CPT 12032 · professional fee

Intmd rpr s/a/t/ext 2.6-7.5 (CPT 12032): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 12032, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$280
P10 to P90: $181 to $594
vs Medicare
94%
non-facility rate $299.94
Payer spread
1.67×
UHC $361 vs Aetna $215
State spread
3.8×
AK $754 to AZ $198
4,291 sampled providers5,630 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

UnitedHealthcare has the highest median for CPT 12032 in the files analyzed, at $361, 67% above Aetna ($215), the lowest of the 4 payers shown.

2

The state spread is 3.8×: Alaska has the highest median at $754 and Arizona the lowest at $198, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 94% of the Medicare non-facility rate ($299.94), which ranks 208th of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $86) and widest within UnitedHealthcare ($267).

5

This is a top-12 code for dermatology 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
UnitedHealthcare$361$292$558+29%13,645
120% of Medicare
Cigna$277$211$404-1%23,534
92% of Medicare
Blue Cross Blue Shield$271$213$370-3%33,324
90% of Medicare
Aetna$215$183$268-23%43,132
72% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($299.94)
$149$285$421$556$692$828UnitedHealthcareCignaBlue Cross Blue ShieldAetnaMedicare

Rates by state

Median across payers · 50 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$754+169%AetnaBCBS16
2Wisconsin$576+105%UHCAetna103
3South Dakota$445+59%UHCBCBS37
3Nebraska$445+59%UHCBCBS48
5North Dakota$444+58%n/an/a24
6Oregon$435+55%UHCAetna108
7Minnesota$425+51%BCBSAetna116
8Massachusetts$424+51%UHCAetna116
9New Hampshire$422+50%UHCAetna78
10Washington$417+49%UHCAetna107
11Hawaii$400+43%UHCCigna41
12Iowa$396+41%CignaAetna63
13Georgia$384+37%UHCAetna116
14Maine$368+31%UHCAetna41
15Mississippi$345+23%AetnaCigna55
16Vermont$332+18%UHCBCBS21
17Connecticut$308+10%UHCAetna109
18Montana$300+7%UHCCigna43
19Idaho$297+6%UHCAetna46
20Rhode Island$293+4%UHCAetna48
21Illinois$291+4%UHCCigna113
22Arkansas$285+2%UHCAetna65
23Utah$279-0%UHCAetna113
24New York$279-0%UHCAetna107
25North Carolina$279-1%BCBSAetna125
26West Virginia$278-1%CignaAetna31
27Pennsylvania$277-1%BCBSAetna119
28Nevada$276-2%UHCAetna65
29Colorado$274-2%UHCAetna125
30Louisiana$270-4%UHCAetna130
31Kansas$266-5%UHCAetna73
32Texas$265-5%UHCAetna134
33Ohio$265-6%UHCAetna115
34Tennessee$264-6%UHCCigna123
35New Mexico$259-8%UHCAetna34
36California$257-8%UHCAetna98
37Missouri$256-9%UHCAetna118
38Oklahoma$246-12%UHCAetna80
39Delaware$246-12%UHCAetna18
40South Carolina$244-13%BCBSAetna109
41New Jersey$237-15%UHCAetna99
42Kentucky$236-16%UHCAetna112
43Virginia$234-17%UHCBCBS121
44Maryland$229-18%UHCBCBS108
45Michigan$220-22%UHCBCBS108
46District of Columbia$217-23%UHCAetna35
47Indiana$213-24%UHCAetna116
48Alabama$211-25%UHCBCBS131
49Florida$211-25%UHCAetna114
50Arizona$198-29%UHCBCBS104

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 12032?

In the files we analyzed, UnitedHealthcare, at a median of $361 across 3,645 sampled providers. Aetna is lowest at $215, 67% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 94% of the 2026 Medicare non-facility rate of $299.94.

Which state has the highest median for CPT 12032?

Alaska has the highest median at $754; Arizona has the lowest at $198.

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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