UnitedHealthcare negotiated rates in South Carolina
How UnitedHealthcare's South Carolina rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in South Carolina at a glance
What the data shows
UnitedHealthcare ranks 2nd of 4 payers in South Carolina with a rate index of 111 (100 = the South Carolina market median), across 228 procedure codes.
UnitedHealthcare has the highest median for only 31% of codes in South Carolina; Blue Cross Blue Shield leads with an index of 116 in the files analyzed.
UnitedHealthcare's South Carolina rates sit 11% below its own national level, the 38th highest of its 51 states.
Largest premium over the South Carolina market: CPT 64566 (Neuroeltrd stim post tibial) at 205% of market; largest discount: CPT 67028 (Injection eye drug) at 78%.
How the four payers compare in South Carolina
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| Blue Cross Blue Shield | 116 | 1 | 48% | 311 | |
| UnitedHealthcare | 111 | 2 | 31% | 733 | |
| Cigna | 100 | 3 | 22% | 778 | |
| Aetna | 76 | 4 | 5% | 627 |
Where UnitedHealthcare pays most and least against the South Carolina market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 64566 Neuroeltrd stim post tibial | $148 | $72 | +105% | 86 |
| 52648 Laser surgery of prostate | $2,786 | $1,362 | +104% | 86 |
| 52224 Cystoscopy and treatment | $843 | $427 | +98% | 86 |
| 51702 Insert temp bladder cath | $102 | $53 | +91% | 86 |
| 52332 Cystoscopy and treatment | $690 | $372 | +85% | 86 |
| 11104 Punch bx skin single lesion | $116 | $66 | +76% | 92 |
| 11102 Tangntl bx skin single les | $92 | $53 | +75% | 92 |
| 51700 Irrigation of bladder | $120 | $71 | +69% | 86 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 67028 Injection eye drug | $108 | $139 | -22% | 89 |
| 65778 Cover eye w/membrane | $59 | $73 | -20% | 89 |
| 76512 Oph us dx b-scan | $51 | $62 | -18% | 89 |
| 67108 Repair detached retina | $1,222 | $1,478 | -17% | 89 |
| 66982 Xcapsl ctrc rmvl cplx wo ecp | $766 | $926 | -17% | 89 |
| 66984 Xcapsl ctrc rmvl w/o ecp | $564 | $676 | -16% | 89 |
| 51798 Us urine capacity measure | $18 | $22 | -16% | 86 |
| 66991 Xcapsl ctrc rmvl insj 1+ | $713 | $839 | -15% | 89 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in South Carolina?
UnitedHealthcare ranks 2nd of 4 in South Carolina with an index of 111. It is highest on 31% of codes.
Are UnitedHealthcare's South Carolina rates above or below its national level?
About 11% below.
Which procedure does UnitedHealthcare pay most above market in South Carolina?
CPT 64566 (Neuroeltrd stim post tibial), at 205% of the South Carolina 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 South Carolina?
Compare your negotiated rates for these codes with South Carolina medians for each payer.