UnitedHealthcare negotiated rates in Connecticut
How UnitedHealthcare's Connecticut rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Connecticut at a glance
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Connecticut with a rate index of 127 (100 = the Connecticut market median), across 228 procedure codes.
UnitedHealthcare has the highest median for 69% of codes in Connecticut.
UnitedHealthcare's Connecticut rates sit 35% above its own national level, the 8th highest of its 51 states.
Largest premium over the Connecticut market: CPT 26055 (Incise finger tendon sheath) at 206% of market; largest discount: CPT 88342 (Imhchem/imcytchm 1st antb) at 82%.
How the four payers compare in Connecticut
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 127 | 1 | 69% | 804 | |
| Cigna | 107 | 2 | 18% | 855 | |
| Blue Cross Blue Shield | 100 | 3 | 12% | 887 | |
| Aetna | 79 | 4 | 0% | 754 |
Where UnitedHealthcare pays most and least against the Connecticut market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 26055 Incise finger tendon sheath | $1,492 | $723 | +106% | 103 |
| 11301 Shave skin lesion 0.6-1.0 cm | $173 | $84 | +105% | 99 |
| 52648 Laser surgery of prostate | $3,529 | $1,742 | +103% | 101 |
| 11302 Shave skin lesion 1.1-2.0 cm | $218 | $110 | +98% | 99 |
| 52224 Cystoscopy and treatment | $927 | $474 | +96% | 100 |
| 51702 Insert temp bladder cath | $126 | $66 | +91% | 101 |
| 96910 Photchmtx tar&uvb/ptrltm&uvb | $201 | $105 | +90% | 99 |
| 92012 Intrm oph exam est patient | $147 | $78 | +87% | 92 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 88342 Imhchem/imcytchm 1st antb | $117 | $142 | -18% | 99 |
| 92235 Fluorescein angrph mltiframe | $145 | $175 | -17% | 92 |
| 75574 Ct angio hrt w/3d image | $649 | $759 | -14% | 106 |
| 96413 Chemo iv infusion 1 hr | $289 | $318 | -9% | 114 |
| 71260 Ct thorax dx c+ | $374 | $407 | -8% | 91 |
| 70450 Ct head/brain w/o dye | $221 | $239 | -8% | 91 |
| 74178 Ct abd&plv wo cntr flwd cntr | $683 | $738 | -8% | 193 |
| 96372 Ther/proph/diag inj sc/im | $35 | $38 | -7% | 97 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Connecticut?
UnitedHealthcare ranks 1st of 4 in Connecticut with an index of 127. It is highest on 69% of codes.
Are UnitedHealthcare's Connecticut rates above or below its national level?
About 35% above.
Which procedure does UnitedHealthcare pay most above market in Connecticut?
CPT 26055 (Incise finger tendon sheath), at 206% of the Connecticut 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 Connecticut?
Compare your negotiated rates for these codes with Connecticut medians for each payer.