CPT 88342 · professional fee

Imhchem/imcytchm 1st antb (CPT 88342): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 88342, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$95

P10 to P90: $48 to $207

vs Medicare

86%

non-facility rate $110.22

Payer spread

1.65×

BCBS $109 vs Cigna $66

State spread

4.4×

AK $258 to TN $59

4,263 sampled providers5,479 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 88342 in the files analyzed, at $109, 65% above Cigna ($66), the lowest of the 4 payers shown.

The state spread is 4.4×: Alaska has the highest median at $258 and Tennessee the lowest at $59, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 86% of the Medicare non-facility rate ($110.22), which ranks 222nd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $41) and widest within Cigna ($80).

This is a top-27 code for dermatology 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	$109	$52	$170	+14%	1	3,231	99% of Medicare
Aetna	$96	$79	$120	+1%	2	2,727	87% of Medicare
UnitedHealthcare	$86	$64	$113	-10%	3	3,636	78% of Medicare
Cigna	$66	$50	$130	-31%	4	3,314	60% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($110.22)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$258	+171%	n/a	n/a	16
2	Iowa	$230	+142%	BCBS	Aetna	63
3	North Dakota	$198	+108%	n/a	n/a	24
4	South Dakota	$184	+93%	BCBS	UHC	37
5	Nebraska	$162	+70%	Cigna	UHC	48
6	Hawaii	$152	+60%	BCBS	UHC	46
7	Connecticut	$142	+49%	BCBS	Cigna	109
8	Massachusetts	$139	+46%	BCBS	Aetna	116
9	Washington	$130	+37%	BCBS	UHC	106
10	Wisconsin	$128	+35%	BCBS	UHC	104
11	Mississippi	$124	+31%	Aetna	Cigna	55
12	Michigan	$120	+26%	BCBS	UHC	108
13	Rhode Island	$113	+18%	UHC	Aetna	48
14	New Hampshire	$112	+18%	BCBS	UHC	77
15	Maine	$110	+15%	Cigna	Aetna	39
16	Vermont	$109	+14%	Cigna	UHC	21
17	Oregon	$108	+13%	BCBS	UHC	108
18	Minnesota	$107	+13%	BCBS	Aetna	116
19	Georgia	$107	+12%	BCBS	Cigna	113
20	Kansas	$107	+12%	BCBS	Aetna	73
21	Utah	$106	+11%	BCBS	Cigna	113
22	Arkansas	$103	+8%	Aetna	UHC	65
23	Pennsylvania	$102	+7%	BCBS	Aetna	116
24	Alabama	$102	+7%	Aetna	Cigna	131
25	California	$100	+5%	Aetna	Cigna	97
26	Louisiana	$99	+4%	Aetna	Cigna	130
27	Montana	$93	-2%	Cigna	BCBS	43
28	Delaware	$93	-2%	UHC	Aetna	18
29	Missouri	$93	-3%	UHC	Cigna	118
30	Maryland	$89	-6%	BCBS	Cigna	109
31	Colorado	$89	-6%	BCBS	Cigna	125
32	New Jersey	$87	-9%	Cigna	Aetna	96
33	Illinois	$86	-10%	Aetna	BCBS	113
34	New York	$84	-12%	Cigna	Aetna	106
35	Kentucky	$83	-13%	UHC	BCBS	112
36	District of Columbia	$82	-14%	BCBS	Cigna	36
37	Idaho	$81	-15%	Aetna	UHC	46
38	Nevada	$80	-16%	Aetna	Cigna	65
39	Ohio	$79	-17%	UHC	Cigna	114
40	North Carolina	$75	-22%	Aetna	Cigna	117
41	Arizona	$74	-22%	Cigna	UHC	103
42	New Mexico	$72	-24%	Cigna	BCBS	34
43	Virginia	$69	-27%	Aetna	BCBS	120
44	West Virginia	$68	-28%	Cigna	UHC	31
45	Florida	$67	-30%	Aetna	UHC	107
46	South Carolina	$64	-32%	Aetna	Cigna	106
46	Indiana	$64	-32%	UHC	BCBS	116
48	Texas	$63	-34%	Aetna	BCBS	134
49	Oklahoma	$62	-35%	Aetna	BCBS	80
50	Tennessee	$59	-38%	Aetna	Cigna	123

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 88342?

In the files we analyzed, Blue Cross Blue Shield, at a median of $109 across 3,231 sampled providers. Cigna is lowest at $66, 65% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 86% of the 2026 Medicare non-facility rate of $110.22.

Which state has the highest median for CPT 88342?

Alaska has the highest median at $258; Tennessee has the lowest at $59.

Is this a professional fee?

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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