CPT 66982 · professional fee

Xcapsl ctrc rmvl cplx wo ecp (CPT 66982): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 66982, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$981

P10 to P90: $695 to $1,874

vs Medicare

156%

non-facility rate $630.61

Payer spread

1.11×

BCBS $1,041 vs Aetna $939

State spread

4.8×

AK $2,985 to FL $616

4,641 sampled providers6,429 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 66982 in the files analyzed, at $1,041, 11% above Aetna ($939), the lowest of the 4 payers shown.

The state spread is 4.8×: Alaska has the highest median at $2,985 and Florida the lowest at $616, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 156% of the Medicare non-facility rate ($630.61), which ranks 106th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $377) and widest within UnitedHealthcare ($637).

This is a top-12 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	$1,041	$860	$1,316	+6%	1	3,457	165% of Medicare
Cigna	$996	$788	$1,356	+2%	2	3,772	158% of Medicare
UnitedHealthcare	$979	$791	$1,428	-0%	3	3,833	155% of Medicare
Aetna	$939	$790	$1,167	-4%	4	3,146	149% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($630.61)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$2,985	+204%	Aetna	BCBS	24
2	Nebraska	$1,683	+72%	Cigna	Aetna	70
3	South Dakota	$1,610	+64%	Cigna	UHC	39
4	Wisconsin	$1,460	+49%	UHC	Aetna	84
5	Oregon	$1,443	+47%	UHC	Aetna	100
6	Iowa	$1,439	+47%	Cigna	Aetna	93
7	Connecticut	$1,414	+44%	UHC	Aetna	110
8	North Dakota	$1,406	+43%	BCBS	Aetna	33
9	Georgia	$1,301	+33%	Cigna	Aetna	115
10	New Mexico	$1,283	+31%	UHC	BCBS	74
11	Massachusetts	$1,249	+27%	Cigna	Aetna	116
12	Idaho	$1,235	+26%	Aetna	Cigna	57
13	Vermont	$1,204	+23%	Cigna	BCBS	33
14	Minnesota	$1,194	+22%	BCBS	Aetna	94
15	Mississippi	$1,176	+20%	BCBS	UHC	103
16	Montana	$1,163	+19%	UHC	Cigna	36
17	Maine	$1,143	+16%	Aetna	UHC	64
18	Washington	$1,120	+14%	Aetna	Cigna	120
19	Alabama	$1,098	+12%	Aetna	UHC	111
20	Colorado	$1,087	+11%	UHC	Aetna	104
21	Illinois	$1,084	+10%	Cigna	Aetna	111
22	Utah	$1,069	+9%	Cigna	UHC	116
23	New Hampshire	$1,066	+9%	UHC	BCBS	55
24	West Virginia	$996	+2%	UHC	Aetna	77
25	Michigan	$995	+1%	UHC	BCBS	112
26	Rhode Island	$995	+1%	Cigna	BCBS	62
27	California	$977	-0%	BCBS	UHC	121
28	Hawaii	$946	-4%	UHC	Cigna	85
29	Arkansas	$941	-4%	Cigna	UHC	91
30	North Carolina	$930	-5%	UHC	Aetna	119
31	Kentucky	$929	-5%	Cigna	Aetna	112
32	Ohio	$926	-6%	BCBS	Aetna	109
33	South Carolina	$926	-6%	Cigna	UHC	103
34	New York	$907	-8%	Aetna	UHC	110
35	Kansas	$899	-8%	BCBS	Cigna	106
36	Tennessee	$899	-8%	Aetna	Cigna	121
37	Missouri	$894	-9%	BCBS	Cigna	110
38	District of Columbia	$886	-10%	Aetna	BCBS	52
39	Indiana	$880	-10%	BCBS	Aetna	115
40	Louisiana	$873	-11%	Aetna	UHC	109
41	Maryland	$847	-14%	Aetna	BCBS	105
42	Texas	$844	-14%	Aetna	BCBS	123
43	Oklahoma	$832	-15%	BCBS	UHC	111
44	Nevada	$802	-18%	Cigna	Aetna	111
45	Virginia	$799	-18%	Aetna	Cigna	108
46	Pennsylvania	$797	-19%	UHC	Aetna	116
47	New Jersey	$797	-19%	Aetna	Cigna	117
48	Delaware	$777	-21%	UHC	Cigna	47
49	Arizona	$772	-21%	UHC	BCBS	109
50	Florida	$616	-37%	UHC	Aetna	111

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 66982?

In the files we analyzed, Blue Cross Blue Shield, at a median of $1,041 across 3,457 sampled providers. Aetna is lowest at $939, 11% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 156% of the 2026 Medicare non-facility rate of $630.61.

Which state has the highest median for CPT 66982?

Alaska has the highest median at $2,985; Florida has the lowest at $616.

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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