UnitedHealthcare negotiated rates in Arizona
How UnitedHealthcare's Arizona rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Arizona at a glance
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Arizona with a rate index of 115 (100 = the Arizona market median), across 228 procedure codes.
UnitedHealthcare has the highest median for 64% of codes in Arizona.
UnitedHealthcare's Arizona rates sit 18% below its own national level, the 49th highest of its 51 states.
Largest premium over the Arizona market: CPT 11104 (Punch bx skin single lesion) at 234% of market; largest discount: CPT 93298 (Rem interrog dev eval scrms) at 32%.
How the four payers compare in Arizona
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 115 | 1 | 64% | 699 | |
| Cigna | 102 | 2 | 29% | 698 | |
| Aetna | 91 | 3 | 3% | 719 | |
| Blue Cross Blue Shield | 82 | 4 | 5% | 479 |
Where UnitedHealthcare pays most and least against the Arizona market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 11104 Punch bx skin single lesion | $121 | $52 | +134% | 95 |
| 11102 Tangntl bx skin single les | $97 | $41 | +133% | 95 |
| 11301 Shave skin lesion 0.6-1.0 cm | $114 | $52 | +117% | 95 |
| 43255 Egd control bleeding any | $924 | $428 | +116% | 90 |
| 52224 Cystoscopy and treatment | $871 | $403 | +116% | 91 |
| 64566 Neuroeltrd stim post tibial | $138 | $65 | +111% | 91 |
| 11302 Shave skin lesion 1.1-2.0 cm | $132 | $62 | +111% | 95 |
| 43239 Egd biopsy single/multiple | $583 | $286 | +104% | 90 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $30 | $94 | -68% | 89 |
| 93297 Rem interrog dev eval icpms | $30 | $56 | -47% | 89 |
| 92242 Fluorescein&icg angiography | $242 | $303 | -20% | 93 |
| 92235 Fluorescein angrph mltiframe | $120 | $146 | -18% | 93 |
| 72148 Mri lumbar spine w/o dye | $309 | $375 | -18% | 158 |
| 90960 Esrd srv 4 visits p mo 20+ | $291 | $347 | -16% | 80 |
| 88342 Imhchem/imcytchm 1st antb | $64 | $74 | -13% | 95 |
| 73721 Mri jnt of lwr extre w/o dye | $327 | $375 | -13% | 158 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Arizona?
UnitedHealthcare ranks 1st of 4 in Arizona with an index of 115. It is highest on 64% of codes.
Are UnitedHealthcare's Arizona rates above or below its national level?
About 18% below.
Which procedure does UnitedHealthcare pay most above market in Arizona?
CPT 11104 (Punch bx skin single lesion), at 234% of the Arizona 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 Arizona?
Compare your negotiated rates for these codes with Arizona medians for each payer.