UnitedHealthcare · Georgia · commercial in-network

UnitedHealthcare negotiated rates in Georgia

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

UnitedHealthcare in Georgia at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
115
15% above the Georgia median
Rank in state
1 of 4
UHC 115 · Cigna 105 · BCBS 98 · Aetna 83
vs own national
125
UHC's level vs its national median
Codes where highest
61%
of 228 codes
780 sampled providers528 TINs228 codesMedian 193% of Medicare · method

What the data shows

Generated from Georgia and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Georgia with a rate index of 115 (100 = the Georgia market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 61% of codes in Georgia.

3

UnitedHealthcare's Georgia rates sit 25% above its own national level, the 13th highest of its 51 states.

4

Largest premium over the Georgia market: CPT 11104 (Punch bx skin single lesion) at 243% of market; largest discount: CPT 45390 (Colonoscopy w/resection) at 73%.

How the four payers compare in Georgia

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1151
115
61%780
Cigna1052
105
27%829
Blue Cross Blue Shield983
98
10%944
Aetna834
83
2%755

Where UnitedHealthcare pays most and least against the Georgia market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
11104
Punch bx skin single lesion
$231$95+143%105
11102
Tangntl bx skin single les
$177$76+131%105
11301
Shave skin lesion 0.6-1.0 cm
$224$108+109%105
11302
Shave skin lesion 1.1-2.0 cm
$260$135+92%105
17313
Mohs 1 stage t/a/l
$1,154$654+76%105
92012
Intrm oph exam est patient
$163$94+72%98
52332
Cystoscopy and treatment
$766$447+71%104
17311
Mohs 1 stage h/n/hf/g
$1,231$719+71%105

Furthest below market

CodeUHCMarketGapProv.
45390
Colonoscopy w/resection
$519$711-27%104
43264
Ercp remove duct calculi
$586$787-26%104
43237
Endoscopic us exam esoph
$315$423-26%104
43238
Egd us fine needle bx/aspir
$374$503-26%104
43259
Egd us exam duodenum/jejunum
$365$489-25%104
43246
Egd place gastrostomy tube
$324$433-25%104
43274
Ercp duct stent placement
$724$963-25%104
43276
Ercp stent exchange w/dilate
$753$999-25%104

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 Georgia?

UnitedHealthcare ranks 1st of 4 in Georgia with an index of 115. It is highest on 61% of codes.

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

About 25% above.

Which procedure does UnitedHealthcare pay most above market in Georgia?

CPT 11104 (Punch bx skin single lesion), at 243% of the Georgia 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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