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
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Maryland with a rate index of 131 (100 = the Maryland market median), across 228 procedure codes.
UnitedHealthcare has the highest median for 63% of codes in Maryland.
UnitedHealthcare's Maryland rates sit 5% below its own national level, the 33rd highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 131 | 1 | 63% | 606 | |
| Cigna | 110 | 2 | 13% | 723 | |
| Aetna | 101 | 3 | 24% | 645 | |
| Blue Cross Blue Shield | 74 | 4 | 0% | 758 |
Where UnitedHealthcare pays most and least against the Maryland market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
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
- 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 Maryland?
Compare your negotiated rates for these codes with Maryland medians for each payer.