UnitedHealthcare negotiated rates in Idaho
How UnitedHealthcare's Idaho rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Idaho at a glance
What the data shows
UnitedHealthcare ranks 3rd of 4 payers in Idaho with a rate index of 98 (100 = the Idaho market median), across 228 procedure codes.
UnitedHealthcare has the highest median for only 27% of codes in Idaho; Aetna leads with an index of 112 in the files analyzed.
UnitedHealthcare's Idaho rates sit 2% below its own national level, the 27th highest of its 51 states.
Largest premium over the Idaho market: CPT 64566 (Neuroeltrd stim post tibial) at 264% of market; largest discount: CPT 76872 (Us transrectal) at 50%.
How the four payers compare in Idaho
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| Aetna | 112 | 1 | 38% | 491 | |
| Blue Cross Blue Shield | 107 | 2 | 25% | 547 | |
| UnitedHealthcare | 98 | 3 | 27% | 546 | |
| Cigna | 97 | 4 | 10% | 529 |
Where UnitedHealthcare pays most and least against the Idaho market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 64566 Neuroeltrd stim post tibial | $176 | $67 | +164% | 45 |
| 52224 Cystoscopy and treatment | $1,000 | $388 | +158% | 45 |
| 52332 Cystoscopy and treatment | $709 | $296 | +139% | 45 |
| 51702 Insert temp bladder cath | $103 | $49 | +109% | 45 |
| 51700 Irrigation of bladder | $123 | $59 | +109% | 45 |
| 11102 Tangntl bx skin single les | $125 | $61 | +105% | 36 |
| 11104 Punch bx skin single lesion | $157 | $77 | +105% | 36 |
| 52648 Laser surgery of prostate | $2,665 | $1,330 | +100% | 45 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 76872 Us transrectal | $139 | $281 | -50% | 45 |
| 88313 Special stains group 2 | $39 | $61 | -36% | 47 |
| 88312 Special stains group 1 | $56 | $86 | -35% | 83 |
| 71046 X-ray exam chest 2 views | $35 | $52 | -33% | 112 |
| 77080 Dxa bone density axial | $47 | $68 | -31% | 112 |
| 71045 X-ray exam chest 1 view | $27 | $40 | -31% | 112 |
| 76536 Us exam of head and neck | $124 | $181 | -31% | 112 |
| 74176 Ct abd & pelvis w/o contrast | $225 | $322 | -30% | 112 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Idaho?
UnitedHealthcare ranks 3rd of 4 in Idaho with an index of 98. It is highest on 27% of codes.
Are UnitedHealthcare's Idaho rates above or below its national level?
About 2% below.
Which procedure does UnitedHealthcare pay most above market in Idaho?
CPT 64566 (Neuroeltrd stim post tibial), at 264% of the Idaho 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 Idaho?
Compare your negotiated rates for these codes with Idaho medians for each payer.