UnitedHealthcare employer health plans in Texas
Who UnitedHealthcare insures among Texas 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 Texas at a glance
What the data shows
UnitedHealthcare insures 734 employer health plans in Texas (20% of 3,599 insured large plans), 2nd of 8 carrier groups; Blue Cross Blue Shield (1,804) hold more.
UnitedHealthcare has shrunk 6% in Texas since 2020, from 780 plans, as insured plans moved carrier or to self-funding.
Most of these plans cover 100–499 people (465 plans); 73 cover 1,000 or more.
Median premium per person covered was $5,375, 9% below the Texas all-carrier median of $5,901. Benefit design and group mix differ, so this is not a price comparison.
91% of these plans reported broker or agent pay on their UnitedHealthcare contracts; where paid, the median was 5.1% of premium (middle half 4.0%–5.9%).
In UnitedHealthcare Choice, 34 of the 50 Employer 50 services have a Texas benchmark, at a median of 138% of Medicare across those services.
At Texas hospitals, UnitedHealthcare's commercial rates run higher than other carriers' at the same hospital for 8 of 17 services; a hip or knee replacement stay has a median rate of $28,583 across 109 hospitals.
UnitedHealthcare plans in Texas, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 780 | 786,684 | 24% | $4,834 |
| 2021 | 794 | 805,661 | 24% | $4,668 |
| 2022 | 763 | 870,810 | 22% | $4,991 |
| 2023 | 749 | 846,139 | 21% | $5,330 |
| 2024 | 734 | 1,044,426 | 20% | $5,375 |
| 2025 (partial) | 496 | 947,079 | 20% | $5,395 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 95 | 13% |
| 100–499 | 465 | 63% |
| 500–999 | 97 | 13% |
| 1,000–4,999 | 61 | 8% |
| 5,000 or more | 12 | 2% |
Premiums and broker pay
| Measure | UnitedHealthcare | All carriers, Texas |
|---|---|---|
| Median premium per person covered | $5,375 | $5,901 |
| Premium per person, middle half | $3,624–$6,891 | $4,055–$7,555 |
| Plans reporting broker or agent pay | 91% | 85% |
| Median broker pay, % of premium | 5.1% | 4.8% |
| Broker pay, middle half | 4.0%–5.9% | 3.4%–6.0% |
| Median broker pay per person covered | $249 | $258 |
Industries
UnitedHealthcare's Texas employer clients are concentrated in professional and technical services (103 plans) and manufacturing (95), followed by construction (88).
| Industry | Plans | Share |
|---|---|---|
| Professional and technical services | 103 | 14% |
| Manufacturing | 95 | 13% |
| Construction | 88 | 12% |
| Health care and social assistance | 57 | 8% |
| Finance and insurance | 56 | 8% |
| Real estate | 42 | 6% |
UnitedHealthcare employer clients in Texas
682 employers in Texas have a UnitedHealthcare major-medical contract, 73 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 Texas →
What the UnitedHealthcare network pays physicians in Texas
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Diagnostic heart catheterization with coronary angiography | 93458 | $371 | $325–$517 | 129% | $344 | 36 |
| Echocardiogram, transthoracic complete with Doppler | 93306 | $85 | $68–$128 | 126% | $82 | 118 |
| Electrocardiogram (EKG), complete | 93000 | $24 | $18–$30 | 154% | $18 | 74 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $91 | $79–$110 | 123% | $69 | 118 |
| Treadmill stress test, complete | 93015 | $96 | $69–$129 | 131% | $82 | 79 |
| Skin biopsy, single lesion (tangential) | 11102 | $107 | $96–$131 | 112% | $113 | 86 |
| Colonoscopy (diagnostic, with biopsy, with polyp removal) | 45385 | $369 | $297–$478 | 165% | $477 | 32 |
| Upper GI endoscopy (diagnostic, with biopsy) | 43235 | $197 | $136–$214 | 178% | – | 30 |
| Cataract removal with lens implant | 66984 | $663 | $569–$806 | 143% | $633 | 102 |
| Abdominal ultrasound, complete | 76700 | $167 | $131–$246 | 146% | $135 | 93 |
| Bone density scan (DXA), axial | 77080 | $71 | $48–$99 | 180% | $44 | 92 |
| CT abdomen and pelvis with contrast | 74177 | $427 | $332–$660 | 142% | $369 | 90 |
| CT chest without contrast | 71250 | $257 | $182–$367 | 194% | $189 | 93 |
| Chest X-ray, 2 views | 71046 | $40 | $32–$63 | 122% | $35 | 91 |
| MRI brain without and with contrast | 70553 | $704 | $445–$945 | 222% | $491 | 93 |
