UnitedHealthcare · Maryland · commercial in-network

UnitedHealthcare negotiated rates in Maryland

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

UnitedHealthcare in Maryland at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
131
31% above the Maryland median
Rank in state
1 of 4
UHC 131 · Cigna 110 · Aetna 101 · BCBS 74
vs own national
95
UHC's level vs its national median
Codes where highest
63%
of 228 codes
606 sampled providers503 TINs228 codesMedian 167% of Medicare · method

What the data shows

Generated from Maryland and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Maryland with a rate index of 131 (100 = the Maryland market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 63% of codes in Maryland.

3

UnitedHealthcare's Maryland rates sit 5% below its own national level, the 33rd highest of its 51 states.

4

Largest premium over the Maryland market: CPT 52224 (Cystoscopy and treatment) at 564% of market; largest discount: CPT 92235 (Fluorescein angrph mltiframe) at 74%.

How the four payers compare in Maryland

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1311
131
63%606
Cigna1102
110
13%723
Aetna1013
101
24%645
Blue Cross Blue Shield744
74
0%758

Where UnitedHealthcare pays most and least against the Maryland market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
52224
Cystoscopy and treatment
$1,541$273+464%81
52332
Cystoscopy and treatment
$917$300+206%81
51702
Insert temp bladder cath
$123$44+180%81
51700
Irrigation of bladder
$151$55+175%81
52648
Laser surgery of prostate
$3,380$1,237+173%81
43255
Egd control bleeding any
$1,017$409+149%87
52287
Cystoscopy chemodenervation
$724$300+141%81
11104
Punch bx skin single lesion
$131$56+133%89

Furthest below market

CodeUHCMarketGapProv.
92235
Fluorescein angrph mltiframe
$107$145-26%73
65756
Corneal trnspl endothelial
$1,138$1,284-11%73
67036
Removal of inner eye fluid
$869$975-11%73
92242
Fluorescein&icg angiography
$241$268-10%73
88342
Imhchem/imcytchm 1st antb
$81$89-9%89
93297
Rem interrog dev eval icpms
$52$56-8%78
88312
Special stains group 1
$82$88-6%176
92025
Cptrized corneal topography
$35$37-5%73

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 Maryland?

UnitedHealthcare ranks 1st of 4 in Maryland with an index of 131. It is highest on 63% of codes.

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

About 5% below.

Which procedure does UnitedHealthcare pay most above market in Maryland?

CPT 52224 (Cystoscopy and treatment), at 564% of the Maryland 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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