UnitedHealthcare · Minnesota · commercial in-network

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

Across 228 procedure codes for 8 specialties
Rate index vs state market
141
41% above the Minnesota median
Rank in state
1 of 4
UHC 141 · BCBS 133 · Cigna 102 · Aetna 55
vs own national
166
UHC's level vs its national median
Codes where highest
64%
of 228 codes
618 sampled providers440 TINs228 codesMedian 239% of Medicare · method

What the data shows

Generated from Minnesota and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Minnesota with a rate index of 141 (100 = the Minnesota market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 64% of codes in Minnesota.

3

UnitedHealthcare's Minnesota rates sit 66% above its own national level, the 3rd highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1411
141
64%618
Blue Cross Blue Shield1332
133
36%671
Cigna1023
102
1%169
Aetna554
55
0%774

Where UnitedHealthcare pays most and least against the Minnesota market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
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

CodeUHCMarketGapProv.
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

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 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

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.

Is your UnitedHealthcare contract at market in Minnesota?

Compare your negotiated rates for these codes with Minnesota medians for each payer.

Request a rate benchmark