
12	New Hampshire	$234	+24%	Cigna	Aetna	51
13	Connecticut	$222	+18%	Cigna	Aetna	114
14	Iowa	$221	+17%	Cigna	Aetna	82
15	North Dakota	$215	+14%	n/a	n/a	21
16	Rhode Island	$212	+12%	Cigna	Aetna	40
17	New Jersey	$210	+12%	UHC	Aetna	106
18	Hawaii	$207	+10%	Cigna	BCBS	29
19	Minnesota	$200	+6%	BCBS	Aetna	111
20	Georgia	$197	+5%	Cigna	Aetna	118
21	Maryland	$196	+4%	UHC	BCBS	102
22	Vermont	$194	+3%	UHC	BCBS	30
23	Virginia	$193	+3%	BCBS	Aetna	104
24	North Carolina	$189	+0%	Cigna	Aetna	109
25	Pennsylvania	$188	+0%	UHC	Aetna	109
26	Illinois	$188	-0%	UHC	BCBS	107
27	Ohio	$186	-1%	Cigna	Aetna	112
28	New York	$186	-1%	Cigna	Aetna	115
29	West Virginia	$184	-2%	Cigna	Aetna	49
30	California	$183	-3%	UHC	Aetna	95
31	South Carolina	$181	-4%	Cigna	Aetna	99
32	Nevada	$180	-4%	Aetna	BCBS	57
33	Alabama	$179	-5%	BCBS	Cigna	116
34	Missouri	$173	-8%	UHC	Aetna	119
35	Michigan	$170	-10%	BCBS	UHC	111
36	Arizona	$168	-11%	Cigna	BCBS	99
37	New Mexico	$166	-12%	Cigna	BCBS	33
38	Kentucky	$164	-13%	Cigna	BCBS	116
39	Maine	$164	-13%	Cigna	Aetna	48
40	Tennessee	$164	-13%	BCBS	Aetna	107
40	Mississippi	$164	-13%	Aetna	BCBS	67
42	Kansas	$161	-14%	Cigna	Aetna	93
43	Arkansas	$160	-15%	UHC	Cigna	66
44	Montana	$160	-15%	Cigna	BCBS	39
45	Delaware	$154	-18%	UHC	Cigna	29
46	Louisiana	$153	-19%	UHC	BCBS	104
47	Texas	$149	-21%	UHC	BCBS	124
48	Indiana	$146	-22%	UHC	BCBS	124
49	Florida	$136	-28%	BCBS	Aetna	112
50	Oklahoma	$126	-33%	UHC	BCBS	108

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 76872?

In the files we analyzed, Cigna, at a median of $232 across 3,384 sampled providers. Aetna is lowest at $146, 59% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 157% of the 2026 Medicare non-facility rate of $120.24.

Which state has the highest median for CPT 76872?

Alaska has the highest median at $587; Oklahoma has the lowest at $126.

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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