UnitedHealthcare employer health plans in Illinois
Who UnitedHealthcare insures among Illinois employers and what those plans pay in premium and broker compensation, and what the UnitedHealthcare network pays physicians and hospitals.
UnitedHealthcare employer health plans in Illinois at a glance
What the data shows
UnitedHealthcare insures 297 employer health plans in Illinois (14% of 2,165 insured large plans), 2nd of 8 carrier groups; Blue Cross Blue Shield (1,496) hold more.
The UnitedHealthcare book in Illinois has held steady since 2020 (291 plans then).
Most of these plans cover 100–499 people (202 plans); 19 cover 1,000 or more.
Median premium per person covered was $5,702, 22% below the Illinois all-carrier median of $7,289. Benefit design and group mix differ, so this is not a price comparison.
90% of these plans reported broker or agent pay on their UnitedHealthcare contracts; where paid, the median was 5.0% of premium (middle half 3.8%–5.8%).
In UnitedHealthcare Choice, 34 of the 50 Employer 50 services have a Illinois benchmark, at a median of 146% of Medicare across those services.
At Illinois hospitals, UnitedHealthcare's commercial rates run higher than other carriers' at the same hospital for 7 of 17 services; a hip or knee replacement stay has a median rate of $21,851 across 44 hospitals.
UnitedHealthcare plans in Illinois, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 291 | 172,874 | 14% | $5,340 |
| 2021 | 302 | 199,040 | 14% | $4,741 |
| 2022 | 335 | 160,541 | 15% | $5,091 |
| 2023 | 339 | 171,906 | 15% | $5,416 |
| 2024 | 297 | 145,423 | 14% | $5,702 |
| 2025 (partial) | 198 | 83,404 | 12% | $5,909 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 49 | 16% |
| 100–499 | 202 | 68% |
| 500–999 | 27 | 9% |
| 1,000–4,999 | 17 | 6% |
| 5,000 or more | 2 | 1% |
Premiums and broker pay
| Measure | UnitedHealthcare | All carriers, Illinois |
|---|---|---|
| Median premium per person covered | $5,702 | $7,289 |
| Premium per person, middle half | $4,088–$7,908 | $5,625–$8,880 |
| Plans reporting broker or agent pay | 90% | 86% |
| Median broker pay, % of premium | 5.0% | 4.0% |
| Broker pay, middle half | 3.8%–5.8% | 3.0%–4.6% |
| Median broker pay per person covered | $278 | $281 |
Industries
UnitedHealthcare's Illinois employer clients are concentrated in manufacturing (81 plans) and health care and social assistance (33), followed by professional and technical services (30).
| Industry | Plans | Share |
|---|---|---|
| Manufacturing | 81 | 27% |
| Health care and social assistance | 33 | 11% |
| Professional and technical services | 30 | 10% |
| Finance and insurance | 24 | 8% |
| Retail trade | 21 | 7% |
| Construction | 19 | 6% |
UnitedHealthcare employer clients in Illinois
287 employers in Illinois have a UnitedHealthcare major-medical contract, 19 of them covering 1,000 or more people. For each one Medlyze has the plan year, the broker on each contract and what that broker was paid, and compiles the list for a state, an industry or a single employer on request.
| Employer | Persons covered | Plan year ends | Broker | Broker pay, % of premium |
|---|---|---|---|---|
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
| Employer name | Locked | Locked | Locked | Locked |
Brokers: request the UnitedHealthcare Prospect List for Illinois →
What the UnitedHealthcare network pays physicians in Illinois
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Diagnostic heart catheterization with coronary angiography | 93458 | $577 | $394–$693 | 201% | $441 | 29 |
| Echocardiogram, transthoracic complete with Doppler | 93306 | $370 | $265–$433 | 188% | $312 | 111 |
| Electrocardiogram (EKG), complete | 93000 | $30 | $21–$35 | 198% | $23 | 76 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $658 | $543–$892 | 154% | $621 | 111 |
| Treadmill stress test, complete | 93015 | $131 | $103–$152 | 178% | $104 | 76 |
| Skin biopsy, single lesion (tangential) | 11102 | $124 | $105–$171 | 130% | $121 | 74 |
| Colonoscopy (diagnostic, with biopsy, with polyp removal) | 45380 | $445 | $352–$471 | 250% | – | 30 |
| Upper GI endoscopy (diagnostic, with biopsy) | 43239 | $263 | $204–$339 | 213% | – | 33 |
| Cataract removal with lens implant | 66984 | $788 | $647–$1,084 | 170% | $749 | 92 |
| Abdominal ultrasound, complete | 76700 | $167 | $132–$229 | 146% | $175 | 117 |
| Bone density scan (DXA), axial | 77080 | $64 | $47–$80 | 163% | $71 | 114 |
| CT abdomen and pelvis with contrast | 74177 | $433 | $353–$610 | 144% | $461 | 117 |
| CT chest without contrast | 71250 | $259 | $194–$321 | 196% | $253 | 118 |
| Chest X-ray, 2 views | 71046 | $41 | $33–$60 | 125% | $47 | 114 |
| MRI brain without and with contrast | 70553 | $667 | $410–$900 | 210% | $610 | 117 |
Professional fee only: facility, implant and anesthesia charges are not included. Limited: rates come from a sample of providers, and groups are counted only in specialties that perform the service.
