CPT 66984 · professional fee

Xcapsl ctrc rmvl w/o ecp (CPT 66984): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 66984, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$738

P10 to P90: $508 to $1,413

vs Medicare

159%

non-facility rate $462.60

Payer spread

1.06×

BCBS $760 vs Aetna $718

State spread

4.8×

AK $2,179 to FL $449

4,657 sampled providers6,426 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 66984 in the files analyzed, at $760, 6% above Aetna ($718), the lowest of the 4 payers shown.

The state spread is 4.8×: Alaska has the highest median at $2,179 and Florida the lowest at $449, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 159% of the Medicare non-facility rate ($462.60), which ranks 96th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $229) and widest within UnitedHealthcare ($469).

This is a top-2 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	$760	$636	$1,003	+3%	1	3,456	164% of Medicare
Cigna	$758	$578	$1,019	+3%	2	3,774	164% of Medicare
UnitedHealthcare	$722	$581	$1,050	-2%	3	3,822	156% of Medicare
Aetna	$718	$590	$818	-3%	4	3,353	155% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($462.60)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$2,179	+195%	n/a	n/a	24
2	Nebraska	$1,222	+66%	Cigna	Aetna	71
3	South Dakota	$1,181	+60%	Cigna	BCBS	39
4	Iowa	$1,148	+56%	Cigna	Aetna	93
5	Wisconsin	$1,067	+45%	UHC	Aetna	83
6	Oregon	$1,064	+44%	UHC	Aetna	100
7	Connecticut	$1,047	+42%	Cigna	Aetna	111
8	North Dakota	$1,014	+37%	BCBS	Aetna	34
9	Alabama	$987	+34%	Aetna	UHC	111
10	Georgia	$985	+34%	Cigna	Aetna	115
11	Massachusetts	$953	+29%	Cigna	Aetna	118
12	Mississippi	$942	+28%	BCBS	UHC	103
13	Idaho	$903	+22%	Aetna	Cigna	57
14	Illinois	$892	+21%	Cigna	Aetna	111
15	Minnesota	$876	+19%	BCBS	Aetna	94
16	Vermont	$867	+18%	Cigna	UHC	35
17	New Mexico	$852	+16%	UHC	BCBS	74
18	Montana	$849	+15%	UHC	Cigna	35
19	Maine	$834	+13%	Aetna	UHC	64
20	Washington	$818	+11%	Aetna	BCBS	120
21	Colorado	$816	+11%	UHC	Aetna	104
22	New Hampshire	$809	+10%	UHC	Aetna	56
23	Rhode Island	$808	+10%	Cigna	BCBS	62
24	Utah	$781	+6%	Cigna	UHC	116
25	California	$735	-0%	BCBS	UHC	122
26	Arkansas	$730	-1%	Cigna	UHC	92
27	North Carolina	$718	-3%	Cigna	Aetna	119
28	Kansas	$718	-3%	BCBS	Aetna	106
29	Michigan	$715	-3%	UHC	BCBS	112
30	Missouri	$713	-3%	BCBS	Aetna	110
31	West Virginia	$710	-4%	UHC	Aetna	78
32	Louisiana	$705	-4%	Aetna	UHC	109
33	Hawaii	$692	-6%	Cigna	UHC	85
34	District of Columbia	$687	-7%	Cigna	BCBS	52
35	Indiana	$685	-7%	BCBS	Aetna	116
36	Kentucky	$676	-8%	UHC	Cigna	112
37	South Carolina	$676	-8%	Cigna	UHC	103
38	New York	$669	-9%	Aetna	UHC	110
39	Ohio	$662	-10%	UHC	Cigna	110
40	Tennessee	$655	-11%	Aetna	Cigna	121
41	Maryland	$647	-12%	Aetna	BCBS	106
42	New Jersey	$620	-16%	Aetna	Cigna	117
43	Nevada	$618	-16%	Cigna	Aetna	112
44	Texas	$617	-16%	Cigna	BCBS	123
45	Oklahoma	$607	-18%	BCBS	UHC	112
46	Virginia	$603	-18%	Aetna	Cigna	109
47	Pennsylvania	$582	-21%	UHC	BCBS	116
48	Delaware	$567	-23%	UHC	Cigna	47
49	Arizona	$564	-24%	UHC	BCBS	109
50	Florida	$449	-39%	UHC	Aetna	112

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 66984?

In the files we analyzed, Blue Cross Blue Shield, at a median of $760 across 3,456 sampled providers. Aetna is lowest at $718, 6% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 159% of the 2026 Medicare non-facility rate of $462.60.

Which state has the highest median for CPT 66984?

Alaska has the highest median at $2,179; Florida has the lowest at $449.

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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