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
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Tennessee with a rate index of 112 (100 = the Tennessee market median), across 228 procedure codes.
UnitedHealthcare has the highest median for 58% of codes in Tennessee.
UnitedHealthcare's Tennessee rates sit 4% below its own national level, the 31st highest of its 51 states.
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
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 112 | 1 | 58% | 775 | |
| Blue Cross Blue Shield | 103 | 2 | 18% | 844 | |
| Cigna | 97 | 3 | 16% | 850 | |
| Aetna | 82 | 4 | 8% | 767 |
Where UnitedHealthcare pays most and least against the Tennessee market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 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
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
- 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 Tennessee?
Compare your negotiated rates for these codes with Tennessee medians for each payer.