CPT 99348 · professional fee

Home/res vst est low mdm 30 (CPT 99348): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 99348, from their published in-network rate files.

Internal medicineSnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$109

P10 to P90: $68 to $186

vs Medicare

138%

non-facility rate $78.83

Payer spread

1.68×

UHC $123 vs Aetna $73

State spread

2.7×

AK $187 to AL $70

5,431 sampled providers7,648 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 99348 in the files analyzed, at $123, 68% above Aetna ($73), the lowest of the 4 payers shown.

The state spread is 2.7×: Alaska has the highest median at $187 and Alabama the lowest at $70, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 138% of the Medicare non-facility rate ($78.83), which ranks 143rd of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $26) and widest within UnitedHealthcare ($72).

This is a top-35 code for internal medicine 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	$123	$95	$166	+13%	1	4,246	156% of Medicare
Cigna	$115	$86	$147	+5%	2	4,175	146% of Medicare
Blue Cross Blue Shield	$108	$83	$137	-1%	3	4,161	137% of Medicare
Aetna	$73	$61	$87	-33%	4	2,069	93% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($78.83)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$187	+72%	UHC	Cigna	89
2	Wisconsin	$184	+69%	UHC	Aetna	106
3	Oregon	$178	+64%	UHC	Aetna	98
4	Washington	$163	+50%	UHC	Aetna	109
5	Minnesota	$158	+45%	UHC	Aetna	112
6	North Dakota	$157	+44%	BCBS	Aetna	105
7	Massachusetts	$151	+39%	UHC	Aetna	118
8	Nebraska	$150	+38%	UHC	BCBS	89
9	North Carolina	$132	+21%	UHC	Aetna	124
10	District of Columbia	$130	+20%	UHC	BCBS	83
11	South Dakota	$130	+20%	Cigna	Aetna	123
12	Georgia	$128	+18%	UHC	Aetna	120
13	Idaho	$128	+17%	Cigna	Aetna	106
14	Connecticut	$127	+16%	UHC	Aetna	118
15	Wyoming	$126	+16%	BCBS	Aetna	105
16	Colorado	$121	+11%	UHC	Aetna	114
17	Montana	$120	+10%	UHC	Cigna	102
18	New Hampshire	$119	+10%	UHC	Aetna	110
19	Vermont	$113	+4%	UHC	BCBS	106
20	Pennsylvania	$112	+3%	UHC	Aetna	108
21	Maine	$112	+3%	UHC	Aetna	120
22	New Mexico	$111	+2%	UHC	BCBS	103
23	Iowa	$111	+2%	UHC	Aetna	99
24	Kansas	$111	+2%	BCBS	Aetna	110
25	California	$108	-0%	Cigna	Aetna	96
26	Michigan	$107	-1%	BCBS	Aetna	101
27	Utah	$106	-2%	BCBS	UHC	107
28	Illinois	$106	-2%	UHC	Aetna	88
29	New Jersey	$106	-3%	Cigna	Aetna	112
30	Arkansas	$105	-3%	UHC	Aetna	120
31	South Carolina	$105	-4%	UHC	Aetna	100
32	Ohio	$103	-6%	UHC	Aetna	120
33	Oklahoma	$100	-8%	Cigna	BCBS	109
34	Missouri	$100	-8%	UHC	Aetna	114
35	West Virginia	$99	-9%	UHC	Aetna	114
36	Tennessee	$98	-10%	UHC	Aetna	105
37	New York	$96	-11%	UHC	Aetna	114
38	Hawaii	$95	-12%	BCBS	Cigna	77
39	Virginia	$94	-14%	UHC	Aetna	97
40	Kentucky	$93	-14%	Cigna	Aetna	125
41	Louisiana	$91	-16%	UHC	Aetna	109
42	Indiana	$90	-17%	UHC	Aetna	123
43	Rhode Island	$87	-20%	UHC	Aetna	97
44	Maryland	$84	-23%	UHC	Aetna	94
45	Delaware	$84	-23%	UHC	Aetna	107
46	Texas	$82	-25%	Cigna	Aetna	120
47	Mississippi	$81	-26%	UHC	Aetna	99
48	Nevada	$81	-26%	BCBS	Aetna	106
49	Florida	$80	-27%	UHC	Aetna	102
50	Arizona	$74	-32%	UHC	Aetna	95
51	Alabama	$70	-36%	BCBS	Aetna	103

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 99348?

In the files we analyzed, UnitedHealthcare, at a median of $123 across 4,246 sampled providers. Aetna is lowest at $73, 68% 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 $78.83.

Which state has the highest median for CPT 99348?

Alaska has the highest median at $187; Alabama has the lowest at $70.

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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