UnitedHealthcare employer health plans in Utah
Who UnitedHealthcare insures among Utah 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 Utah at a glance
What the data shows
UnitedHealthcare insures 101 employer health plans in Utah (21% of 478 insured large plans), 2nd of 8 carrier groups; regional insurers hold more.
The UnitedHealthcare book in Utah has held steady since 2020 (101 plans then).
Most of these plans cover 100–499 people (57 plans); 14 cover 1,000 or more.
Median premium per person covered was $5,232, 0% below the Utah all-carrier median of $5,241. Benefit design and group mix differ, so this is not a price comparison.
93% of these plans reported broker or agent pay on their UnitedHealthcare contracts; where paid, the median was 4.9% of premium (middle half 3.4%–5.7%).
In UnitedHealthcare Choice, 31 of the 50 Employer 50 services have a Utah benchmark, at a median of 148% of Medicare across those services.
At Utah hospitals, UnitedHealthcare's commercial rates run higher than other carriers' at the same hospital for 12 of 17 services; a hip or knee replacement stay has a median rate of $16,181 across 9 hospitals.
UnitedHealthcare plans in Utah, 2020–2024
| Form year | Plans | Persons covered | Share of state | Median premium / person |
|---|---|---|---|---|
| 2020 | 101 | 39,967 | 22% | $4,302 |
| 2021 | 84 | 53,789 | 19% | $3,983 |
| 2022 | 96 | 69,661 | 20% | $4,075 |
| 2023 | 89 | 65,922 | 19% | $4,582 |
| 2024 | 101 | 60,416 | 21% | $5,232 |
| 2025 (partial) | 66 | 34,403 | 17% | $5,491 |
Plan size
| Persons covered | Plans | Share |
|---|---|---|
| Under 100 | 12 | 12% |
| 100–499 | 57 | 56% |
| 500–999 | 18 | 18% |
| 1,000–4,999 | 14 | 14% |
| 5,000 or more | 0 | 0% |
Premiums and broker pay
| Measure | UnitedHealthcare | All carriers, Utah |
|---|---|---|
| Median premium per person covered | $5,232 | $5,241 |
| Premium per person, middle half | $4,259–$6,609 | $3,536–$6,835 |
| Plans reporting broker or agent pay | 93% | 88% |
| Median broker pay, % of premium | 4.9% | 4.7% |
| Broker pay, middle half | 3.4%–5.7% | 3.2%–6.0% |
| Median broker pay per person covered | $206 | $221 |
Industries
UnitedHealthcare's Utah employer clients are concentrated in professional and technical services (17 plans) and manufacturing (11), followed by health care and social assistance (10).
| Industry | Plans | Share |
|---|---|---|
| Professional and technical services | 17 | 17% |
| Manufacturing | 11 | 11% |
| Health care and social assistance | 10 | 10% |
| Information | 10 | 10% |
| Retail trade | 9 | 9% |
| Administrative and support services | 7 | 7% |
UnitedHealthcare employer clients in Utah
98 employers in Utah have a UnitedHealthcare major-medical contract, 14 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 Utah →
What the UnitedHealthcare network pays physicians in Utah
| Service | Code | Median | Middle half | % of Medicare | Other networks, median | Provider groups |
|---|---|---|---|---|---|---|
| Echocardiogram, transthoracic complete with Doppler | 93306 | $115 | $89–$128 | 171% | $100 | 30 |
| Electrocardiogram (EKG), complete | 93000 | $30 | $24–$37 | 198% | $24 | 23 |
| Nuclear stress test (SPECT myocardial perfusion) | 78452 | $72 | $69–$140 | 96% | $104 | 30 |
| Treadmill stress test, complete | 93015 | $120 | $86–$175 | 164% | $111 | 16 |
| Skin biopsy, single lesion (tangential) | 11102 | $100 | $98–$132 | 105% | – | 56 |
| Cataract removal with lens implant | 66984 | $598 | $541–$721 | 129% | $838 | 51 |
| Abdominal ultrasound, complete | 76700 | $59 | $42–$77 | 158% | $52 | 78 |
| Bone density scan (DXA), axial | 77080 | $15 | $10–$19 | 155% | $14 | 78 |
| CT abdomen and pelvis with contrast | 74177 | $135 | $93–$174 | 161% | $118 | 78 |
| CT chest without contrast | 71250 | $77 | $59–$103 | 155% | $76 | 78 |
| Chest X-ray, 2 views | 71046 | $16 | $11–$21 | 161% | $14 | 78 |
| MRI brain without and with contrast | 70553 | $169 | $117–$219 | 161% | $157 | 78 |
| MRI cervical spine without contrast | 72141 | $110 | $76–$142 | 161% | $116 | 78 |
| MRI knee (lower-extremity joint) without contrast | 73721 | $98 | $69–$130 | 157% | $108 | 78 |
| MRI lumbar spine without contrast | 72148 | $108 | $76–$142 | 158% | $114 | 78 |
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 Utah
UnitedHealthcare commercial rates are on record at 12 Utah 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 12 of 17 services and lower for 5. For Hip or knee replacement (hospital stay), the rate runs from $13,275 to $37,621 across 9 hospitals.
| Service | Hospitals | Median rate | Range (P10–P90) | vs other carriers, same hospitals | Cash price, median |
|---|---|---|---|---|---|
| Hip or knee replacement (hospital stay) | 9 | $16,181 | $13,275–$37,621 | Lower | – |
| MRI, lower back | 7 | $518 | $518–$550 | Higher | $4,273 |
| Emergency visit, level 4 | 7 | $3,911 | $2,018–$3,911 | Higher | $3,503 |
Hospital-by-hospital UnitedHealthcare rates for Utah are in the Plan Cost Benchmark; this page shows them once 15 or more hospitals' files include them.
How the contracts are written: case rates 30%, fee schedules 27%, per diem 1%, percent of billed charges 39%, other 3% of UnitedHealthcare's published commercial rates for these services in Utah.
Employers: request hospital prices 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 Utah
| Carrier | Plans | Share | Median premium / person | Median broker % |
|---|---|---|---|---|
| Other insurers (regional and local plans) | 224 | 47% | $5,146 | 4.1% |
| UnitedHealthcare | 101 | 21% | $5,232 | 4.9% |
| Cigna | 77 | 16% | $2,210 | 9.9% |
| Blue Cross Blue Shield | 74 | 15% | $5,612 | 4.0% |
| Kaiser Permanente | 49 | 10% | $7,530 | 3.7% |
| Aetna | 24 | 5% | $5,907 | 2.9% |
| Anthem (Elevance Health) | 4 | 1% | $5,877 | 4.9% |
| Humana | 1 | 0% | – | – |
UnitedHealthcare in other states
FAQ
How many Utah employers have UnitedHealthcare health insurance?
101 employer health plans in Utah reported a UnitedHealthcare major-medical contract in their 2024 filings, covering 60,416 persons. Self-funded plans that UnitedHealthcare only administers are not counted.
What is UnitedHealthcare's share of the Utah insured employer market?
21% of insured large employer health plans, 2nd of 8 carrier groups by plan count.
How much do brokers earn on UnitedHealthcare plans in Utah?
Where broker or agent pay was reported, the median was 4.9% of premium (4.7% across all carriers in Utah).
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 101 Utah 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: 93 contracts with 20+ persons covered and a reported premium; broker percentages use the 94 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 Utah hospitals; stay and facility prices only.
- Full method and limits: how the employer health plan data is built.