UnitedHealthcare · Oregon · commercial in-network

UnitedHealthcare negotiated rates in Oregon

How UnitedHealthcare's Oregon rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.

UnitedHealthcare in Oregon at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
121
21% above the Oregon median
Rank in state
1 of 4
UHC 121 · Cigna 100 · BCBS 90 · Aetna 71
vs own national
164
UHC's level vs its national median
Codes where highest
78%
of 228 codes
683 sampled providers399 TINs228 codesMedian 253% of Medicare · method

What the data shows

Generated from Oregon and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Oregon with a rate index of 121 (100 = the Oregon market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 78% of codes in Oregon.

3

UnitedHealthcare's Oregon rates sit 64% above its own national level, the 4th highest of its 51 states.

4

Largest premium over the Oregon market: CPT 52332 (Cystoscopy and treatment) at 250% of market; largest discount: CPT 72100 (X-ray exam l-s spine 2/3 vws) at 57%.

How the four payers compare in Oregon

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1211
121
78%683
Cigna1002
100
10%735
Blue Cross Blue Shield903
90
7%351
Aetna714
71
5%494

Where UnitedHealthcare pays most and least against the Oregon market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
52332
Cystoscopy and treatment
$1,071$428+150%94
52000
Cystourethroscopy
$514$216+138%75
51702
Insert temp bladder cath
$168$71+138%94
52287
Cystoscopy chemodenervation
$1,043$467+123%94
51700
Irrigation of bladder
$177$81+119%75
11302
Shave skin lesion 1.1-2.0 cm
$344$162+112%100
11104
Punch bx skin single lesion
$236$112+110%92
52281
Cystoscopy and treatment
$877$419+109%94

Furthest below market

CodeUHCMarketGapProv.
72100
X-ray exam l-s spine 2/3 vws
$41$71-43%68
72110
X-ray exam l-2 spine 4/>vws
$54$94-43%68
73030
X-ray exam of shoulder
$35$61-42%68
73564
X-ray exam knee 4 or more
$49$83-42%68
73560
X-ray exam of knee 1 or 2
$35$60-42%68
73562
X-ray exam of knee 3
$42$72-41%68
73610
X-ray exam of ankle
$38$64-41%68
73630
X-ray exam of foot
$35$60-41%68

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 Oregon?

UnitedHealthcare ranks 1st of 4 in Oregon with an index of 121. It is highest on 78% of codes.

Are UnitedHealthcare's Oregon rates above or below its national level?

About 64% above.

Which procedure does UnitedHealthcare pay most above market in Oregon?

CPT 52332 (Cystoscopy and treatment), at 250% of the Oregon 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.

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