CPT 92928 · professional fee

Prq tcat plmt ntrac st 1 les (CPT 92928): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 92928, from their published in-network rate files.

CardiologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$887

P10 to P90: $579 to $1,620

vs Medicare

191%

non-facility rate $463.94

Payer spread

1.49×

UHC $1,014 vs Aetna $682

State spread

3.9×

AK $2,321 to AZ $599

5,047 sampled providers6,892 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 92928 in the files analyzed, at $1,014, 49% above Aetna ($682), the lowest of the 4 payers shown.

The state spread is 3.9×: Alaska has the highest median at $2,321 and Arizona the lowest at $599, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 191% of the Medicare non-facility rate ($463.94), which ranks 44th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $295) and widest within UnitedHealthcare ($592).

This is a top-17 code for cardiology 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	$1,014	$764	$1,356	+14%	1	4,299	219% of Medicare
Cigna	$962	$789	$1,256	+8%	2	4,059	207% of Medicare
Blue Cross Blue Shield	$873	$681	$1,156	-2%	3	3,949	188% of Medicare
Aetna	$682	$586	$881	-23%	4	3,279	147% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($463.94)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$2,321	+162%	n/a	n/a	27
2	Connecticut	$1,276	+44%	UHC	Aetna	119
3	Minnesota	$1,273	+44%	UHC	Aetna	102
4	Georgia	$1,221	+38%	Cigna	Aetna	129
5	New Hampshire	$1,218	+37%	UHC	Aetna	117
6	Oregon	$1,200	+35%	UHC	Aetna	92
7	Wisconsin	$1,192	+34%	UHC	Aetna	101
8	Washington	$1,181	+33%	UHC	BCBS	110
9	North Carolina	$1,156	+30%	UHC	Aetna	127
10	North Dakota	$1,115	+26%	UHC	Aetna	30
11	South Dakota	$1,109	+25%	UHC	BCBS	34
12	Nebraska	$1,096	+24%	UHC	Aetna	81
13	Massachusetts	$1,086	+22%	UHC	Aetna	108
14	Iowa	$1,067	+20%	UHC	Aetna	113
15	Rhode Island	$1,055	+19%	Cigna	Aetna	91
16	District of Columbia	$1,031	+16%	Cigna	BCBS	80
17	Wyoming	$1,030	+16%	n/a	n/a	20
18	Kansas	$980	+10%	UHC	BCBS	121
19	Ohio	$947	+7%	UHC	BCBS	116
20	Missouri	$913	+3%	UHC	BCBS	120
21	Idaho	$908	+2%	UHC	Aetna	63
22	Montana	$904	+2%	UHC	Cigna	48
23	Utah	$899	+1%	BCBS	Aetna	97
24	Arkansas	$893	+1%	UHC	BCBS	120
25	Illinois	$877	-1%	UHC	BCBS	119
26	Colorado	$872	-2%	UHC	Aetna	127
27	Mississippi	$871	-2%	Cigna	Aetna	131
28	New Jersey	$869	-2%	UHC	Aetna	113
29	Alabama	$866	-2%	BCBS	Aetna	126
30	Indiana	$859	-3%	UHC	Aetna	122
31	Tennessee	$856	-3%	Cigna	Aetna	123
32	Kentucky	$849	-4%	Cigna	Aetna	128
33	Maine	$848	-4%	BCBS	Aetna	99
34	New Mexico	$841	-5%	UHC	Aetna	84
35	Oklahoma	$837	-6%	UHC	Aetna	119
36	Pennsylvania	$832	-6%	UHC	Cigna	98
37	South Carolina	$824	-7%	BCBS	Aetna	117
38	Vermont	$824	-7%	UHC	BCBS	25
39	Louisiana	$796	-10%	Cigna	Aetna	110
40	Maryland	$795	-10%	Cigna	BCBS	112
41	West Virginia	$782	-12%	Cigna	BCBS	80
42	Virginia	$744	-16%	UHC	Aetna	123
43	New York	$736	-17%	Cigna	Aetna	123
44	Florida	$734	-17%	BCBS	Aetna	111
45	Texas	$733	-17%	UHC	Aetna	130
46	California	$720	-19%	Cigna	Aetna	107
47	Michigan	$717	-19%	UHC	Aetna	115
48	Nevada	$699	-21%	Cigna	Aetna	116
49	Delaware	$679	-23%	UHC	BCBS	72
50	Hawaii	$675	-24%	UHC	Cigna	54
51	Arizona	$599	-33%	Cigna	BCBS	97

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 92928?

In the files we analyzed, UnitedHealthcare, at a median of $1,014 across 4,299 sampled providers. Aetna is lowest at $682, 49% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 191% of the 2026 Medicare non-facility rate of $463.94.

Which state has the highest median for CPT 92928?

Alaska has the highest median at $2,321; Arizona has the lowest at $599.

Is this the surgeon, physician or facility payment?

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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