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
What the data shows
UnitedHealthcare ranks 2nd of 4 payers in Michigan with a rate index of 106 (100 = the Michigan market median), across 228 procedure codes.
UnitedHealthcare has the highest median for only 44% of codes in Michigan; Cigna leads with an index of 123 in the files analyzed.
UnitedHealthcare's Michigan rates sit 16% below its own national level, the 44th highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| Cigna | 123 | 1 | 87% | 93 | |
| UnitedHealthcare | 106 | 2 | 44% | 664 | |
| Blue Cross Blue Shield | 100 | 3 | 34% | 846 | |
| Aetna | 92 | 4 | 1% | 707 |
Where UnitedHealthcare pays most and least against the Michigan market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
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
- 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 Michigan?
Compare your negotiated rates for these codes with Michigan medians for each payer.