CPT 17000 · professional fee

Destruct premalg lesion (CPT 17000): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 17000, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$69
P10 to P90: $50 to $145
vs Medicare
104%
non-facility rate $66.47
Payer spread
1.40×
UHC $82 vs Aetna $59
State spread
3.3×
AK $168 to AL $51
4,289 sampled providers5,679 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 17000 in the files analyzed, at $82, 40% above Aetna ($59), the lowest of the 4 payers shown.

2

The state spread is 3.3×: Alaska has the highest median at $168 and Alabama the lowest at $51, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 104% of the Medicare non-facility rate ($66.47), which ranks 189th of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $20) and widest within UnitedHealthcare ($59).

5

This is a top-4 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$82$64$122+19%13,645
124% of Medicare
Blue Cross Blue Shield$71$59$95+3%23,350
107% of Medicare
Cigna$70$56$105+1%33,534
105% of Medicare
Aetna$59$52$72-15%43,183
89% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($66.47)
$42$71$100$129$158$186UnitedHealthcareBlue Cross Blue ShieldCignaAetnaMedicare

Rates by state

Median across payers · 50 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$168+143%AetnaBCBS16
2Wisconsin$142+106%BCBSAetna103
3Nebraska$123+77%CignaBCBS48
4South Dakota$118+70%UHCBCBS37
5North Dakota$112+62%n/an/a24
6Oregon$111+61%UHCAetna108
7Massachusetts$108+56%CignaAetna116
8Georgia$103+48%UHCAetna116
9New Hampshire$100+44%UHCAetna78
10Minnesota$95+38%BCBSAetna116
11Mississippi$95+38%BCBSCigna55
12Iowa$95+37%CignaAetna63
13Washington$93+35%UHCAetna107
14Maine$91+32%UHCAetna41
15Hawaii$90+31%CignaUHC41
16Montana$87+26%UHCBCBS43
17Idaho$84+22%BCBSAetna46
18Connecticut$79+14%UHCAetna109
19Illinois$76+10%UHCBCBS113
20Vermont$75+8%UHCBCBS21
21Colorado$74+6%UHCAetna125
22Kansas$73+6%BCBSAetna73
23Rhode Island$68-1%UHCAetna48
24Utah$68-2%CignaAetna113
25Pennsylvania$68-2%BCBSAetna117
26Nevada$68-2%UHCAetna65
27New Mexico$67-3%UHCAetna34
28New York$67-3%UHCAetna107
29California$67-3%UHCAetna98
30Texas$67-3%UHCAetna134
30Oklahoma$67-3%BCBSAetna80
32West Virginia$66-4%CignaAetna31
33North Carolina$66-4%BCBSAetna125
34Ohio$65-6%UHCAetna115
35Delaware$65-6%UHCAetna18
36Virginia$65-6%UHCBCBS121
37Missouri$64-7%UHCAetna118
38Tennessee$64-7%UHCAetna123
39Louisiana$64-8%UHCCigna130
40Michigan$63-9%UHCBCBS108
41Maryland$63-9%UHCAetna108
42Kentucky$62-10%UHCAetna112
43Arkansas$62-11%UHCAetna65
44Indiana$61-12%UHCAetna116
45South Carolina$61-12%BCBSAetna109
46District of Columbia$60-13%UHCCigna35
47New Jersey$59-14%BCBSAetna99
48Arizona$56-19%UHCBCBS104
49Florida$53-23%BCBSAetna114
50Alabama$51-26%UHCBCBS131

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 17000?

In the files we analyzed, UnitedHealthcare, at a median of $82 across 3,645 sampled providers. Aetna is lowest at $59, 40% 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 $66.47.

Which state has the highest median for CPT 17000?

Alaska has the highest median at $168; Alabama has the lowest at $51.

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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