CPT 92133 · professional fee

Cptrzd oph dx img pst sgm on (CPT 92133): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 92133, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$42

P10 to P90: $29 to $81

vs Medicare

138%

non-facility rate $30.73

Payer spread

1.20×

UHC $45 vs Aetna $38

State spread

3.6×

AK $104 to FL $29

4,661 sampled providers6,328 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 92133 in the files analyzed, at $45, 20% above Aetna ($38), the lowest of the 4 payers shown.

The state spread is 3.6×: Alaska has the highest median at $104 and Florida the lowest at $29, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 138% of the Medicare non-facility rate ($30.73), which ranks 144th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $12) and widest within Blue Cross Blue Shield ($26).

This is a top-13 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	$45	$36	$62	+7%	1	3,826	147% of Medicare
Cigna	$44	$36	$61	+4%	2	3,750	143% of Medicare
Blue Cross Blue Shield	$44	$32	$59	+3%	3	3,437	143% of Medicare
Aetna	$38	$34	$46	-11%	4	3,394	123% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($30.73)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$104	+146%	BCBS	Aetna	24
2	Oregon	$67	+59%	UHC	Aetna	100
3	South Dakota	$67	+57%	Cigna	BCBS	39
4	Nebraska	$66	+56%	UHC	Aetna	71
5	Wisconsin	$66	+56%	BCBS	Aetna	104
6	Iowa	$65	+54%	Cigna	Aetna	93
7	North Dakota	$62	+46%	BCBS	Aetna	34
8	Georgia	$57	+36%	Cigna	Aetna	115
9	Montana	$57	+35%	UHC	BCBS	36
10	Massachusetts	$53	+26%	UHC	Aetna	118
11	Connecticut	$52	+24%	Cigna	Aetna	111
12	Washington	$51	+20%	UHC	Cigna	120
13	Idaho	$51	+20%	Aetna	BCBS	57
14	Maine	$51	+20%	UHC	Aetna	63
15	Minnesota	$51	+20%	BCBS	Aetna	95
16	Colorado	$50	+19%	Cigna	Aetna	103
17	New Mexico	$50	+17%	Cigna	BCBS	73
18	California	$49	+16%	Cigna	UHC	122
19	Utah	$46	+9%	Cigna	UHC	116
20	Michigan	$45	+7%	UHC	Aetna	112
21	New Hampshire	$44	+4%	UHC	BCBS	56
22	Vermont	$44	+3%	UHC	Cigna	35
23	Mississippi	$43	+2%	BCBS	Aetna	103
24	Ohio	$43	+1%	UHC	Aetna	111
25	Indiana	$41	-3%	Cigna	Aetna	116
26	Alabama	$41	-3%	BCBS	Aetna	111
27	Arkansas	$41	-3%	Aetna	UHC	92
28	Missouri	$40	-4%	BCBS	Aetna	110
29	Hawaii	$40	-5%	BCBS	Cigna	89
30	Nevada	$40	-5%	Cigna	Aetna	112
31	Illinois	$40	-6%	UHC	BCBS	111
32	North Carolina	$40	-6%	Cigna	BCBS	100
33	South Carolina	$40	-6%	Cigna	UHC	103
34	Kansas	$39	-9%	BCBS	Aetna	106
35	Virginia	$39	-9%	Aetna	Cigna	109
36	West Virginia	$38	-9%	UHC	Cigna	78
37	New York	$38	-9%	BCBS	Aetna	110
38	Rhode Island	$38	-10%	Aetna	UHC	62
39	Maryland	$38	-10%	Aetna	BCBS	106
40	District of Columbia	$38	-10%	Aetna	BCBS	50
41	Delaware	$38	-11%	UHC	Aetna	47
42	Louisiana	$36	-14%	Aetna	Cigna	109
43	New Jersey	$36	-14%	BCBS	Cigna	117
44	Kentucky	$36	-15%	Cigna	Aetna	112
45	Pennsylvania	$36	-16%	UHC	BCBS	117
46	Arizona	$36	-16%	UHC	BCBS	109
47	Tennessee	$35	-17%	UHC	Cigna	120
48	Oklahoma	$35	-17%	UHC	BCBS	112
49	Texas	$34	-20%	UHC	BCBS	123
50	Florida	$29	-32%	UHC	Aetna	112

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 92133?

In the files we analyzed, UnitedHealthcare, at a median of $45 across 3,826 sampled providers. Aetna is lowest at $38, 20% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 138% of the 2026 Medicare non-facility rate of $30.73.

Which state has the highest median for CPT 92133?

Alaska has the highest median at $104; 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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