CPT 92083 · professional fee

Extended visual field xm (CPT 92083): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 92083, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee
Median rate
$73
P10 to P90: $51 to $141
vs Medicare
114%
non-facility rate $63.80
Payer spread
1.18×
BCBS $77 vs Aetna $65
State spread
3.3×
AK $164 to FL $50
4,663 sampled providers6,356 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers
1

Blue Cross Blue Shield has the highest median for CPT 92083 in the files analyzed, at $77, 18% above Aetna ($65), the lowest of the 4 payers shown.

2

The state spread is 3.3×: Alaska has the highest median at $164 and Florida the lowest at $50, a gap larger than the gap between the highest and lowest payer.

3

Commercial rates run 114% of the Medicare non-facility rate ($63.80), which ranks 172nd of 228 tracked codes by commercial-to-Medicare ratio.

4

Rates are tightest within Aetna (interquartile range $24) and widest within Cigna ($50).

5

This is a top-10 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
PayerMedianP25P75vs nationalRankProvidersPosition
Blue Cross Blue Shield$77$62$101+5%13,451
121% of Medicare
Cigna$76$58$108+4%23,775
119% of Medicare
UnitedHealthcare$76$61$105+4%33,834
119% of Medicare
Aetna$65$58$82-11%43,401
102% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($63.80)
$32$59$85$111$137$163Blue Cross Blue ShieldCignaUnitedHealthcareAetnaMedicare

Rates by state

Median across payers · 50 states with enough data
RankStateMedianvs nationalHighest payerLowest payerProvidersLevel
1Alaska$164+124%n/an/a24
2Wisconsin$126+72%BCBSAetna104
3Nebraska$123+68%CignaAetna71
3South Dakota$123+68%BCBSUHC39
5Oregon$122+68%CignaAetna100
6North Dakota$122+67%BCBSAetna34
7Iowa$113+55%CignaAetna93
8Georgia$101+38%CignaAetna115
9Montana$100+37%UHCBCBS36
10Minnesota$99+35%BCBSAetna95
11Massachusetts$98+34%UHCAetna118
12Connecticut$92+26%UHCAetna111
13Idaho$88+21%AetnaBCBS57
13New Mexico$88+21%CignaBCBS74
13Washington$88+21%UHCCigna120
16New Hampshire$88+20%UHCCigna56
17Colorado$87+19%BCBSAetna103
18Maine$87+19%UHCAetna63
19Vermont$86+18%UHCCigna35
20Hawaii$84+15%BCBSCigna89
21California$82+12%AetnaUHC122
22Utah$81+11%CignaUHC116
23Mississippi$78+7%BCBSCigna103
24Michigan$77+6%BCBSAetna112
25Illinois$72-1%CignaBCBS111
26Rhode Island$69-5%AetnaUHC62
27Ohio$69-5%BCBSAetna111
28Arkansas$69-6%AetnaCigna92
29Indiana$68-6%BCBSAetna116
30Missouri$68-7%BCBSAetna110
31Kentucky$67-8%CignaAetna112
32Virginia$67-8%AetnaCigna109
33North Carolina$67-8%CignaAetna100
34Nevada$66-10%CignaAetna112
35Alabama$65-11%BCBSUHC111
36District of Columbia$65-11%AetnaBCBS51
37Maryland$64-12%AetnaBCBS106
38Tennessee$64-12%BCBSCigna120
39West Virginia$64-13%UHCCigna78
40Kansas$64-13%UHCAetna106
41South Carolina$63-14%CignaUHC103
42Arizona$62-15%UHCCigna109
43Pennsylvania$62-15%CignaAetna117
44Louisiana$61-17%AetnaCigna109
45Delaware$61-17%UHCCigna47
46New Jersey$60-18%BCBSCigna117
47New York$59-19%CignaAetna110
48Oklahoma$59-20%CignaBCBS112
48Texas$59-20%UHCBCBS123
50Florida$50-32%UHCAetna112

Frequently asked questions

Answers use this page's data
Which payer has the highest median rate for CPT 92083?

In the files we analyzed, Blue Cross Blue Shield, at a median of $77 across 3,451 sampled providers. Aetna is lowest at $65, 18% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 114% of the 2026 Medicare non-facility rate of $63.80.

Which state has the highest median for CPT 92083?

Alaska has the highest median at $164; Florida has the lowest at $50.

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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