CPT 17262 · professional fee

Dstrj mal les t/a/l 1.1-2.0 (CPT 17262): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 17262, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$163
P10 to P90: $106 to $344
vs Medicare
94%
non-facility rate $173.68
Payer spread
1.65×
UHC $210 vs Aetna $127
State spread
4.0×
AK $444 to AL $111
4,285 sampled providers5,595 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 17262 in the files analyzed, at $210, 65% above Aetna ($127), the lowest of the 4 payers shown.

2

The state spread is 4.0×: Alaska has the highest median at $444 and Alabama the lowest at $111, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 94% of the Medicare non-facility rate ($173.68), which ranks 207th of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $48) and widest within UnitedHealthcare ($157).

5

This is a top-17 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$210$169$326+29%13,645
121% of Medicare
Blue Cross Blue Shield$163$128$214-0%23,314
94% of Medicare
Cigna$153$118$223-6%33,534
88% of Medicare
Aetna$127$106$154-22%43,038
73% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($173.68)
$87$166$245$324$404$483UnitedHealthcareBlue Cross Blue ShieldCignaAetnaMedicare

Rates by state

Median across payers · 50 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$444+173%n/an/a16
2Wisconsin$345+112%UHCAetna103
3South Dakota$264+62%UHCBCBS37
3Nebraska$264+62%UHCBCBS48
5Oregon$252+55%UHCAetna108
6Minnesota$244+50%BCBSAetna116
7Washington$242+49%UHCAetna106
8New Hampshire$241+48%UHCAetna78
9Massachusetts$236+45%UHCAetna116
10Hawaii$235+44%CignaUHC41
11Iowa$231+42%CignaAetna63
12North Dakota$219+34%n/an/a24
13Georgia$216+33%UHCAetna115
14Maine$214+31%UHCAetna41
15Mississippi$210+29%BCBSCigna55
16New York$181+11%UHCAetna107
17Montana$174+7%UHCBCBS43
18Idaho$173+6%UHCAetna46
19Vermont$173+6%UHCBCBS21
19Connecticut$173+6%UHCAetna109
21Rhode Island$171+5%UHCAetna48
22West Virginia$168+4%CignaUHC31
23Nevada$166+2%UHCAetna65
24Illinois$166+2%UHCCigna113
25Colorado$164+1%UHCAetna125
26North Carolina$163+0%UHCAetna125
27Utah$163-0%UHCAetna113
28Pennsylvania$161-1%BCBSAetna115
29Missouri$160-2%UHCAetna118
29Kansas$160-2%UHCAetna73
31Ohio$156-4%UHCAetna115
32Texas$154-5%UHCAetna134
33Tennessee$154-6%UHCCigna123
34California$150-8%UHCAetna98
35New Mexico$150-8%UHCAetna33
36Arkansas$150-8%UHCAetna65
37Louisiana$149-9%UHCCigna130
38Oklahoma$143-12%UHCAetna80
39Kentucky$143-12%UHCAetna112
40South Carolina$142-13%BCBSAetna109
41Virginia$136-17%UHCBCBS121
42District of Columbia$134-18%UHCCigna36
43New Jersey$134-18%BCBSAetna99
44Maryland$133-18%UHCAetna108
45Indiana$132-19%UHCAetna116
46Delaware$129-21%UHCAetna18
47Michigan$129-21%UHCBCBS108
48Florida$123-24%UHCAetna114
49Arizona$114-30%UHCBCBS104
50Alabama$111-32%UHCAetna131

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 17262?

In the files we analyzed, UnitedHealthcare, at a median of $210 across 3,645 sampled providers. Aetna is lowest at $127, 65% 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 $173.68.

Which state has the highest median for CPT 17262?

Alaska has the highest median at $444; Alabama has the lowest at $111.

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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