CPT 96910 · professional fee

Photchmtx tar&uvb/ptrltm&uvb (CPT 96910): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 96910, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$125

P10 to P90: $67 to $255

vs Medicare

109%

non-facility rate $114.90

Payer spread

1.10×

BCBS $132 vs Cigna $121

State spread

3.0×

AK $257 to FL $84

4,279 sampled providers5,652 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 96910 in the files analyzed, at $132, 10% above Cigna ($121), the lowest of the 4 payers shown.

The state spread is 3.0×: Alaska has the highest median at $257 and Florida the lowest at $84, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 109% of the Medicare non-facility rate ($114.90), which ranks 177th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $31) and widest within UnitedHealthcare ($95).

This is a top-21 code for dermatology 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	$132	$103	$173	+6%	1	3,389	115% of Medicare
UnitedHealthcare	$127	$101	$196	+2%	2	3,645	111% of Medicare
Aetna	$121	$103	$134	-3%	3	2,112	105% of Medicare
Cigna	$121	$84	$172	-3%	4	3,534	105% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($114.90)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$257	+105%	n/a	n/a	16
2	North Dakota	$227	+81%	n/a	n/a	24
3	Oregon	$223	+78%	UHC	Aetna	108
4	Nebraska	$215	+71%	UHC	BCBS	48
5	South Dakota	$207	+65%	Cigna	UHC	37
6	Massachusetts	$196	+57%	BCBS	Aetna	116
7	New Hampshire	$194	+55%	Cigna	Aetna	77
8	Georgia	$194	+55%	UHC	Aetna	116
9	Montana	$187	+50%	UHC	Cigna	44
10	Wisconsin	$176	+40%	BCBS	Cigna	103
11	Minnesota	$172	+37%	BCBS	Aetna	116
12	Washington	$170	+36%	UHC	BCBS	106
13	Iowa	$169	+35%	BCBS	Cigna	63
14	Idaho	$163	+30%	Cigna	UHC	46
15	Hawaii	$163	+30%	Cigna	BCBS	46
16	Maine	$160	+28%	Cigna	UHC	39
17	Colorado	$144	+15%	BCBS	Aetna	125
18	Vermont	$137	+10%	UHC	Cigna	21
19	Illinois	$137	+10%	BCBS	Aetna	113
20	Utah	$136	+9%	Cigna	Aetna	113
21	Kansas	$134	+7%	UHC	Aetna	72
22	Michigan	$131	+5%	BCBS	UHC	107
23	Oklahoma	$126	+1%	BCBS	Aetna	80
24	Mississippi	$126	+0%	BCBS	Cigna	55
25	Texas	$125	+0%	BCBS	UHC	134
26	Rhode Island	$124	-1%	Cigna	Aetna	48
27	New York	$122	-2%	Cigna	Aetna	107
28	Nevada	$121	-3%	BCBS	Cigna	65
29	New Mexico	$121	-3%	UHC	BCBS	33
30	Pennsylvania	$121	-3%	Aetna	Cigna	117
31	Virginia	$121	-3%	BCBS	UHC	120
32	Missouri	$118	-5%	UHC	BCBS	118
33	District of Columbia	$118	-6%	Aetna	UHC	36
34	Maryland	$116	-8%	Aetna	UHC	108
35	Arkansas	$114	-9%	Aetna	Cigna	65
36	Louisiana	$111	-11%	Aetna	Cigna	128
37	West Virginia	$109	-13%	Cigna	UHC	31
38	Ohio	$108	-14%	UHC	BCBS	115
39	North Carolina	$107	-15%	Cigna	BCBS	125
40	Tennessee	$106	-15%	UHC	Cigna	122
40	California	$106	-15%	BCBS	Aetna	98
42	South Carolina	$106	-15%	Aetna	BCBS	105
43	Arizona	$106	-15%	UHC	BCBS	103
44	Connecticut	$105	-16%	UHC	Cigna	109
45	Kentucky	$102	-18%	UHC	BCBS	112
46	New Jersey	$95	-24%	BCBS	Aetna	99
47	Indiana	$91	-27%	Aetna	BCBS	116
48	Alabama	$88	-30%	Aetna	Cigna	131
49	Delaware	$86	-31%	n/a	n/a	17
50	Florida	$84	-33%	Cigna	Aetna	114

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 96910?

In the files we analyzed, Blue Cross Blue Shield, at a median of $132 across 3,389 sampled providers. Cigna is lowest at $121, 10% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 109% of the 2026 Medicare non-facility rate of $114.90.

Which state has the highest median for CPT 96910?

Alaska has the highest median at $257; Florida has the lowest at $84.

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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