UnitedHealthcare · Kentucky · commercial in-network

UnitedHealthcare negotiated rates in Kentucky

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

UnitedHealthcare in Kentucky at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
114
14% above the Kentucky median
Rank in state
1 of 4
UHC 114 · Cigna 111 · BCBS 89 · Aetna 82
vs own national
88
UHC's level vs its national median
Codes where highest
53%
of 228 codes
820 sampled providers463 TINs228 codesMedian 146% of Medicare · method

What the data shows

Generated from Kentucky and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Kentucky with a rate index of 114 (100 = the Kentucky market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 53% of codes in Kentucky.

3

UnitedHealthcare's Kentucky rates sit 12% below its own national level, the 39th highest of its 51 states.

4

Largest premium over the Kentucky market: CPT 64566 (Neuroeltrd stim post tibial) at 338% of market; largest discount: CPT 70551 (Mri brain stem w/o dye) at 83%.

How the four payers compare in Kentucky

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1141
114
53%820
Cigna1112
111
43%848
Blue Cross Blue Shield893
89
3%935
Aetna824
82
2%681

Where UnitedHealthcare pays most and least against the Kentucky market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
64566
Neuroeltrd stim post tibial
$193$57+238%95
43255
Egd control bleeding any
$1,051$374+181%110
52224
Cystoscopy and treatment
$1,252$447+180%95
43251
Egd remove lesion snare
$763$352+117%110
43248
Egd guide wire insertion
$622$289+115%110
52332
Cystoscopy and treatment
$713$338+111%96
11102
Tangntl bx skin single les
$102$52+97%98
52648
Laser surgery of prostate
$2,809$1,443+95%98

Furthest below market

CodeUHCMarketGapProv.
70551
Mri brain stem w/o dye
$319$385-17%83
92235
Fluorescein angrph mltiframe
$111$134-17%95
72141
Mri neck spine w/o dye
$310$366-15%83
72148
Mri lumbar spine w/o dye
$310$360-14%198
76775
Us exam abdo back wall lim
$77$89-14%98
76857
Us exam pelvic limited
$64$72-12%98
70450
Ct head/brain w/o dye
$165$183-10%83
51798
Us urine capacity measure
$19$21-9%96

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 Kentucky?

UnitedHealthcare ranks 1st of 4 in Kentucky with an index of 114. It is highest on 53% of codes.

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

About 12% below.

Which procedure does UnitedHealthcare pay most above market in Kentucky?

CPT 64566 (Neuroeltrd stim post tibial), at 338% of the Kentucky 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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