UnitedHealthcare · Connecticut · commercial in-network

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

Across 228 procedure codes for 8 specialties
Rate index vs state market
127
27% above the Connecticut median
Rank in state
1 of 4
UHC 127 · Cigna 107 · BCBS 100 · Aetna 79
vs own national
135
UHC's level vs its national median
Codes where highest
69%
of 228 codes
804 sampled providers463 TINs228 codesMedian 224% of Medicare · method

What the data shows

Generated from Connecticut and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Connecticut with a rate index of 127 (100 = the Connecticut market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 69% of codes in Connecticut.

3

UnitedHealthcare's Connecticut rates sit 35% above its own national level, the 8th highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1271
127
69%804
Cigna1072
107
18%855
Blue Cross Blue Shield1003
100
12%887
Aetna794
79
0%754

Where UnitedHealthcare pays most and least against the Connecticut market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
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

CodeUHCMarketGapProv.
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

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Alaska193
164
Wisconsin173
610
Minnesota166
618
Oregon164
683
Massachusetts152
772

Lowest states

StateIndexProv.
Alabama73
719
Florida78
744
Arizona82
699
Louisiana83
808
Delaware83
379

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

How these numbers are calculated
  • 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.

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