CPT 92020 · professional fee

Gonioscopy (CPT 92020): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 92020, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$26

P10 to P90: $19 to $54

vs Medicare

99%

non-facility rate $26.72

Payer spread

1.36×

UHC $31 vs Aetna $23

State spread

3.6×

AK $71 to FL $19

4,678 sampled providers6,479 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 92020 in the files analyzed, at $31, 36% above Aetna ($23), the lowest of the 4 payers shown.

The state spread is 3.6×: Alaska has the highest median at $71 and Florida the lowest at $19, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 99% of the Medicare non-facility rate ($26.72), which ranks 198th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $7) and widest within Cigna ($17).

This is a top-24 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
UnitedHealthcare	$31	$25	$43	+18%	1	3,834	116% of Medicare
Blue Cross Blue Shield	$27	$23	$36	+3%	2	3,516	102% of Medicare
Cigna	$25	$20	$37	-5%	3	3,783	94% of Medicare
Aetna	$23	$20	$26	-13%	4	3,338	86% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($26.72)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$71	+168%	BCBS	Aetna	24
2	Oregon	$46	+76%	UHC	Aetna	100
3	Wisconsin	$45	+72%	BCBS	Aetna	104
4	North Dakota	$42	+60%	UHC	Aetna	32
5	Nebraska	$42	+59%	UHC	Aetna	71
6	Iowa	$40	+51%	Cigna	Aetna	93
7	Washington	$37	+42%	UHC	Cigna	120
8	Massachusetts	$36	+37%	UHC	Aetna	118
9	South Dakota	$36	+35%	UHC	BCBS	39
10	Hawaii	$35	+33%	BCBS	UHC	89
11	Georgia	$33	+27%	UHC	Aetna	115
12	Idaho	$32	+22%	BCBS	Cigna	57
13	Montana	$32	+20%	UHC	Cigna	35
14	Colorado	$31	+19%	UHC	Aetna	104
15	Maine	$31	+18%	UHC	Aetna	64
16	Connecticut	$31	+17%	UHC	Aetna	111
17	New Mexico	$29	+8%	UHC	BCBS	74
18	Kansas	$28	+5%	BCBS	Aetna	106
19	Illinois	$27	+3%	UHC	BCBS	111
20	Missouri	$27	+1%	BCBS	Aetna	110
21	New Hampshire	$27	+1%	UHC	BCBS	56
22	Mississippi	$26	-1%	BCBS	Cigna	102
23	Vermont	$26	-2%	UHC	Cigna	35
24	North Carolina	$26	-2%	UHC	Aetna	118
25	Tennessee	$26	-3%	UHC	Cigna	120
26	Rhode Island	$26	-3%	Aetna	UHC	62
27	Utah	$26	-3%	UHC	Aetna	116
28	Arkansas	$25	-3%	UHC	Cigna	92
29	Oklahoma	$25	-4%	BCBS	Aetna	112
30	Alabama	$25	-5%	BCBS	Cigna	111
31	Minnesota	$25	-5%	UHC	Aetna	93
32	District of Columbia	$25	-6%	UHC	BCBS	52
33	Texas	$24	-8%	UHC	Aetna	123
34	Virginia	$24	-8%	UHC	Cigna	109
35	New York	$24	-8%	UHC	Aetna	110
35	West Virginia	$24	-8%	UHC	Cigna	78
35	Kentucky	$24	-8%	Cigna	Aetna	112
38	California	$24	-8%	UHC	BCBS	122
39	Ohio	$24	-9%	UHC	Aetna	111
40	Pennsylvania	$24	-9%	UHC	Aetna	117
41	Nevada	$24	-9%	UHC	Aetna	112
42	Michigan	$24	-10%	UHC	BCBS	112
43	New Jersey	$23	-11%	BCBS	Aetna	117
44	Louisiana	$23	-12%	UHC	Cigna	109
45	Indiana	$23	-12%	UHC	Aetna	116
46	South Carolina	$23	-13%	BCBS	Cigna	103
47	Maryland	$22	-15%	UHC	BCBS	106
48	Delaware	$22	-17%	UHC	Aetna	47
49	Arizona	$21	-19%	UHC	BCBS	109
50	Florida	$19	-26%	UHC	Cigna	112

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 92020?

In the files we analyzed, UnitedHealthcare, at a median of $31 across 3,834 sampled providers. Aetna is lowest at $23, 36% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 99% of the 2026 Medicare non-facility rate of $26.72.

Which state has the highest median for CPT 92020?

Alaska has the highest median at $71; Florida has the lowest at $19.

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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