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
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Kentucky with a rate index of 114 (100 = the Kentucky market median), across 228 procedure codes.
UnitedHealthcare has the highest median for 53% of codes in Kentucky.
UnitedHealthcare's Kentucky rates sit 12% below its own national level, the 39th highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 114 | 1 | 53% | 820 | |
| Cigna | 111 | 2 | 43% | 848 | |
| Blue Cross Blue Shield | 89 | 3 | 3% | 935 | |
| Aetna | 82 | 4 | 2% | 681 |
Where UnitedHealthcare pays most and least against the Kentucky market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
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
- 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 Kentucky?
Compare your negotiated rates for these codes with Kentucky medians for each payer.