CPT 65756 · professional fee

Corneal trnspl endothelial (CPT 65756): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 65756, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$1,425

P10 to P90: $1,024 to $2,841

vs Medicare

144%

non-facility rate $991.67

Payer spread

1.16×

BCBS $1,563 vs Aetna $1,353

State spread

4.9×

AK $4,726 to FL $956

4,623 sampled providers6,392 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

Blue Cross Blue Shield has the highest median for CPT 65756 in the files analyzed, at $1,563, 16% above Aetna ($1,353), the lowest of the 4 payers shown.

The state spread is 4.9×: Alaska has the highest median at $4,726 and Florida the lowest at $956, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 144% of the Medicare non-facility rate ($991.67), which ranks 134th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $565) and widest within UnitedHealthcare ($966).

This is a top-32 code for ophthalmology 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
Blue Cross Blue Shield	$1,563	$1,169	$2,026	+10%	1	3,456	158% of Medicare
UnitedHealthcare	$1,457	$1,146	$2,112	+2%	2	3,832	147% of Medicare
Cigna	$1,391	$1,138	$1,992	-2%	3	3,758	140% of Medicare
Aetna	$1,353	$1,197	$1,763	-5%	4	2,679	136% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($991.67)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$4,726	+232%	n/a	n/a	24
2	Nebraska	$2,752	+93%	Cigna	BCBS	70
3	South Dakota	$2,532	+78%	Cigna	UHC	39
4	Oregon	$2,528	+77%	UHC	Aetna	99
5	Wisconsin	$2,316	+63%	UHC	Aetna	84
6	North Dakota	$2,156	+51%	BCBS	Aetna	33
7	Iowa	$2,146	+51%	UHC	BCBS	93
8	Massachusetts	$2,019	+42%	Cigna	Aetna	116
9	Connecticut	$2,009	+41%	UHC	Cigna	109
10	Georgia	$1,955	+37%	Cigna	UHC	113
11	Idaho	$1,853	+30%	Aetna	UHC	57
12	Minnesota	$1,846	+30%	BCBS	Aetna	94
13	Montana	$1,841	+29%	UHC	BCBS	36
14	Maine	$1,804	+27%	Aetna	UHC	64
15	Washington	$1,757	+23%	Aetna	Cigna	120
16	Illinois	$1,634	+15%	BCBS	Aetna	112
17	Mississippi	$1,632	+15%	Aetna	UHC	103
18	Alabama	$1,618	+14%	Aetna	UHC	111
19	Vermont	$1,602	+12%	Cigna	BCBS	33
20	New Mexico	$1,600	+12%	UHC	BCBS	73
21	Michigan	$1,569	+10%	BCBS	UHC	110
22	Colorado	$1,566	+10%	BCBS	Aetna	103
23	New Hampshire	$1,563	+10%	Cigna	Aetna	55
24	Hawaii	$1,496	+5%	UHC	Cigna	85
25	West Virginia	$1,480	+4%	Cigna	BCBS	76
26	Utah	$1,435	+1%	BCBS	UHC	115
27	Kansas	$1,420	-0%	BCBS	Cigna	106
28	North Carolina	$1,420	-0%	BCBS	Aetna	117
29	Rhode Island	$1,395	-2%	Cigna	UHC	62
30	Tennessee	$1,388	-3%	Aetna	Cigna	120
31	Louisiana	$1,367	-4%	Aetna	UHC	109
32	Arkansas	$1,353	-5%	Cigna	UHC	91
33	Oklahoma	$1,322	-7%	BCBS	UHC	111
34	Indiana	$1,319	-7%	BCBS	Aetna	115
35	Maryland	$1,284	-10%	Aetna	BCBS	105
36	Missouri	$1,275	-10%	UHC	Cigna	110
37	New York	$1,275	-11%	Aetna	Cigna	110
38	Texas	$1,269	-11%	BCBS	UHC	122
39	South Carolina	$1,267	-11%	BCBS	Cigna	102
40	District of Columbia	$1,265	-11%	Aetna	BCBS	52
41	Virginia	$1,257	-12%	Aetna	Cigna	106
42	Ohio	$1,246	-13%	UHC	BCBS	108
43	Kentucky	$1,242	-13%	Cigna	BCBS	112
44	Nevada	$1,197	-16%	BCBS	Cigna	111
45	Arizona	$1,192	-16%	Aetna	BCBS	108
46	Pennsylvania	$1,170	-18%	UHC	Cigna	116
47	New Jersey	$1,137	-20%	BCBS	Cigna	117
48	California	$1,126	-21%	Cigna	Aetna	121
49	Delaware	$1,092	-23%	Aetna	Cigna	47
50	Florida	$956	-33%	UHC	Aetna	111

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 65756?

In the files we analyzed, Blue Cross Blue Shield, at a median of $1,563 across 3,456 sampled providers. Aetna is lowest at $1,353, 16% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 144% of the 2026 Medicare non-facility rate of $991.67.

Which state has the highest median for CPT 65756?

Alaska has the highest median at $4,726; Florida has the lowest at $956.

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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