UnitedHealthcare negotiated rates in Montana
How UnitedHealthcare's Montana rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Montana at a glance
What the data shows
UnitedHealthcare ranks 2nd of 4 payers in Montana with a rate index of 114 (100 = the Montana market median), across 228 procedure codes.
UnitedHealthcare has the highest median for 69% of codes in Montana.
UnitedHealthcare's Montana rates sit 0% below its own national level, the 25th highest of its 51 states.
Largest premium over the Montana market: CPT 64566 (Neuroeltrd stim post tibial) at 448% of market; largest discount: CPT 93298 (Rem interrog dev eval scrms) at 31%.
How the four payers compare in Montana
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| Aetna | 123 | 1 | 68% | 80 | |
| UnitedHealthcare | 114 | 2 | 69% | 323 | |
| Cigna | 100 | 3 | 13% | 367 | |
| Blue Cross Blue Shield | 100 | 3 | 4% | 409 |
Where UnitedHealthcare pays most and least against the Montana market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 64566 Neuroeltrd stim post tibial | $212 | $47 | +348% | 25 |
| 52224 Cystoscopy and treatment | $1,253 | $313 | +300% | 25 |
| 43255 Egd control bleeding any | $1,103 | $310 | +256% | 20 |
| 52332 Cystoscopy and treatment | $764 | $242 | +216% | 25 |
| 11104 Punch bx skin single lesion | $218 | $73 | +198% | 33 |
| 11102 Tangntl bx skin single les | $173 | $59 | +194% | 33 |
| 43239 Egd biopsy single/multiple | $627 | $216 | +191% | 20 |
| 52000 Cystourethroscopy | $339 | $125 | +171% | 25 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 93298 Rem interrog dev eval scrms | $49 | $160 | -69% | 39 |
| 93297 Rem interrog dev eval icpms | $46 | $95 | -52% | 39 |
| 71271 Ct thorax lung cancer scr c- | $137 | $222 | -38% | 51 |
| 76775 Us exam abdo back wall lim | $60 | $94 | -36% | 25 |
| 76857 Us exam pelvic limited | $49 | $77 | -36% | 25 |
| 74177 Ct abd & pelvis w/contrast | $314 | $491 | -36% | 51 |
| 71046 X-ray exam chest 2 views | $33 | $51 | -34% | 51 |
| 74176 Ct abd & pelvis w/o contrast | $200 | $296 | -33% | 51 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Montana?
UnitedHealthcare ranks 2nd of 4 in Montana with an index of 114. It is highest on 69% of codes.
Are UnitedHealthcare's Montana rates above or below its national level?
About 0% below.
Which procedure does UnitedHealthcare pay most above market in Montana?
CPT 64566 (Neuroeltrd stim post tibial), at 448% of the Montana 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 Montana?
Compare your negotiated rates for these codes with Montana medians for each payer.