CPT 65855 · professional fee

Trabeculoplasty laser surg (CPT 65855): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 65855, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$307

P10 to P90: $208 to $607

vs Medicare

125%

non-facility rate $245.50

Payer spread

1.19×

UHC $328 vs Aetna $276

State spread

4.3×

AK $822 to FL $193

4,654 sampled providers6,440 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 65855 in the files analyzed, at $328, 19% above Aetna ($276), the lowest of the 4 payers shown.

The state spread is 4.3×: Alaska has the highest median at $822 and Florida the lowest at $193, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 125% of the Medicare non-facility rate ($245.50), which ranks 159th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $117) and widest within UnitedHealthcare ($217).

This is a top-20 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
UnitedHealthcare	$328	$260	$477	+7%	1	3,834	134% of Medicare
Blue Cross Blue Shield	$316	$253	$421	+3%	2	3,487	129% of Medicare
Cigna	$313	$234	$422	+2%	3	3,783	127% of Medicare
Aetna	$276	$223	$340	-10%	4	3,063	113% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($245.50)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$822	+168%	n/a	n/a	24
2	Wisconsin	$517	+68%	BCBS	Aetna	100
3	Nebraska	$483	+57%	UHC	BCBS	70
4	South Dakota	$445	+45%	UHC	BCBS	39
5	Oregon	$444	+45%	UHC	Aetna	100
6	Iowa	$443	+44%	Cigna	Aetna	93
7	Mississippi	$433	+41%	BCBS	UHC	103
8	Massachusetts	$414	+35%	UHC	Aetna	117
9	Idaho	$406	+32%	Aetna	Cigna	57
10	North Dakota	$402	+31%	UHC	Aetna	33
11	Connecticut	$401	+31%	Cigna	Aetna	110
12	Alabama	$396	+29%	BCBS	UHC	111
13	Georgia	$389	+27%	UHC	BCBS	114
14	Minnesota	$371	+21%	BCBS	Aetna	94
15	New Mexico	$362	+18%	UHC	BCBS	73
16	North Carolina	$354	+15%	BCBS	Aetna	118
17	Vermont	$350	+14%	Cigna	BCBS	33
18	Rhode Island	$340	+11%	Cigna	BCBS	62
19	New Hampshire	$335	+9%	UHC	BCBS	55
20	Colorado	$333	+9%	UHC	Aetna	104
21	Washington	$332	+8%	UHC	Cigna	120
22	Arkansas	$321	+5%	Cigna	Aetna	91
23	Montana	$320	+4%	UHC	Cigna	36
24	Maine	$318	+4%	UHC	Cigna	64
25	Hawaii	$314	+2%	Cigna	UHC	85
26	West Virginia	$308	+0%	UHC	Aetna	76
27	Utah	$305	-0%	Cigna	UHC	116
28	Kansas	$296	-4%	BCBS	Aetna	106
29	Indiana	$295	-4%	BCBS	Aetna	116
29	Illinois	$295	-4%	UHC	Aetna	111
31	California	$294	-4%	Cigna	UHC	121
32	Ohio	$293	-5%	BCBS	Aetna	109
32	Kentucky	$293	-5%	Cigna	Aetna	112
34	Missouri	$289	-6%	BCBS	Cigna	110
35	Tennessee	$289	-6%	BCBS	Cigna	120
36	South Carolina	$278	-9%	BCBS	UHC	103
37	Michigan	$276	-10%	UHC	BCBS	112
38	New York	$270	-12%	Aetna	Cigna	110
39	New Jersey	$269	-12%	Aetna	Cigna	117
40	Louisiana	$269	-12%	Aetna	Cigna	109
41	Nevada	$259	-16%	Cigna	Aetna	111
42	District of Columbia	$258	-16%	Cigna	BCBS	52
42	Maryland	$258	-16%	UHC	BCBS	105
44	Texas	$252	-18%	UHC	BCBS	123
44	Oklahoma	$252	-18%	BCBS	Aetna	111
46	Virginia	$247	-20%	UHC	BCBS	108
47	Pennsylvania	$240	-22%	UHC	Aetna	116
48	Delaware	$239	-22%	UHC	Aetna	47
49	Arizona	$237	-23%	UHC	BCBS	109
50	Florida	$193	-37%	UHC	Aetna	111

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 65855?

In the files we analyzed, UnitedHealthcare, at a median of $328 across 3,834 sampled providers. Aetna is lowest at $276, 19% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 125% of the 2026 Medicare non-facility rate of $245.50.

Which state has the highest median for CPT 65855?

Alaska has the highest median at $822; Florida has the lowest at $193.

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.

See how your contracts compare for CPT 65855

Benchmark your negotiated rates for 65855 and the rest of your book against these payer and state medians.

Request a rate benchmark