CPT 92025 · professional fee

Cptrized corneal topography (CPT 92025): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 92025, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$40

P10 to P90: $28 to $80

vs Medicare

108%

non-facility rate $37.07

Payer spread

1.12×

BCBS $42 vs Aetna $37

State spread

3.5×

AK $102 to FL $29

4,656 sampled providers6,321 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 92025 in the files analyzed, at $42, 12% above Aetna ($37), the lowest of the 4 payers shown.

The state spread is 3.5×: Alaska has the highest median at $102 and Florida the lowest at $29, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 108% of the Medicare non-facility rate ($37.07), which ranks 178th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $11) and widest within Blue Cross Blue Shield ($26).

This is a top-34 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	$42	$34	$61	+4%	1	3,440	112% of Medicare
UnitedHealthcare	$42	$34	$58	+4%	2	3,832	112% of Medicare
Cigna	$41	$33	$58	+2%	3	3,758	110% of Medicare
Aetna	$37	$34	$45	-7%	4	3,253	100% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($37.07)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$102	+154%	n/a	n/a	24
2	Nebraska	$73	+81%	Cigna	Aetna	71
2	South Dakota	$73	+81%	BCBS	UHC	39
4	Wisconsin	$72	+80%	BCBS	Aetna	102
5	North Dakota	$71	+76%	BCBS	Aetna	33
6	Oregon	$67	+66%	UHC	Aetna	99
7	Iowa	$66	+64%	Cigna	Aetna	93
8	Montana	$57	+43%	UHC	BCBS	36
9	Minnesota	$56	+39%	BCBS	Aetna	95
10	Massachusetts	$55	+37%	UHC	Aetna	118
11	Georgia	$55	+36%	Cigna	Aetna	115
12	Washington	$51	+27%	UHC	Cigna	120
13	Connecticut	$51	+26%	UHC	Aetna	111
14	Maine	$50	+24%	UHC	Aetna	63
15	Idaho	$49	+22%	Aetna	UHC	57
16	Hawaii	$48	+20%	UHC	BCBS	89
17	Colorado	$48	+19%	BCBS	Aetna	103
18	New Mexico	$47	+16%	UHC	BCBS	73
19	New Hampshire	$45	+13%	UHC	Aetna	56
20	Michigan	$43	+8%	BCBS	UHC	112
21	Vermont	$43	+8%	UHC	BCBS	35
22	Mississippi	$43	+8%	BCBS	UHC	103
23	Utah	$41	+2%	BCBS	UHC	116
24	Rhode Island	$40	-0%	Aetna	UHC	62
25	Kansas	$39	-3%	BCBS	Aetna	106
26	Virginia	$39	-4%	Aetna	Cigna	109
27	Alabama	$38	-6%	BCBS	UHC	111
28	District of Columbia	$38	-6%	Aetna	UHC	51
29	Maryland	$37	-7%	Aetna	Cigna	106
30	California	$37	-7%	Cigna	BCBS	120
31	New York	$37	-7%	BCBS	Cigna	110
32	Illinois	$37	-7%	Cigna	BCBS	111
33	Nevada	$37	-8%	UHC	BCBS	112
34	Tennessee	$37	-8%	BCBS	Cigna	120
35	North Carolina	$36	-9%	UHC	Aetna	100
36	Indiana	$36	-10%	UHC	Aetna	116
37	Arizona	$36	-10%	UHC	Cigna	109
38	Arkansas	$36	-11%	Aetna	Cigna	92
39	Ohio	$36	-11%	UHC	BCBS	111
40	Pennsylvania	$35	-12%	UHC	Cigna	117
41	Missouri	$35	-12%	UHC	Aetna	110
42	New Jersey	$35	-13%	BCBS	Cigna	117
43	Kentucky	$35	-14%	Cigna	BCBS	112
44	West Virginia	$34	-14%	UHC	Cigna	78
45	South Carolina	$34	-14%	Aetna	Cigna	103
46	Texas	$34	-15%	UHC	BCBS	123
47	Louisiana	$34	-16%	Aetna	Cigna	109
47	Oklahoma	$34	-16%	Cigna	BCBS	112
49	Delaware	$34	-16%	Aetna	UHC	47
50	Florida	$29	-28%	UHC	Aetna	112

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 92025?

In the files we analyzed, Blue Cross Blue Shield, at a median of $42 across 3,440 sampled providers. Aetna is lowest at $37, 12% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 108% of the 2026 Medicare non-facility rate of $37.07.

Which state has the highest median for CPT 92025?

Alaska has the highest median at $102; Florida has the lowest at $29.

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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