UnitedHealthcare · Louisiana · commercial in-network

UnitedHealthcare negotiated rates in Louisiana

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

UnitedHealthcare in Louisiana at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
106
6% above the Louisiana median
Rank in state
1 of 4
UHC 106 · Aetna 96 · Cigna 95 · BCBS 92
vs own national
83
UHC's level vs its national median
Codes where highest
54%
of 228 codes
808 sampled providers518 TINs228 codesMedian 132% of Medicare · method

What the data shows

Generated from Louisiana and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Louisiana with a rate index of 106 (100 = the Louisiana market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 54% of codes in Louisiana.

3

UnitedHealthcare's Louisiana rates sit 17% below its own national level, the 48th highest of its 51 states.

4

Largest premium over the Louisiana market: CPT 43255 (Egd control bleeding any) at 230% of market; largest discount: CPT 88313 (Special stains group 2) at 65%.

How the four payers compare in Louisiana

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1061
106
54%808
Aetna962
96
25%832
Cigna953
95
13%837
Blue Cross Blue Shield924
92
15%203

Where UnitedHealthcare pays most and least against the Louisiana market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
43255
Egd control bleeding any
$949$412+130%111
52224
Cystoscopy and treatment
$854$421+103%96
52648
Laser surgery of prostate
$2,447$1,231+99%97
64566
Neuroeltrd stim post tibial
$119$63+88%96
11104
Punch bx skin single lesion
$125$68+83%121
11102
Tangntl bx skin single les
$100$55+82%121
52332
Cystoscopy and treatment
$561$318+76%97
51700
Irrigation of bladder
$110$65+71%97

Furthest below market

CodeUHCMarketGapProv.
88313
Special stains group 2
$50$76-35%111
70450
Ct head/brain w/o dye
$150$198-25%89
72148
Mri lumbar spine w/o dye
$276$359-23%181
73221
Mri joint upr extrem w/o dye
$292$375-22%181
73721
Mri jnt of lwr extre w/o dye
$291$373-22%181
71250
Ct thorax dx c-
$209$259-20%89
72141
Mri neck spine w/o dye
$305$378-19%89
72131
Ct lumbar spine w/o dye
$205$253-19%89

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 Louisiana?

UnitedHealthcare ranks 1st of 4 in Louisiana with an index of 106. It is highest on 54% of codes.

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

About 17% below.

Which procedure does UnitedHealthcare pay most above market in Louisiana?

CPT 43255 (Egd control bleeding any), at 230% of the Louisiana 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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