CPT 67108 · professional fee

Repair detached retina (CPT 67108): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 67108, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$1,594

P10 to P90: $1,111 to $3,069

vs Medicare

161%

non-facility rate $992.01

Payer spread

1.12×

Cigna $1,664 vs Aetna $1,486

State spread

4.0×

AK $3,878 to FL $968

4,625 sampled providers6,418 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

Cigna has the highest median for CPT 67108 in the files analyzed, at $1,664, 12% above Aetna ($1,486), the lowest of the 4 payers shown.

The state spread is 4.0×: Alaska has the highest median at $3,878 and Florida the lowest at $968, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 161% of the Medicare non-facility rate ($992.01), which ranks 95th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $571) and widest within UnitedHealthcare ($993).

This is a top-35 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
Cigna	$1,664	$1,263	$2,181	+4%	1	3,783	168% of Medicare
Blue Cross Blue Shield	$1,657	$1,385	$2,327	+4%	2	3,452	167% of Medicare
UnitedHealthcare	$1,573	$1,253	$2,246	-1%	3	3,834	159% of Medicare
Aetna	$1,486	$1,255	$1,826	-7%	4	2,728	150% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($992.01)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$3,878	+143%	n/a	n/a	23
2	Nebraska	$2,785	+75%	Cigna	BCBS	70
3	South Dakota	$2,533	+59%	Cigna	UHC	39
4	Oregon	$2,448	+54%	UHC	Aetna	100
5	Iowa	$2,332	+46%	UHC	Aetna	93
6	Wisconsin	$2,323	+46%	UHC	Aetna	84
7	Alabama	$2,286	+43%	BCBS	UHC	111
8	Connecticut	$2,247	+41%	Cigna	Aetna	109
9	North Dakota	$2,240	+41%	BCBS	Aetna	33
10	Massachusetts	$2,088	+31%	Cigna	Aetna	116
11	Mississippi	$2,084	+31%	BCBS	UHC	103
12	New Mexico	$2,052	+29%	UHC	BCBS	73
13	Georgia	$2,002	+26%	Cigna	Aetna	114
14	Idaho	$1,973	+24%	Aetna	Cigna	57
15	Minnesota	$1,870	+17%	BCBS	Aetna	94
16	Montana	$1,850	+16%	UHC	BCBS	36
17	Vermont	$1,830	+15%	Cigna	BCBS	33
18	Maine	$1,820	+14%	Aetna	UHC	64
19	Washington	$1,779	+12%	Aetna	Cigna	120
20	Colorado	$1,775	+11%	BCBS	Aetna	103
21	West Virginia	$1,775	+11%	UHC	Aetna	76
22	Illinois	$1,711	+7%	Cigna	Aetna	111
23	Michigan	$1,639	+3%	UHC	Aetna	112
24	North Carolina	$1,636	+3%	BCBS	Aetna	118
25	Utah	$1,635	+3%	Cigna	UHC	115
26	New Hampshire	$1,619	+2%	UHC	BCBS	55
27	Rhode Island	$1,597	+0%	Cigna	BCBS	62
28	Kansas	$1,591	-0%	UHC	Cigna	106
29	Arkansas	$1,573	-1%	Cigna	Aetna	91
30	California	$1,505	-6%	BCBS	UHC	121
31	Hawaii	$1,499	-6%	UHC	Cigna	85
32	Indiana	$1,497	-6%	BCBS	Aetna	115
33	South Carolina	$1,478	-7%	BCBS	UHC	102
34	Kentucky	$1,457	-9%	Cigna	Aetna	112
35	Tennessee	$1,443	-9%	BCBS	Cigna	119
36	Ohio	$1,438	-10%	BCBS	Aetna	109
37	District of Columbia	$1,421	-11%	Aetna	BCBS	52
38	Maryland	$1,409	-12%	Aetna	BCBS	105
39	Missouri	$1,405	-12%	BCBS	Cigna	110
40	Louisiana	$1,402	-12%	Aetna	UHC	109
41	Texas	$1,345	-16%	Aetna	BCBS	122
42	Oklahoma	$1,328	-17%	BCBS	UHC	111
43	Nevada	$1,324	-17%	Cigna	Aetna	111
44	New York	$1,318	-17%	Aetna	Cigna	109
45	Virginia	$1,313	-18%	Aetna	BCBS	106
46	New Jersey	$1,276	-20%	Aetna	Cigna	117
47	Pennsylvania	$1,240	-22%	UHC	Aetna	116
48	Delaware	$1,238	-22%	Aetna	Cigna	47
49	Arizona	$1,230	-23%	UHC	BCBS	108
50	Florida	$968	-39%	UHC	Aetna	111

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 67108?

In the files we analyzed, Cigna, at a median of $1,664 across 3,783 sampled providers. Aetna is lowest at $1,486, 12% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 161% of the 2026 Medicare non-facility rate of $992.01.

Which state has the highest median for CPT 67108?

Alaska has the highest median at $3,878; Florida has the lowest at $968.

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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