UnitedHealthcare negotiated rates in Texas
How UnitedHealthcare's Texas rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Texas at a glance
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Texas with a rate index of 124 (100 = the Texas market median), across 228 procedure codes.
UnitedHealthcare has the highest median for 81% of codes in Texas.
UnitedHealthcare's Texas rates sit 12% below its own national level, the 41st highest of its 51 states.
Largest premium over the Texas market: CPT 64566 (Neuroeltrd stim post tibial) at 279% of market; largest discount: CPT 93297 (Rem interrog dev eval icpms) at 78%.
How the four payers compare in Texas
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 124 | 1 | 81% | 824 | |
| Cigna | 108 | 2 | 11% | 822 | |
| Aetna | 95 | 3 | 5% | 764 | |
| Blue Cross Blue Shield | 88 | 4 | 4% | 1,003 |
Where UnitedHealthcare pays most and least against the Texas market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 64566 Neuroeltrd stim post tibial | $157 | $56 | +179% | 100 |
| 52224 Cystoscopy and treatment | $978 | $355 | +175% | 104 |
| 52332 Cystoscopy and treatment | $667 | $260 | +156% | 101 |
| 43255 Egd control bleeding any | $742 | $312 | +138% | 114 |
| 11104 Punch bx skin single lesion | $138 | $66 | +108% | 114 |
| 52648 Laser surgery of prostate | $2,502 | $1,205 | +108% | 103 |
| 11102 Tangntl bx skin single les | $110 | $53 | +107% | 114 |
| 51702 Insert temp bladder cath | $92 | $45 | +105% | 102 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 93297 Rem interrog dev eval icpms | $41 | $52 | -22% | 105 |
| 93298 Rem interrog dev eval scrms | $41 | $51 | -20% | 105 |
| 65820 Goniotomy | $802 | $866 | -7% | 99 |
| 96574 Dbrdmt prmlg les w/pdt | $284 | $301 | -6% | 114 |
| 96910 Photchmtx tar&uvb/ptrltm&uvb | $118 | $125 | -6% | 115 |
| 67036 Removal of inner eye fluid | $932 | $982 | -5% | 99 |
| 65756 Corneal trnspl endothelial | $1,221 | $1,269 | -4% | 99 |
| 90960 Esrd srv 4 visits p mo 20+ | $396 | $411 | -4% | 89 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Texas?
UnitedHealthcare ranks 1st of 4 in Texas with an index of 124. It is highest on 81% of codes.
Are UnitedHealthcare's Texas rates above or below its national level?
About 12% below.
Which procedure does UnitedHealthcare pay most above market in Texas?
CPT 64566 (Neuroeltrd stim post tibial), at 279% of the Texas 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 Texas?
Compare your negotiated rates for these codes with Texas medians for each payer.