CPT 13132 · professional fee

Cmplx rpr f/c/c/m/n/ax/g/h/f (CPT 13132): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 13132, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$470

P10 to P90: $294 to $973

vs Medicare

102%

non-facility rate $462.27

Payer spread

1.62×

UHC $591 vs Aetna $365

State spread

3.6×

AK $1,212 to AZ $332

4,280 sampled providers5,599 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 13132 in the files analyzed, at $591, 62% above Aetna ($365), the lowest of the 4 payers shown.

The state spread is 3.6×: Alaska has the highest median at $1,212 and Arizona the lowest at $332, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 102% of the Medicare non-facility rate ($462.27), which ranks 193rd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $165) and widest within UnitedHealthcare ($422).

This is a top-13 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

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$591	$466	$888	+26%	1	3,645	128% of Medicare
Cigna	$477	$361	$662	+2%	2	3,534	103% of Medicare
Blue Cross Blue Shield	$460	$388	$604	-2%	3	3,314	100% of Medicare
Aetna	$365	$291	$456	-22%	4	2,967	79% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($462.27)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$1,212	+158%	n/a	n/a	16
2	Wisconsin	$971	+106%	BCBS	Aetna	103
3	South Dakota	$721	+53%	UHC	BCBS	37
3	Nebraska	$721	+53%	UHC	BCBS	48
5	Oregon	$693	+47%	UHC	Aetna	108
6	New Hampshire	$670	+43%	UHC	Aetna	78
7	Minnesota	$667	+42%	BCBS	Aetna	116
8	Massachusetts	$664	+41%	UHC	Aetna	116
9	Washington	$645	+37%	UHC	Aetna	106
10	Maine	$630	+34%	UHC	Aetna	41
11	Iowa	$626	+33%	Cigna	Aetna	63
12	Georgia	$617	+31%	UHC	Aetna	116
13	Hawaii	$609	+30%	UHC	Cigna	41
14	North Dakota	$592	+26%	n/a	n/a	24
15	Mississippi	$572	+22%	BCBS	Cigna	55
16	Connecticut	$526	+12%	UHC	Aetna	109
17	Vermont	$520	+11%	UHC	BCBS	21
18	Rhode Island	$499	+6%	UHC	BCBS	48
19	Illinois	$488	+4%	UHC	BCBS	113
20	Colorado	$487	+4%	UHC	Aetna	125
21	Utah	$484	+3%	Cigna	BCBS	113
22	Kansas	$484	+3%	UHC	Aetna	73
23	Idaho	$482	+2%	UHC	Aetna	46
24	New York	$481	+2%	UHC	Aetna	107
25	California	$480	+2%	UHC	BCBS	98
26	Montana	$473	+1%	UHC	BCBS	43
27	West Virginia	$472	+0%	Cigna	Aetna	31
28	Arkansas	$467	-1%	Cigna	Aetna	65
29	Nevada	$466	-1%	UHC	Aetna	65
30	North Carolina	$465	-1%	UHC	Aetna	125
31	Ohio	$461	-2%	UHC	Aetna	115
32	Missouri	$454	-3%	UHC	Aetna	118
33	Delaware	$448	-5%	UHC	Aetna	18
34	New Mexico	$448	-5%	UHC	Aetna	34
35	Pennsylvania	$441	-6%	BCBS	Aetna	111
36	Tennessee	$441	-6%	UHC	Cigna	123
37	Louisiana	$439	-7%	UHC	Aetna	130
38	South Carolina	$439	-7%	Cigna	Aetna	107
39	Texas	$421	-10%	UHC	Aetna	134
40	Alabama	$414	-12%	UHC	Aetna	131
40	Kentucky	$414	-12%	UHC	Aetna	112
42	Virginia	$401	-15%	UHC	BCBS	121
43	Oklahoma	$397	-16%	UHC	Aetna	80
44	Indiana	$395	-16%	UHC	Aetna	116
45	New Jersey	$389	-17%	BCBS	Aetna	99
46	Michigan	$388	-17%	UHC	Aetna	108
47	Maryland	$367	-22%	UHC	BCBS	108
48	Florida	$351	-25%	BCBS	Cigna	114
49	District of Columbia	$343	-27%	UHC	BCBS	35
50	Arizona	$332	-29%	UHC	BCBS	104

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 13132?

In the files we analyzed, UnitedHealthcare, at a median of $591 across 3,645 sampled providers. Aetna is lowest at $365, 62% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 102% of the 2026 Medicare non-facility rate of $462.27.

Which state has the highest median for CPT 13132?

Alaska has the highest median at $1,212; Arizona has the lowest at $332.

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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