UnitedHealthcare · Rhode Island · commercial in-network

UnitedHealthcare negotiated rates in Rhode Island

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

UnitedHealthcare in Rhode Island at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
129
29% above the Rhode Island median
Rank in state
1 of 4
UHC 129 · Cigna 110 · BCBS 90 · Aetna 87
vs own national
104
UHC's level vs its national median
Codes where highest
60%
of 228 codes
468 sampled providers257 TINs228 codesMedian 173% of Medicare · method

What the data shows

Generated from Rhode Island and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Rhode Island with a rate index of 129 (100 = the Rhode Island market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 60% of codes in Rhode Island.

3

UnitedHealthcare's Rhode Island rates sit 4% above its own national level, the 22nd highest of its 51 states.

4

Largest premium over the Rhode Island market: CPT 52224 (Cystoscopy and treatment) at 343% of market; largest discount: CPT 92025 (Cptrized corneal topography) at 52%.

How the four payers compare in Rhode Island

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1291
129
60%468
Cigna1102
110
26%562
Blue Cross Blue Shield903
90
1%581
Aetna874
87
12%422

Where UnitedHealthcare pays most and least against the Rhode Island market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
52224
Cystoscopy and treatment
$1,362$397+243%35
43255
Egd control bleeding any
$1,051$381+176%56
52332
Cystoscopy and treatment
$810$305+166%35
64566
Neuroeltrd stim post tibial
$175$66+165%35
43251
Egd remove lesion snare
$829$314+164%56
43248
Egd guide wire insertion
$691$266+159%56
43239
Egd biopsy single/multiple
$631$276+129%56
52000
Cystourethroscopy
$374$173+116%35

Furthest below market

CodeUHCMarketGapProv.
92025
Cptrized corneal topography
$21$40-48%52
92242
Fluorescein&icg angiography
$174$289-40%52
92235
Fluorescein angrph mltiframe
$103$158-35%52
66821
After cataract laser surgery
$257$370-31%52
92083
Extended visual field xm
$50$69-28%52
92273
Full field erg w/i&r
$103$142-28%52
92012
Intrm oph exam est patient
$46$63-27%52
92020
Gonioscopy
$19$26-26%52

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 Rhode Island?

UnitedHealthcare ranks 1st of 4 in Rhode Island with an index of 129. It is highest on 60% of codes.

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

About 4% above.

Which procedure does UnitedHealthcare pay most above market in Rhode Island?

CPT 52224 (Cystoscopy and treatment), at 343% of the Rhode Island 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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