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 Texas
UnitedHealthcare commercial rates are on record at 183 Texas 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 8 of 17 services and lower for 8. For MRI, lower back, the rate runs from $203 to $2,518 across 81 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) | 109 | $28,583 | $12,582–$48,280 | Higher | – |
| C-section delivery (hospital stay) | 113 | Locked | Locked | Lower | Locked |
| Vaginal delivery (hospital stay) | 119 | Locked | Locked | Lower | Locked |
| MRI, lower back | 81 | $518 | $203–$2,518 | Higher | $3,529 |
| MRI, knee | 77 | Locked | Locked | Higher | Locked |
| CT, head | 82 | Locked | Locked | Higher | Locked |
| CT, abdomen and pelvis | 82 | Locked | Locked | Lower | Locked |
| Screening mammogram | 76 | Locked | Locked | Lower | Locked |
| Colonoscopy, diagnostic | 86 | Locked | Locked | Higher | Locked |
| Upper GI endoscopy with biopsy | 86 | Locked | Locked | Higher | Locked |
| Knee arthroscopy | 93 | Locked | Locked | Higher | Locked |
| Cataract surgery | 93 | Locked | Locked | About the same | Locked |
| Gallbladder removal, laparoscopic | 93 | Locked | Locked | Higher | Locked |
| Knee replacement, outpatient | 93 | Locked | Locked | Lower | Locked |
| Emergency visit, level 4 | 83 | $2,068 | $1,231–$6,468 | Lower | $2,175 |
| Comprehensive metabolic panel | 82 | Locked | Locked | Lower | Locked |
| Complete blood count | 80 | 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 |
|---|---|---|---|---|---|---|
| Baylor St. Luke's Medical Center Bertner | $28,184 | Locked | Locked | Locked | Locked | Locked |
| Chi St. Luke's Health - Lakeside Hospital | $21,855 | Locked | Locked | Locked | Locked | Locked |
| Christus Hospital Orange | $12,477 | Locked | Locked | Locked | Locked | Locked |
| Christus Santa Rosa Hospital San Marcos | $12,058 | Locked | Locked | Locked | Locked | Locked |
| Christus Southeast Texas St. Elizabeth | $12,477 | Locked | Locked | Locked | Locked | Locked |
| Corpus Christi Medical Center Bayview | $29,672 | Locked | Locked | Locked | Locked | Locked |
| Doctor's Hospital At Renaissance | $14,499 | Locked | Locked | Locked | Locked | Locked |
| Hca Houston Healthcare Clear Lake | $23,100 | Locked | Locked | Locked | Locked | Locked |
| Hca Houston Healthcare Conroe | $23,100 | Locked | Locked | Locked | Locked | Locked |
| Hca Houston Healthcare Kingwood | $23,100 | Locked | Locked | Locked | Locked | Locked |
How the contracts are written: case rates 29%, fee schedules 53%, per diem 2%, percent of billed charges 11%, other 5% of UnitedHealthcare's published commercial rates for these services in Texas.
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 Texas
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Blue Cross Blue Shield | 1,804 | 50% | $6,240 | 4.3% |
| UnitedHealthcare | 734 | 20% | $5,375 | 5.1% |
| Cigna | 654 | 18% | $2,700 | 7.7% |
| Other insurers (regional and local plans) | 350 | 10% | $3,674 | 6.0% |
| Kaiser Permanente | 271 | 8% | $9,124 | 3.9% |
| Aetna | 190 | 5% | $6,075 | 3.9% |
| Anthem (Elevance Health) | 33 | 1% | $6,897 | 4.8% |
| Humana | 11 | 0% | $3,665 | 5.3% |
UnitedHealthcare in other states
FAQ
How many Texas employers have UnitedHealthcare health insurance?
734 employer health plans in Texas reported a UnitedHealthcare major-medical contract in their 2024 filings, covering 1,044,426 persons. Self-funded plans that UnitedHealthcare only administers are not counted.
What is UnitedHealthcare's share of the Texas insured employer market?
20% of insured large employer health plans, 2nd of 8 carrier groups by plan count.
How much do brokers earn on UnitedHealthcare plans in Texas?
Where broker or agent pay was reported, the median was 5.1% of premium (4.8% across all carriers in Texas).
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 734 Texas 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: 693 contracts with 20+ persons covered and a reported premium; broker percentages use the 668 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 Texas hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.