CPT 99202 · professional fee

Office o/p new sf 15 min (CPT 99202): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 99202, from their published in-network rate files.

DermatologySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$70

P10 to P90: $44 to $135

vs Medicare

92%

non-facility rate $75.15

Payer spread

1.45×

UHC $85 vs Aetna $59

State spread

2.5×

AK $116 to AZ $46

4,288 sampled providers5,655 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 99202 in the files analyzed, at $85, 45% above Aetna ($59), the lowest of the 4 payers shown.

The state spread is 2.5×: Alaska has the highest median at $116 and Arizona the lowest at $46, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 92% of the Medicare non-facility rate ($75.15), which ranks 212th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $24) and widest within Cigna ($42).

This is a top-35 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
UnitedHealthcare	$85	$70	$122	+23%	1	3,646	113% of Medicare
Blue Cross Blue Shield	$73	$54	$90	+5%	2	3,325	97% of Medicare
Cigna	$63	$49	$90	-9%	3	3,534	84% of Medicare
Aetna	$59	$45	$69	-15%	4	3,200	78% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($75.15)

Rates by state

Median across payers · 50 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$116	+67%	BCBS	Aetna	16
2	Wisconsin	$115	+65%	UHC	Aetna	103
3	Minnesota	$108	+56%	BCBS	Aetna	116
4	Oregon	$108	+55%	UHC	BCBS	108
5	Nebraska	$104	+50%	UHC	BCBS	48
6	New Hampshire	$103	+49%	UHC	Aetna	78
7	Massachusetts	$102	+46%	UHC	BCBS	116
8	Maine	$97	+40%	UHC	Aetna	41
9	Washington	$97	+39%	UHC	Aetna	107
10	South Dakota	$96	+38%	UHC	BCBS	37
11	Hawaii	$93	+34%	UHC	Cigna	41
12	Georgia	$90	+29%	UHC	Aetna	116
13	North Dakota	$88	+26%	BCBS	Aetna	23
14	Idaho	$85	+23%	UHC	Cigna	46
15	California	$77	+11%	BCBS	Cigna	98
16	New York	$75	+8%	UHC	Cigna	107
17	Connecticut	$75	+8%	UHC	Aetna	109
18	Vermont	$74	+7%	UHC	BCBS	21
19	Rhode Island	$74	+7%	UHC	BCBS	48
20	Montana	$74	+7%	UHC	BCBS	43
21	Michigan	$74	+6%	BCBS	Aetna	105
22	Delaware	$73	+5%	UHC	Aetna	18
23	Pennsylvania	$70	+1%	UHC	Cigna	117
24	Mississippi	$70	+0%	UHC	Aetna	55
25	Utah	$69	-0%	UHC	BCBS	113
25	Ohio	$69	-0%	UHC	Aetna	115
27	Nevada	$69	-1%	UHC	Cigna	67
28	Illinois	$69	-1%	UHC	BCBS	113
29	New Mexico	$69	-1%	UHC	Aetna	34
30	North Carolina	$68	-1%	BCBS	Cigna	125
31	Iowa	$68	-2%	UHC	Aetna	63
32	West Virginia	$68	-3%	UHC	Aetna	31
33	Tennessee	$67	-3%	UHC	Cigna	123
34	Colorado	$66	-4%	UHC	Aetna	125
35	Indiana	$66	-5%	UHC	Aetna	116
36	Missouri	$66	-5%	UHC	Aetna	118
37	Kansas	$66	-6%	UHC	Aetna	73
38	Oklahoma	$65	-6%	UHC	Cigna	80
39	Louisiana	$65	-7%	UHC	Cigna	130
40	New Jersey	$63	-10%	BCBS	Aetna	99
41	Texas	$62	-11%	UHC	BCBS	134
42	Kentucky	$62	-11%	UHC	Aetna	112
43	Arkansas	$59	-15%	UHC	Aetna	65
44	Florida	$59	-15%	UHC	Cigna	114
45	Virginia	$58	-17%	UHC	Aetna	120
46	Alabama	$53	-23%	UHC	Aetna	131
47	South Carolina	$53	-23%	BCBS	Aetna	109
48	Maryland	$53	-24%	UHC	BCBS	109
49	District of Columbia	$52	-25%	UHC	BCBS	37
50	Arizona	$46	-33%	UHC	BCBS	103

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 99202?

In the files we analyzed, UnitedHealthcare, at a median of $85 across 3,646 sampled providers. Aetna is lowest at $59, 45% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 92% of the 2026 Medicare non-facility rate of $75.15.

Which state has the highest median for CPT 99202?

Alaska has the highest median at $116; Arizona has the lowest at $46.

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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