What the UnitedHealthcare network pays hospitals in Illinois
UnitedHealthcare commercial rates are on record at 75 Illinois hospitals (the hospitals covered so far, not every hospital). Compared at the same hospitals, UnitedHealthcare's rate is higher than the other carriers' median for 7 of 17 services and lower for 10. For Emergency visit, level 4, the rate runs from $112 to $2,274 across 30 hospitals.
This page shows 3 of the 17 services in full. The other rates, the size of each gap and every hospital's prices are in the Plan Cost Benchmark.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| Hip or knee replacement (hospital stay) | 44 | $21,851 | $14,689–$30,038 | Lower | $41,157 |
| C-section delivery (hospital stay) | 47 | Locked | Locked | Lower | Locked |
| Vaginal delivery (hospital stay) | 46 | Locked | Locked | Lower | Locked |
| MRI, lower back | 28 | $415 | $113–$1,466 | Lower | $1,650 |
| MRI, knee | 28 | Locked | Locked | Lower | Locked |
| CT, head | 28 | Locked | Locked | Lower | Locked |
| CT, abdomen and pelvis | 27 | Locked | Locked | Lower | Locked |
| Screening mammogram | 27 | Locked | Locked | Lower | Locked |
| Colonoscopy, diagnostic | 48 | Locked | Locked | Higher | Locked |
| Upper GI endoscopy with biopsy | 46 | Locked | Locked | Higher | Locked |
| Knee arthroscopy | 46 | Locked | Locked | Higher | Locked |
| Cataract surgery | 44 | Locked | Locked | Higher | Locked |
| Gallbladder removal, laparoscopic | 46 | Locked | Locked | Higher | Locked |
| Knee replacement, outpatient | 40 | Locked | Locked | Higher | Locked |
| Emergency visit, level 4 | 30 | $1,117 | $112–$2,274 | Higher | $1,265 |
| Comprehensive metabolic panel | 31 | Locked | Locked | Lower | Locked |
| Complete blood count | 31 | Locked | Locked | Lower | Locked |
Hospitals with the most published UnitedHealthcare rates
| Hospital | Joint replacement | MRI lower back | CT abdomen | Colonoscopy | ER level 4 | Vaginal delivery |
|---|---|---|---|---|---|---|
| Advocate Christ Medical Center | $21,851 | Locked | Locked | Locked | Locked | Locked |
| Advocate Condell Medical Center | $19,353 | Locked | Locked | Locked | Locked | Locked |
| Advocate Good Samaritan Hospital | $21,851 | Locked | Locked | Locked | Locked | Locked |
| Advocate Good Shepherd Hospital | $21,851 | Locked | Locked | Locked | Locked | Locked |
| Advocate Illinois Masonic Medical Center | $21,851 | Locked | Locked | Locked | Locked | Locked |
| Advocate Sherman Hospital | $18,497 | Locked | Locked | Locked | Locked | Locked |
| Advocate Trinity Hospital | $21,851 | Locked | Locked | Locked | Locked | Locked |
| Carle Bromenn Medical Center | $15,874 | Locked | Locked | Locked | Locked | Locked |
| Carle Foundation Hospital | $17,527 | Locked | Locked | Locked | Locked | Locked |
| Carle Health Methodist Hospital | $17,419 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 26%, fee schedules 17%, per diem 0%, percent of billed charges 35%, other 22% of UnitedHealthcare's published commercial rates for these services in Illinois.
Employers: see all 17 services and every hospital near your people in a Plan Cost Benchmark →
Hospital facility rate only: physician, anesthesia and implant charges are separate. Rates are what hospitals publish, not claims paid, and are not weighted by use.
Carriers in Illinois
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Blue Cross Blue Shield | 1,496 | 69% | $7,619 | 4.0% |
| UnitedHealthcare | 297 | 14% | $5,702 | 5.0% |
| Other insurers (regional and local plans) | 188 | 9% | $5,676 | 3.5% |
| Kaiser Permanente | 177 | 8% | $9,988 | 3.4% |
| Cigna | 173 | 8% | $1,578 | 5.4% |
| Aetna | 88 | 4% | $5,427 | 3.5% |
| Humana | 25 | 1% | $1,367 | 6.9% |
| Anthem (Elevance Health) | 13 | 1% | $7,729 | 3.6% |
UnitedHealthcare in other states
FAQ
How many Illinois employers have UnitedHealthcare health insurance?
297 employer health plans in Illinois reported a UnitedHealthcare major-medical contract in their 2024 filings, covering 145,423 persons. Self-funded plans that UnitedHealthcare only administers are not counted.
What is UnitedHealthcare's share of the Illinois insured employer market?
14% of insured large employer health plans, 2nd of 8 carrier groups by plan count.
How much do brokers earn on UnitedHealthcare plans in Illinois?
Where broker or agent pay was reported, the median was 5.0% of premium (4.0% across all carriers in Illinois).
Can I see the figures for a specific employer?
Yes. Brokers can request an Employer Account Brief on one employer, or a Prospect List for this market. Employers can request a Plan Cost Benchmark for their own plan. Use the request form on this page.
About these numbers
- Plans counted: the 297 Illinois employer health plans with a UnitedHealthcare major-medical contract in their 2024 filings. Self-funded plans that UnitedHealthcare only administers are not counted here.
- Premium and broker figures: 285 contracts with 20+ persons covered and a reported premium; broker percentages use the 267 contracts that reported broker or agent pay.
- Network rates: UnitedHealthcare Choice, professional fees only, from a sample of providers.
- Hospital prices: UnitedHealthcare commercial rates at Illinois hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.