UnitedHealthcare negotiated rates in Minnesota
How UnitedHealthcare's Minnesota rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Minnesota at a glance
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Minnesota with a rate index of 141 (100 = the Minnesota market median), across 228 procedure codes.
UnitedHealthcare has the highest median for 64% of codes in Minnesota.
UnitedHealthcare's Minnesota rates sit 66% above its own national level, the 3rd highest of its 51 states.
Largest premium over the Minnesota market: CPT 93010 (Electrocardiogram report) at 260% of market; largest discount: CPT 76512 (Oph us dx b-scan) at 100%.
How the four payers compare in Minnesota
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 141 | 1 | 64% | 618 | |
| Blue Cross Blue Shield | 133 | 2 | 36% | 671 | |
| Cigna | 102 | 3 | 1% | 169 | |
| Aetna | 55 | 4 | 0% | 774 |
Where UnitedHealthcare pays most and least against the Minnesota market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 93010 Electrocardiogram report | $27 | $10 | +160% | 73 |
| 27487 Revise/replace knee joint | $5,435 | $2,218 | +145% | 69 |
| 27130 Total hip arthroplasty | $4,190 | $1,712 | +145% | 69 |
| 27447 Total knee arthroplasty | $4,186 | $1,711 | +145% | 69 |
| 23472 Reconstruct shoulder joint | $4,499 | $1,840 | +144% | 69 |
| 22612 Arthrd pst tq 1ntrspc lumbar | $4,808 | $1,967 | +144% | 69 |
| 43235 Egd diagnostic brush wash | $983 | $402 | +144% | 67 |
| 22633 Arthrd cmbn 1ntrspc lumbar | $5,566 | $2,281 | +144% | 69 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 76512 Oph us dx b-scan | $65 | $65 | +0% | 74 |
| 88342 Imhchem/imcytchm 1st antb | $108 | $107 | +0% | 87 |
| 70551 Mri brain stem w/o dye | $358 | $343 | +4% | 94 |
| 72141 Mri neck spine w/o dye | $348 | $334 | +4% | 94 |
| 70553 Mri brain stem w/o & w/dye | $576 | $544 | +6% | 94 |
| 51798 Us urine capacity measure | $33 | $31 | +6% | 75 |
| 70450 Ct head/brain w/o dye | $185 | $174 | +6% | 94 |
| 93298 Rem interrog dev eval scrms | $88 | $83 | +7% | 73 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Minnesota?
UnitedHealthcare ranks 1st of 4 in Minnesota with an index of 141. It is highest on 64% of codes.
Are UnitedHealthcare's Minnesota rates above or below its national level?
About 66% above.
Which procedure does UnitedHealthcare pay most above market in Minnesota?
CPT 93010 (Electrocardiogram report), at 260% of the Minnesota 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 Minnesota?
Compare your negotiated rates for these codes with Minnesota medians for each payer.