UnitedHealthcare · Maine · commercial in-network

UnitedHealthcare negotiated rates in Maine

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

UnitedHealthcare in Maine at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
124
24% above the Maine median
Rank in state
1 of 4
UHC 124 · BCBS 103 · Cigna 100 · Aetna 85
vs own national
114
UHC's level vs its national median
Codes where highest
74%
of 228 codes
546 sampled providers278 TINs228 codesMedian 190% of Medicare · method

What the data shows

Generated from Maine and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Maine with a rate index of 124 (100 = the Maine market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 74% of codes in Maine.

3

UnitedHealthcare's Maine rates sit 14% above its own national level, the 16th highest of its 51 states.

4

Largest premium over the Maine market: CPT 93298 (Rem interrog dev eval scrms) at 460% of market; largest discount: CPT 73221 (Mri joint upr extrem w/o dye) at 91%.

How the four payers compare in Maine

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1241
124
74%546
Blue Cross Blue Shield1032
103
18%215
Cigna1003
100
9%597
Aetna854
85
4%552

Where UnitedHealthcare pays most and least against the Maine market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
93298
Rem interrog dev eval scrms
$208$45+360%86
64566
Neuroeltrd stim post tibial
$209$56+272%44
43255
Egd control bleeding any
$1,202$365+229%47
52224
Cystoscopy and treatment
$1,216$379+221%44
52332
Cystoscopy and treatment
$786$294+168%44
43239
Egd biopsy single/multiple
$656$260+152%48
43251
Egd remove lesion snare
$825$348+137%48
43248
Egd guide wire insertion
$676$294+130%48

Furthest below market

CodeUHCMarketGapProv.
73221
Mri joint upr extrem w/o dye
$387$427-9%175
73721
Mri jnt of lwr extre w/o dye
$388$426-9%175
72148
Mri lumbar spine w/o dye
$367$402-9%175
97110
Therapeutic exercises
$30$32-8%79
88313
Special stains group 2
$75$80-6%48
65820
Goniotomy
$1,167$1,208-3%53
71046
X-ray exam chest 2 views
$46$48-2%96
88342
Imhchem/imcytchm 1st antb
$107$110-2%38

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 Maine?

UnitedHealthcare ranks 1st of 4 in Maine with an index of 124. It is highest on 74% of codes.

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

About 14% above.

Which procedure does UnitedHealthcare pay most above market in Maine?

CPT 93298 (Rem interrog dev eval scrms), at 460% of the Maine 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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