UnitedHealthcare · Delaware · commercial in-network

UnitedHealthcare negotiated rates in Delaware

How UnitedHealthcare's Delaware rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.

UnitedHealthcare in Delaware at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
108
8% above the Delaware median
Rank in state
1 of 4
UHC 108 · Cigna 100 · BCBS 87 · Aetna 87
vs own national
83
UHC's level vs its national median
Codes where highest
70%
of 228 codes
379 sampled providers211 TINs228 codesMedian 136% of Medicare · method

What the data shows

Generated from Delaware and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Delaware with a rate index of 108 (100 = the Delaware market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 70% of codes in Delaware.

3

UnitedHealthcare's Delaware rates sit 17% below its own national level, the 47th highest of its 51 states.

4

Largest premium over the Delaware market: CPT 52224 (Cystoscopy and treatment) at 257% of market; largest discount: CPT 96574 (Dbrdmt prmlg les w/pdt) at 64%.

How the four payers compare in Delaware

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1081
108
70%379
Cigna1002
100
16%392
Blue Cross Blue Shield873
87
10%170
Aetna874
87
12%349

Where UnitedHealthcare pays most and least against the Delaware market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
52224
Cystoscopy and treatment
$914$355+157%28
52648
Laser surgery of prostate
$2,416$1,219+98%28
11301
Shave skin lesion 0.6-1.0 cm
$127$65+94%15
51700
Irrigation of bladder
$104$54+93%28
43255
Egd control bleeding any
$575$313+84%27
11302
Shave skin lesion 1.1-2.0 cm
$146$80+82%15
77049
Mri breast c-+ w/cad bi
$889$500+78%65
52332
Cystoscopy and treatment
$479$271+77%28

Furthest below market

CodeUHCMarketGapProv.
96574
Dbrdmt prmlg les w/pdt
$191$297-36%15
64721
Carpal tunnel surgery
$543$663-18%50
63047
Lam facetec & foramot lumbar
$1,418$1,684-16%50
93229
Remote 30 day ecg tech supp
$775$917-15%64
65820
Goniotomy
$651$766-15%41
29848
Wrist endoscopy/surgery
$647$760-15%50
22558
Arthrd ant ntrbd min dsc lum
$1,987$2,246-12%50
22551
Arthrd ant ntrbdy cervical
$2,250$2,541-11%50

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 Delaware?

UnitedHealthcare ranks 1st of 4 in Delaware with an index of 108. It is highest on 70% of codes.

Are UnitedHealthcare's Delaware rates above or below its national level?

About 17% below.

Which procedure does UnitedHealthcare pay most above market in Delaware?

CPT 52224 (Cystoscopy and treatment), at 257% of the Delaware 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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