CPT 11102 · professional fee

Tangntl bx skin single les (CPT 11102): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 11102, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$65

P10 to P90: $36 to $156

vs Medicare

216%

facility rate $30.06

Payer spread

2.77×

UHC $119 vs Aetna $43

State spread

4.0×

AK $151 to AL $38

4,286 sampled providers5,652 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 11102 in the files analyzed, at $119, 177% above Aetna ($43), the lowest of the 4 payers shown.

The state spread is 4.0×: Alaska has the highest median at $151 and Alabama the lowest at $38, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 216% of the Medicare facility rate ($30.06), which ranks 23rd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $18) and widest within Blue Cross Blue Shield ($55).

This is a top-6 code for dermatology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

The Medicare comparison uses the facility rate: the non-facility rate ($95.53) is 3.2× 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	$119	$97	$161	+83%	1	3,596	394% of Medicare
Blue Cross Blue Shield	$59	$44	$99	-9%	2	3,326	196% of Medicare
Cigna	$54	$41	$83	-17%	3	3,447	180% of Medicare
Aetna	$43	$36	$54	-34%	4	3,124	142% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare facility ($30.06)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$151	+133%	Aetna	BCBS	16
2	Hawaii	$132	+104%	Cigna	UHC	41
3	Wisconsin	$124	+91%	UHC	Aetna	99
4	Nebraska	$117	+81%	UHC	BCBS	48
5	Washington	$112	+73%	UHC	Aetna	107
6	Minnesota	$103	+59%	UHC	Aetna	116
7	Mississippi	$97	+50%	BCBS	Cigna	55
8	North Dakota	$96	+47%	n/a	n/a	24
9	New Hampshire	$95	+47%	UHC	Aetna	78
10	Oregon	$94	+45%	UHC	Aetna	108
11	Massachusetts	$94	+44%	UHC	Aetna	116
12	New York	$92	+41%	UHC	Aetna	107
13	Connecticut	$90	+40%	UHC	Aetna	109
14	South Dakota	$90	+39%	UHC	BCBS	37
15	Vermont	$90	+38%	UHC	Cigna	21
16	Pennsylvania	$90	+38%	UHC	Aetna	119
17	North Carolina	$89	+38%	BCBS	Aetna	125
18	Maine	$88	+35%	UHC	Aetna	41
19	West Virginia	$85	+32%	UHC	Aetna	31
20	Iowa	$78	+21%	UHC	Aetna	63
21	California	$77	+18%	BCBS	Aetna	97
22	Georgia	$76	+18%	UHC	Aetna	116
23	Ohio	$72	+11%	UHC	Aetna	115
24	Rhode Island	$67	+3%	UHC	Aetna	48
25	Nevada	$64	-2%	UHC	Aetna	65
26	Delaware	$63	-3%	UHC	Aetna	18
27	Illinois	$62	-4%	UHC	Cigna	113
28	Idaho	$61	-6%	UHC	Aetna	46
29	Missouri	$60	-8%	UHC	Aetna	118
29	New Mexico	$60	-8%	UHC	Aetna	34
31	Montana	$59	-9%	UHC	BCBS	43
32	Kansas	$59	-9%	UHC	Aetna	73
33	Utah	$58	-10%	UHC	Aetna	113
34	Tennessee	$57	-12%	UHC	Cigna	122
35	Colorado	$56	-14%	UHC	Aetna	125
36	Louisiana	$55	-15%	UHC	Cigna	130
37	Texas	$53	-18%	UHC	Aetna	134
38	South Carolina	$53	-19%	BCBS	Aetna	109
39	New Jersey	$52	-19%	UHC	Aetna	99
40	Kentucky	$52	-20%	UHC	Aetna	112
41	Arkansas	$50	-22%	UHC	Aetna	65
42	Oklahoma	$50	-24%	UHC	Aetna	80
43	Virginia	$49	-25%	UHC	Cigna	121
44	Michigan	$49	-25%	UHC	BCBS	108
45	Florida	$47	-28%	UHC	Aetna	113
46	Indiana	$46	-28%	UHC	Aetna	116
47	District of Columbia	$45	-30%	UHC	Cigna	36
47	Maryland	$45	-30%	UHC	BCBS	109
49	Arizona	$41	-36%	UHC	BCBS	104
50	Alabama	$38	-41%	UHC	Aetna	131

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 11102?

In the files we analyzed, UnitedHealthcare, at a median of $119 across 3,596 sampled providers. Aetna is lowest at $43, 177% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 216% of the 2026 Medicare facility rate of $30.06.

Which state has the highest median for CPT 11102?

Alaska has the highest median at $151; Alabama has the lowest at $38.

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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