UnitedHealthcare · Michigan · commercial in-network

UnitedHealthcare negotiated rates in Michigan

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

UnitedHealthcare in Michigan at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
106
6% above the Michigan median
Rank in state
2 of 4
Cigna 123 · UHC 106 · BCBS 100 · Aetna 92
vs own national
84
UHC's level vs its national median
Codes where highest
44%
of 228 codes
664 sampled providers533 TINs228 codesMedian 134% of Medicare · method

What the data shows

Generated from Michigan and UnitedHealthcare data only
1

UnitedHealthcare ranks 2nd of 4 payers in Michigan with a rate index of 106 (100 = the Michigan market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for only 44% of codes in Michigan; Cigna leads with an index of 123 in the files analyzed.

3

UnitedHealthcare's Michigan rates sit 16% below its own national level, the 44th highest of its 51 states.

4

Largest premium over the Michigan market: CPT 64566 (Neuroeltrd stim post tibial) at 352% of market; largest discount: CPT 88313 (Special stains group 2) at 51%.

How the four payers compare in Michigan

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
Cigna1231
123
87%93
UnitedHealthcare1062
106
44%664
Blue Cross Blue Shield1003
100
34%846
Aetna924
92
1%707

Where UnitedHealthcare pays most and least against the Michigan market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
64566
Neuroeltrd stim post tibial
$151$43+252%91
52224
Cystoscopy and treatment
$951$290+228%91
51700
Irrigation of bladder
$105$40+164%91
52648
Laser surgery of prostate
$2,321$878+164%91
11104
Punch bx skin single lesion
$141$55+156%86
51720
Treatment of bladder lesion
$139$56+149%91
43239
Egd biopsy single/multiple
$497$204+143%84
51702
Insert temp bladder cath
$87$38+132%91

Furthest below market

CodeUHCMarketGapProv.
88313
Special stains group 2
$50$97-49%84
93229
Remote 30 day ecg tech supp
$716$1,114-36%102
93280
Pm device progr eval dual
$73$103-29%102
88312
Special stains group 1
$93$131-28%170
71046
X-ray exam chest 2 views
$35$48-27%64
90960
Esrd srv 4 visits p mo 20+
$319$433-26%66
73564
X-ray exam knee 4 or more
$42$55-24%85
73610
X-ray exam of ankle
$34$44-24%85

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 Michigan?

UnitedHealthcare ranks 2nd of 4 in Michigan with an index of 106. It is highest on 44% of codes.

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

About 16% below.

Which procedure does UnitedHealthcare pay most above market in Michigan?

CPT 64566 (Neuroeltrd stim post tibial), at 352% of the Michigan 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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