Built on federal price-transparency data · Ophthalmology
Find out which of your surgical contracts are trailing the market.
Your highest-volume surgical CPT codes are negotiated across four major payers — and odds are at least one contract is well below the market and you can't see it. EarnestMD pulls the negotiated rates for your surgical schedule across UHC, BCBS, Aetna, and Cigna and shows you exactly which contracts lag, and by how much.
The problem
A multi-location eye-surgery group carries the same handful of high-volume surgical codes across every commercial payer — and each payer prices them differently. The payer knows what comparable groups are paid for those exact codes; you see four of your own contracts and no way to rank them against the market. The contract that's quietly under-market is the one costing you the most, and it's invisible without a cross-payer benchmark.
- Cross-payer blindness. You can't see which of your four payers is the laggard on your highest-volume codes.
- Surveys don't go code-deep. Blended, self-reported medians won't tell you your rate for a specific surgical CPT on a named plan.
- Volume amplifies the gap. On a high-throughput surgical schedule, a small per-code gap compounds into real annual dollars.
What you get
- Cross-payer benchmark by CPT. Your highest-volume surgical codes set against comparable groups across all four major commercial payers — which contracts trail, and by how much.
- Recoverable-dollars ranking. Every code ranked by what closing the gap is worth on your volume.
- Site-of-service splits. Office vs. ASC vs. HOPD where it applies to your schedule.
- Payer-ready proposal. A sanitized, sourced document per payer — your case without exposing your hand.
Procedures we benchmark
- CPT 66984
- CPT 67028
- CPT 92134
- CPT 92250
- CPT 92014
In practice
A multi-location eye-surgery group benchmarked its highest-volume surgical CPT codes across every major commercial payer, exposing which contracts trailed the market and by how much.
How it works
- 1. Tell us your practice — NPIs (or group name) + the payers and codes that matter. No claims data, no contracts.
- 2. We resolve your rates — match your providers and comparable peers to payers’ federally-required published rates.
- 3. Open the workbench — your rates, benchmarked by payer, code, and site of service; every gap in dollars.
- 4. Build your ask — rank by recoverable dollars; print a board-ready report and a sanitized payer-facing proposal.
Ophthalmology FAQ
- Can you benchmark specific surgical CPT codes?
- Yes — you tell us the codes that drive your schedule and we benchmark them by named payer.
- Do you cover all our payers?
- UnitedHealthcare, BlueCross BlueShield (state + national), Aetna, and Cigna. Humana exited the commercial market and no longer publishes commercial rates, so no one can benchmark it.
- How fast can we see something?
- Minutes — the demo needs no account.
Find out what you’re leaving on the table.
Open the workbench and see your ophthalmology payer gaps in minutes — the live demo needs no account.
Other specialties
Rate figures are derived from payers’ public price-transparency filings published under the Transparency in Coverage rule. EarnestMD is independent and not affiliated with any insurer.