UnitedHealthcare · Tennessee · commercial in-network

UnitedHealthcare negotiated rates in Tennessee

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

UnitedHealthcare in Tennessee at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
112
12% above the Tennessee median
Rank in state
1 of 4
UHC 112 · BCBS 103 · Cigna 97 · Aetna 82
vs own national
96
UHC's level vs its national median
Codes where highest
58%
of 228 codes
775 sampled providers476 TINs228 codesMedian 166% of Medicare · method

What the data shows

Generated from Tennessee and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Tennessee with a rate index of 112 (100 = the Tennessee market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 58% of codes in Tennessee.

3

UnitedHealthcare's Tennessee rates sit 4% below its own national level, the 31st highest of its 51 states.

4

Largest premium over the Tennessee market: CPT 64566 (Neuroeltrd stim post tibial) at 250% of market; largest discount: CPT 88313 (Special stains group 2) at 84%.

How the four payers compare in Tennessee

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1121
112
58%775
Blue Cross Blue Shield1032
103
18%844
Cigna973
97
16%850
Aetna824
82
8%767

Where UnitedHealthcare pays most and least against the Tennessee market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
64566
Neuroeltrd stim post tibial
$155$62+150%95
52332
Cystoscopy and treatment
$703$303+132%95
52224
Cystoscopy and treatment
$915$411+123%95
52648
Laser surgery of prostate
$2,571$1,301+98%95
11104
Punch bx skin single lesion
$139$71+96%113
11102
Tangntl bx skin single les
$110$57+94%113
51702
Insert temp bladder cath
$103$55+87%95
43251
Egd remove lesion snare
$800$442+81%92

Furthest below market

CodeUHCMarketGapProv.
88313
Special stains group 2
$46$55-16%92
51798
Us urine capacity measure
$18$20-14%95
73030
X-ray exam of shoulder
$40$46-13%103
88305
Tissue exam by pathologist
$43$49-12%205
73564
X-ray exam knee 4 or more
$54$62-12%103
70450
Ct head/brain w/o dye
$192$219-12%79
70551
Mri brain stem w/o dye
$371$419-11%79
73560
X-ray exam of knee 1 or 2
$40$45-11%103

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 Tennessee?

UnitedHealthcare ranks 1st of 4 in Tennessee with an index of 112. It is highest on 58% of codes.

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

About 4% below.

Which procedure does UnitedHealthcare pay most above market in Tennessee?

CPT 64566 (Neuroeltrd stim post tibial), at 250% of the Tennessee 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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