CPT 67840 · professional fee

Remove eyelid lesion (CPT 67840): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 67840, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$253

P10 to P90: $152 to $523

vs Medicare

188%

facility rate $134.27

Payer spread

1.75×

UHC $343 vs Aetna $196

State spread

4.0×

AK $691 to IN $172

4,632 sampled providers6,406 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 67840 in the files analyzed, at $343, 75% above Aetna ($196), the lowest of the 4 payers shown.

The state spread is 4.0×: Alaska has the highest median at $691 and Indiana the lowest at $172, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 188% of the Medicare facility rate ($134.27), which ranks 53rd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $92) and widest within Cigna ($166).

This is a top-40 code for ophthalmology by Medicare allowed dollars, so it carries real revenue weight for that specialty.

The Medicare comparison uses the facility rate: the non-facility rate ($277.90) is 2.1× higher because it includes device or supply cost that professional-fee contracts do not.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$343	$272	$494	+35%	1	3,822	255% of Medicare
Blue Cross Blue Shield	$242	$184	$326	-4%	2	3,448	180% of Medicare
Cigna	$219	$166	$331	-14%	3	3,761	163% of Medicare
Aetna	$196	$167	$259	-23%	4	2,977	146% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare facility ($134.27)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$691	+173%	n/a	n/a	24
2	Nebraska	$418	+65%	UHC	BCBS	70
3	Oregon	$406	+60%	UHC	Aetna	99
4	Washington	$383	+51%	UHC	Cigna	120
4	Wisconsin	$383	+51%	UHC	Aetna	84
6	South Dakota	$366	+45%	UHC	BCBS	39
7	Hawaii	$364	+44%	Cigna	UHC	85
8	North Dakota	$362	+43%	UHC	Aetna	33
9	Mississippi	$357	+41%	BCBS	Cigna	103
10	Minnesota	$346	+37%	UHC	Aetna	94
11	Massachusetts	$344	+36%	UHC	Aetna	117
12	Iowa	$340	+34%	UHC	Aetna	93
13	Georgia	$330	+30%	UHC	BCBS	114
14	Connecticut	$316	+25%	UHC	Aetna	110
15	Idaho	$311	+23%	UHC	Cigna	57
16	Vermont	$287	+14%	UHC	Cigna	33
17	Rhode Island	$284	+12%	UHC	Aetna	62
18	New York	$280	+11%	BCBS	Aetna	110
19	North Carolina	$276	+9%	UHC	Aetna	118
20	New Hampshire	$275	+9%	UHC	Aetna	55
21	Alabama	$271	+7%	Aetna	BCBS	111
22	Maine	$269	+6%	UHC	Cigna	64
23	Colorado	$256	+1%	UHC	Aetna	104
24	Ohio	$252	-0%	UHC	Aetna	108
25	Illinois	$248	-2%	UHC	Cigna	111
26	Montana	$246	-3%	UHC	BCBS	36
27	New Mexico	$244	-4%	UHC	BCBS	71
28	Arkansas	$242	-4%	UHC	Aetna	91
29	Tennessee	$242	-4%	UHC	Cigna	121
30	West Virginia	$234	-8%	UHC	Aetna	76
31	Delaware	$232	-8%	UHC	Aetna	47
32	New Jersey	$229	-9%	UHC	Aetna	117
33	Kentucky	$227	-10%	UHC	BCBS	112
34	Utah	$226	-11%	UHC	Aetna	115
35	Michigan	$222	-12%	UHC	Aetna	112
36	Louisiana	$221	-13%	UHC	Cigna	109
37	Nevada	$220	-13%	UHC	Aetna	111
38	Missouri	$214	-15%	UHC	Cigna	110
39	South Carolina	$214	-15%	UHC	Cigna	102
40	Texas	$213	-16%	UHC	Cigna	123
41	Pennsylvania	$211	-17%	UHC	Cigna	116
42	Kansas	$206	-19%	UHC	Aetna	106
43	District of Columbia	$204	-20%	UHC	BCBS	52
44	Oklahoma	$203	-20%	UHC	Aetna	111
45	Virginia	$200	-21%	UHC	Cigna	108
45	Maryland	$200	-21%	UHC	BCBS	105
47	California	$199	-21%	UHC	Aetna	121
48	Florida	$191	-24%	UHC	Aetna	111
49	Arizona	$185	-27%	UHC	BCBS	109
50	Indiana	$172	-32%	UHC	BCBS	115

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 67840?

In the files we analyzed, UnitedHealthcare, at a median of $343 across 3,822 sampled providers. Aetna is lowest at $196, 75% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 188% of the 2026 Medicare facility rate of $134.27.

Which state has the highest median for CPT 67840?

Alaska has the highest median at $691; Indiana has the lowest at $172.

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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