Insight Health

What do payers pay for CPT 33207 in Dallas-Fort Worth-Arlington?

Median published rate is 52.1% of Medicare across 15 NPIs (September 2026 files).

Data as of the September 2026 payer files.

Across 1 procedure code and 3 payers, the median published rate is 52 percent of locality-adjusted Medicare in the September 2026 payer files. Cigna publishes the highest median at 119 percent and Aetna the lowest at 14 percent, a spread of 105 points on identical work. 1 of 3 payers sit at or above Medicare and 2 below it. The best-covered row rests on 15 confirmed NPIs, and any combination under five is withheld rather than shown thin. These are contracted amounts the payer published, not what a practice was paid, and every row clears the ghost-rate filter, so each NPI counted here actually billed the code in the Medicare utilization file.

Published rates

What do payers pay for CPT 33207 in Dallas-Fort Worth-Arlington?
PayerCodeSitenp25p50p75% of Medicare
UnitedHealthcare33207facility15389839401208052.1%
Cigna33207facility108728.229030.629675.92119.4%
Aetna33207professional91017.510921162.514.4%

ASC versus hospital savings appears only when a hospital outpatient rate is published. Hospital OPPS is not in this phase.

Median rate by payer, percent of Medicare

Solid line 100% of Medicare.

Median published rate as a percent of locality-adjusted Medicare: Cigna 119 percent, UnitedHealthcare 52 percent, Aetna 14 percent.Cigna119%UnitedHealthcare52%Aetna14%

How this is measured

Rates come from each payer's published Transparency in Coverage machine-readable file, filtered to this specialty's codes and to NPIs the CMS Medicare utilization file shows billing that code. Percentiles are computed per payer, code and site of service across those NPIs, then divided by the locality-adjusted Medicare amount for the same code and place. Full methodology.

  • Payer files: 2026-09

Questions

Is this what the practice was paid?

No. These are contracted rates as published by the payer, not allowed or paid amounts.

Why are some cells blank?

Ghost rates are removed using Medicare utilization. A row appears only if that NPI billed the code.

What is an episode total?

Professional plus facility when both exist. We never average them or invent a total from one side.

Saran Siva

Co-founder & CTO, Insight Health · September 2026 files