CPT 92235 · professional fee

Fluorescein angrph mltiframe (CPT 92235): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 92235, from their published in-network rate files.

OphthalmologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$145

P10 to P90: $92 to $288

vs Medicare

89%

non-facility rate $162.33

Payer spread

1.33×

BCBS $170 vs Aetna $127

State spread

3.5×

AK $340 to FL $97

4,649 sampled providers6,313 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 92235 in the files analyzed, at $170, 33% above Aetna ($127), the lowest of the 4 payers shown.

The state spread is 3.5×: Alaska has the highest median at $340 and Florida the lowest at $97, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 89% of the Medicare non-facility rate ($162.33), which ranks 219th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $42) and widest within Cigna ($99).

This is a top-17 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	$170	$119	$221	+17%	1	3,447	104% of Medicare
Cigna	$148	$115	$214	+2%	2	3,774	91% of Medicare
UnitedHealthcare	$128	$103	$188	-12%	3	3,834	79% of Medicare
Aetna	$127	$118	$160	-12%	4	3,124	78% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($162.33)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$340	+135%	n/a	n/a	23
2	Iowa	$283	+96%	BCBS	Aetna	93
3	Oregon	$266	+84%	Cigna	Aetna	100
4	Nebraska	$257	+78%	BCBS	Cigna	71
5	North Dakota	$236	+63%	BCBS	Aetna	33
6	Wisconsin	$223	+54%	Cigna	Aetna	104
7	Hawaii	$214	+48%	Cigna	BCBS	89
8	Massachusetts	$198	+37%	BCBS	Aetna	117
9	South Dakota	$186	+29%	BCBS	UHC	39
10	Montana	$186	+28%	Cigna	BCBS	36
11	Idaho	$183	+26%	BCBS	UHC	57
12	Minnesota	$181	+25%	BCBS	Aetna	95
13	Georgia	$181	+25%	UHC	Aetna	114
14	Connecticut	$175	+21%	BCBS	Aetna	111
15	Colorado	$173	+19%	BCBS	UHC	102
16	New Hampshire	$172	+19%	Cigna	Aetna	56
17	Washington	$170	+17%	BCBS	Cigna	120
18	Vermont	$165	+14%	Cigna	UHC	35
19	New Mexico	$159	+10%	Cigna	BCBS	73
20	Maine	$158	+10%	Cigna	Aetna	63
21	Rhode Island	$158	+9%	Aetna	UHC	62
22	Michigan	$158	+9%	BCBS	UHC	112
23	Utah	$149	+3%	BCBS	UHC	116
24	Mississippi	$148	+2%	Aetna	Cigna	103
25	Arizona	$146	+1%	BCBS	UHC	108
26	Virginia	$145	+0%	BCBS	UHC	107
26	Maryland	$145	+0%	Aetna	UHC	106
26	District of Columbia	$145	+0%	Aetna	UHC	51
29	West Virginia	$144	-1%	UHC	Aetna	78
30	Ohio	$140	-3%	Cigna	UHC	111
31	Kentucky	$134	-8%	Cigna	UHC	112
32	California	$134	-8%	Aetna	UHC	122
33	Alabama	$132	-9%	BCBS	UHC	111
33	Illinois	$132	-9%	Cigna	BCBS	111
35	Missouri	$129	-11%	Cigna	UHC	110
36	Nevada	$128	-11%	BCBS	UHC	112
37	Indiana	$127	-12%	BCBS	UHC	115
37	Kansas	$127	-12%	BCBS	Cigna	106
37	North Carolina	$127	-12%	Cigna	Aetna	100
40	Louisiana	$125	-14%	Cigna	UHC	109
41	Pennsylvania	$123	-15%	BCBS	UHC	116
42	Tennessee	$122	-16%	Cigna	BCBS	120
43	New York	$119	-18%	Cigna	Aetna	109
44	Delaware	$117	-19%	Aetna	Cigna	47
44	New Jersey	$117	-19%	Aetna	Cigna	117
46	Texas	$116	-20%	Cigna	BCBS	122
47	South Carolina	$113	-22%	Aetna	UHC	102
48	Oklahoma	$104	-28%	Cigna	BCBS	112
49	Arkansas	$100	-31%	UHC	Cigna	92
50	Florida	$97	-33%	Cigna	Aetna	112

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 92235?

In the files we analyzed, Blue Cross Blue Shield, at a median of $170 across 3,447 sampled providers. Aetna is lowest at $127, 33% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 89% of the 2026 Medicare non-facility rate of $162.33.

Which state has the highest median for CPT 92235?

Alaska has the highest median at $340; Florida has the lowest at $97.

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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