UnitedHealthcare · Hawaii · commercial in-network

UnitedHealthcare negotiated rates in Hawaii

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

UnitedHealthcare in Hawaii at a glance

Across 226 procedure codes for 8 specialties
Rate index vs state market
100
0% above the Hawaii median
Rank in state
2 of 4
BCBS 109 · UHC 100 · Cigna 100 · Aetna 97
vs own national
88
UHC's level vs its national median
Codes where highest
64%
of 226 codes
453 sampled providers430 TINs226 codesMedian 138% of Medicare · method

What the data shows

Generated from Hawaii and UnitedHealthcare data only
1

UnitedHealthcare ranks 2nd of 4 payers in Hawaii with a rate index of 100 (100 = the Hawaii market median), across 226 procedure codes.

2

UnitedHealthcare has the highest median for 64% of codes in Hawaii.

3

UnitedHealthcare's Hawaii rates sit 12% below its own national level, the 42nd highest of its 51 states.

4

Largest premium over the Hawaii market: CPT 37243 (Vasc embolize/occlude organ) at 109% of market; largest discount: CPT 93296 (Rem interrog evl pm/ids) at 83%.

How the four payers compare in Hawaii

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
Blue Cross Blue Shield1091
109
52%472
UnitedHealthcare1002
100
64%453
Cigna1002
100
63%413
Aetna974
97
23%114

Where UnitedHealthcare pays most and least against the Hawaii market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
37243
Vasc embolize/occlude organ
$894$823+9%44
93297
Rem interrog dev eval icpms
$80$74+7%51
93298
Rem interrog dev eval scrms
$136$128+7%51
71045
X-ray exam chest 1 view
$37$37+2%82
20610
Drain/inj joint/bursa w/o us
$83$83+0%452
72131
Ct lumbar spine w/o dye
$190$190+0%82
92134
Cptrz oph dx img pst sgm rta
$43$43+0%79
71046
X-ray exam chest 2 views
$49$49+0%82

Furthest below market

CodeUHCMarketGapProv.
93296
Rem interrog evl pm/ids
$28$33-17%51
33361
Replace aortic valve perq
$1,391$1,605-13%51
93016
Cv stress test supvj only
$26$28-7%51
93015
Cv stress test supvj i&r
$96$100-4%51
73221
Mri joint upr extrem w/o dye
$300$304-1%146
73721
Mri jnt of lwr extre w/o dye
$299$302-1%146
93294
Rem interrog evl pm/ldls pm
$36$36-1%51
72158
Mri lumbar spine w/o & w/dye
$469$471-0%82

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 Hawaii?

UnitedHealthcare ranks 2nd of 4 in Hawaii with an index of 100. It is highest on 64% of codes.

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

About 12% below.

Which procedure does UnitedHealthcare pay most above market in Hawaii?

CPT 37243 (Vasc embolize/occlude organ), at 109% of the Hawaii 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.

Is your UnitedHealthcare contract at market in Hawaii?

Compare your negotiated rates for these codes with Hawaii medians for each payer.

Request a rate benchmark