CPT 14040 · professional fee

Tis trnfr f/c/c/m/n/a/g/h/f (CPT 14040): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 14040, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$800

P10 to P90: $584 to $1,680

vs Medicare

104%

non-facility rate $767.22

Payer spread

1.37×

UHC $927 vs Aetna $675

State spread

3.2×

AK $1,944 to FL $606

4,275 sampled providers5,587 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 14040 in the files analyzed, at $927, 37% above Aetna ($675), the lowest of the 4 payers shown.

The state spread is 3.2×: Alaska has the highest median at $1,944 and Florida the lowest at $606, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 104% of the Medicare non-facility rate ($767.22), which ranks 188th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $215) and widest within UnitedHealthcare ($671).

This is a top-24 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	$927	$738	$1,409	+16%	1	3,645	121% of Medicare
Blue Cross Blue Shield	$844	$675	$1,094	+5%	2	3,304	110% of Medicare
Cigna	$802	$650	$1,132	+0%	3	3,534	104% of Medicare
Aetna	$675	$596	$811	-16%	4	2,800	88% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($767.22)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$1,944	+143%	n/a	n/a	16
2	Wisconsin	$1,669	+109%	BCBS	Aetna	103
3	Nebraska	$1,420	+77%	Cigna	BCBS	48
4	South Dakota	$1,388	+73%	UHC	BCBS	37
5	Oregon	$1,283	+60%	UHC	Aetna	108
6	North Dakota	$1,281	+60%	n/a	n/a	24
7	Massachusetts	$1,250	+56%	Cigna	Aetna	116
8	New Hampshire	$1,235	+54%	UHC	Aetna	78
9	Georgia	$1,181	+48%	UHC	Aetna	115
10	Minnesota	$1,149	+44%	BCBS	Aetna	116
11	Mississippi	$1,090	+36%	BCBS	UHC	55
12	Iowa	$1,084	+36%	Cigna	Aetna	63
13	Washington	$1,056	+32%	UHC	Aetna	107
14	Maine	$1,050	+31%	UHC	Aetna	41
15	Hawaii	$991	+24%	UHC	Cigna	41
16	Montana	$985	+23%	UHC	Cigna	42
17	Idaho	$958	+20%	BCBS	Aetna	46
18	Vermont	$891	+11%	UHC	Cigna	21
19	Illinois	$888	+11%	UHC	BCBS	113
20	Connecticut	$873	+9%	UHC	Aetna	109
21	Kansas	$843	+5%	BCBS	Aetna	72
22	Colorado	$841	+5%	UHC	Aetna	125
23	New York	$817	+2%	UHC	Aetna	107
24	Rhode Island	$801	+0%	UHC	Aetna	48
25	West Virginia	$797	-0%	Cigna	UHC	31
26	New Mexico	$791	-1%	UHC	Aetna	33
27	Utah	$786	-2%	Cigna	Aetna	113
28	Oklahoma	$778	-3%	BCBS	Aetna	80
28	Michigan	$778	-3%	BCBS	Aetna	108
30	Texas	$769	-4%	UHC	Aetna	134
31	Nevada	$763	-5%	BCBS	Aetna	65
32	Missouri	$758	-5%	BCBS	Aetna	118
33	North Carolina	$755	-6%	BCBS	Aetna	125
34	Ohio	$747	-7%	UHC	Aetna	115
35	Tennessee	$747	-7%	UHC	Aetna	123
36	Louisiana	$739	-8%	UHC	Cigna	129
36	Arkansas	$739	-8%	UHC	Aetna	65
38	Virginia	$739	-8%	UHC	Cigna	120
39	Delaware	$734	-8%	UHC	Aetna	18
40	Pennsylvania	$728	-9%	BCBS	Aetna	111
41	California	$718	-10%	UHC	BCBS	98
42	District of Columbia	$701	-12%	UHC	Cigna	36
43	South Carolina	$700	-12%	BCBS	Aetna	106
44	Indiana	$692	-13%	UHC	Aetna	116
45	Maryland	$671	-16%	UHC	BCBS	108
46	Alabama	$667	-17%	UHC	Aetna	131
47	Kentucky	$667	-17%	UHC	Aetna	112
48	New Jersey	$643	-20%	BCBS	Aetna	99
49	Arizona	$636	-20%	UHC	BCBS	104
50	Florida	$606	-24%	BCBS	Aetna	114

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 14040?

In the files we analyzed, UnitedHealthcare, at a median of $927 across 3,645 sampled providers. Aetna is lowest at $675, 37% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 104% of the 2026 Medicare non-facility rate of $767.22.

Which state has the highest median for CPT 14040?

Alaska has the highest median at $1,944; Florida has the lowest at $606.

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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