UnitedHealthcare negotiated rates in Alabama
How UnitedHealthcare's Alabama rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Alabama at a glance
What the data shows
UnitedHealthcare ranks 3rd of 4 payers in Alabama with a rate index of 96 (100 = the Alabama market median), across 228 procedure codes.
UnitedHealthcare has the highest median for only 31% of codes in Alabama; Blue Cross Blue Shield leads with an index of 100 in the files analyzed.
UnitedHealthcare's Alabama rates sit 27% below its own national level, the 51st highest of its 51 states.
Largest premium over the Alabama market: CPT 64566 (Neuroeltrd stim post tibial) at 295% of market; largest discount: CPT 93298 (Rem interrog dev eval scrms) at 46%.
How the four payers compare in Alabama
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| Blue Cross Blue Shield | 100 | 1 | 33% | 852 | |
| Aetna | 100 | 1 | 31% | 847 | |
| UnitedHealthcare | 96 | 3 | 31% | 719 | |
| Cigna | 86 | 4 | 5% | 837 |
Where UnitedHealthcare pays most and least against the Alabama market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 64566 Neuroeltrd stim post tibial | $139 | $47 | +195% | 96 |
| 52224 Cystoscopy and treatment | $1,030 | $395 | +161% | 96 |
| 11104 Punch bx skin single lesion | $117 | $48 | +146% | 101 |
| 11102 Tangntl bx skin single les | $93 | $38 | +145% | 101 |
| 11301 Shave skin lesion 0.6-1.0 cm | $112 | $51 | +120% | 101 |
| 11302 Shave skin lesion 1.1-2.0 cm | $130 | $60 | +116% | 101 |
| 17313 Mohs 1 stage t/a/l | $585 | $322 | +82% | 101 |
| 17311 Mohs 1 stage h/n/hf/g | $626 | $359 | +74% | 101 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $32 | $68 | -54% | 100 |
| 76512 Oph us dx b-scan | $50 | $99 | -49% | 88 |
| 67036 Removal of inner eye fluid | $872 | $1,718 | -49% | 88 |
| 67108 Repair detached retina | $1,161 | $2,286 | -49% | 88 |
| 67042 Vit for macular hole | $1,115 | $2,194 | -49% | 88 |
| 93297 Rem interrog dev eval icpms | $28 | $53 | -48% | 100 |
| 67210 Treatment of retinal lesion | $502 | $954 | -47% | 88 |
| 66984 Xcapsl ctrc rmvl w/o ecp | $530 | $987 | -46% | 88 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Alabama?
UnitedHealthcare ranks 3rd of 4 in Alabama with an index of 96. It is highest on 31% of codes.
Are UnitedHealthcare's Alabama rates above or below its national level?
About 27% below.
Which procedure does UnitedHealthcare pay most above market in Alabama?
CPT 64566 (Neuroeltrd stim post tibial), at 295% of the Alabama median.
Methodology
- Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
- Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
- Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
- Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
- Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
- Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.
Is your UnitedHealthcare contract at market in Alabama?
Compare your negotiated rates for these codes with Alabama medians for each payer.