UnitedHealthcare negotiated rates in Missouri
How UnitedHealthcare's Missouri rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Missouri at a glance
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Missouri with a rate index of 112 (100 = the Missouri market median), across 228 procedure codes.
UnitedHealthcare has the highest median for 67% of codes in Missouri.
UnitedHealthcare's Missouri rates sit 7% below its own national level, the 35th highest of its 51 states.
Largest premium over the Missouri market: CPT 52224 (Cystoscopy and treatment) at 215% of market; largest discount: CPT 92235 (Fluorescein angrph mltiframe) at 84%.
How the four payers compare in Missouri
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 112 | 1 | 67% | 821 | |
| Blue Cross Blue Shield | 100 | 2 | 20% | 902 | |
| Cigna | 96 | 3 | 7% | 849 | |
| Aetna | 82 | 4 | 6% | 630 |
Where UnitedHealthcare pays most and least against the Missouri market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 52224 Cystoscopy and treatment | $900 | $419 | +115% | 111 |
| 64566 Neuroeltrd stim post tibial | $124 | $58 | +112% | 111 |
| 43251 Egd remove lesion snare | $922 | $451 | +104% | 109 |
| 52648 Laser surgery of prostate | $3,004 | $1,482 | +103% | 111 |
| 43239 Egd biopsy single/multiple | $681 | $342 | +99% | 109 |
| 51700 Irrigation of bladder | $135 | $68 | +97% | 111 |
| 52000 Cystourethroscopy | $376 | $191 | +96% | 111 |
| 45380 Colonoscopy and biopsy | $825 | $420 | +96% | 109 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 92235 Fluorescein angrph mltiframe | $109 | $129 | -16% | 93 |
| 93298 Rem interrog dev eval scrms | $44 | $51 | -13% | 102 |
| 96413 Chemo iv infusion 1 hr | $171 | $196 | -12% | 110 |
| 77080 Dxa bone density axial | $62 | $66 | -6% | 90 |
| 71250 Ct thorax dx c- | $234 | $249 | -6% | 104 |
| 96372 Ther/proph/diag inj sc/im | $21 | $22 | -4% | 100 |
| 93297 Rem interrog dev eval icpms | $43 | $45 | -4% | 102 |
| 71260 Ct thorax dx c+ | $297 | $310 | -4% | 104 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Missouri?
UnitedHealthcare ranks 1st of 4 in Missouri with an index of 112. It is highest on 67% of codes.
Are UnitedHealthcare's Missouri rates above or below its national level?
About 7% below.
Which procedure does UnitedHealthcare pay most above market in Missouri?
CPT 52224 (Cystoscopy and treatment), at 215% of the Missouri 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 Missouri?
Compare your negotiated rates for these codes with Missouri medians for each payer.