UnitedHealthcare negotiated rates in Colorado
How UnitedHealthcare's Colorado rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Colorado at a glance
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Colorado with a rate index of 113 (100 = the Colorado market median), across 228 procedure codes.
UnitedHealthcare has the highest median for 74% of codes in Colorado.
UnitedHealthcare's Colorado rates sit 5% above its own national level, the 21st highest of its 51 states.
Largest premium over the Colorado market: CPT 64566 (Neuroeltrd stim post tibial) at 354% of market; largest discount: CPT 88313 (Special stains group 2) at 54%.
How the four payers compare in Colorado
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 113 | 1 | 74% | 749 | |
| Blue Cross Blue Shield | 100 | 2 | 22% | 796 | |
| Cigna | 94 | 3 | 3% | 752 | |
| Aetna | 82 | 4 | 1% | 717 |
Where UnitedHealthcare pays most and least against the Colorado market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 64566 Neuroeltrd stim post tibial | $206 | $58 | +254% | 98 |
| 52224 Cystoscopy and treatment | $1,255 | $408 | +208% | 98 |
| 52332 Cystoscopy and treatment | $764 | $310 | +147% | 99 |
| 11102 Tangntl bx skin single les | $123 | $56 | +120% | 114 |
| 11104 Punch bx skin single lesion | $153 | $70 | +118% | 114 |
| 43239 Egd biopsy single/multiple | $579 | $267 | +117% | 95 |
| 43248 Egd guide wire insertion | $643 | $299 | +115% | 95 |
| 52000 Cystourethroscopy | $353 | $167 | +111% | 99 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 88313 Special stains group 2 | $46 | $85 | -46% | 95 |
| 88305 Tissue exam by pathologist | $43 | $70 | -39% | 209 |
| 93298 Rem interrog dev eval scrms | $50 | $79 | -37% | 102 |
| 88312 Special stains group 1 | $64 | $98 | -34% | 209 |
| 88342 Imhchem/imcytchm 1st antb | $64 | $89 | -28% | 114 |
| 93297 Rem interrog dev eval icpms | $49 | $66 | -25% | 102 |
| 97110 Therapeutic exercises | $31 | $37 | -16% | 83 |
| 92235 Fluorescein angrph mltiframe | $150 | $173 | -13% | 88 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Colorado?
UnitedHealthcare ranks 1st of 4 in Colorado with an index of 113. It is highest on 74% of codes.
Are UnitedHealthcare's Colorado rates above or below its national level?
About 5% above.
Which procedure does UnitedHealthcare pay most above market in Colorado?
CPT 64566 (Neuroeltrd stim post tibial), at 354% of the Colorado 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 Colorado?
Compare your negotiated rates for these codes with Colorado medians for each payer.