UnitedHealthcare negotiated rates in Utah
How UnitedHealthcare's Utah rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
UnitedHealthcare in Utah at a glance
What the data shows
UnitedHealthcare ranks 1st of 4 payers in Utah with a rate index of 111 (100 = the Utah market median), across 228 procedure codes.
UnitedHealthcare has the highest median for only 48% of codes in Utah; UnitedHealthcare leads with an index of 111 in the files analyzed.
UnitedHealthcare's Utah rates sit 5% below its own national level, the 32nd highest of its 51 states.
Largest premium over the Utah market: CPT 52224 (Cystoscopy and treatment) at 298% of market; largest discount: CPT 88342 (Imhchem/imcytchm 1st antb) at 61%.
How the four payers compare in Utah
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 111 | 1 | 48% | 649 | |
| Blue Cross Blue Shield | 99 | 2 | 22% | 667 | |
| Cigna | 94 | 3 | 14% | 751 | |
| Aetna | 90 | 4 | 16% | 418 |
Where UnitedHealthcare pays most and least against the Utah market
Highest above market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 52224 Cystoscopy and treatment | $1,283 | $430 | +198% | 61 |
| 64566 Neuroeltrd stim post tibial | $204 | $76 | +168% | 61 |
| 43251 Egd remove lesion snare | $1,075 | $408 | +164% | 64 |
| 43248 Egd guide wire insertion | $878 | $345 | +154% | 64 |
| 93298 Rem interrog dev eval scrms | $159 | $63 | +151% | 83 |
| 43239 Egd biopsy single/multiple | $702 | $287 | +144% | 64 |
| 52332 Cystoscopy and treatment | $777 | $326 | +138% | 61 |
| 43255 Egd control bleeding any | $934 | $418 | +124% | 64 |
Furthest below market
| Code | UHC | Market | Gap | Prov. |
|---|---|---|---|---|
| 88342 Imhchem/imcytchm 1st antb | $64 | $106 | -39% | 94 |
| 88312 Special stains group 1 | $68 | $107 | -36% | 158 |
| 92242 Fluorescein&icg angiography | $221 | $322 | -31% | 85 |
| 92235 Fluorescein angrph mltiframe | $104 | $149 | -31% | 85 |
| 66982 Xcapsl ctrc rmvl cplx wo ecp | $763 | $1,069 | -29% | 85 |
| 66991 Xcapsl ctrc rmvl insj 1+ | $652 | $882 | -26% | 85 |
| 65820 Goniotomy | $733 | $989 | -26% | 85 |
| 67108 Repair detached retina | $1,219 | $1,635 | -25% | 85 |
Where UnitedHealthcare pays above and below its national level
Frequently asked questions
Does UnitedHealthcare pay more or less than the other payers in Utah?
UnitedHealthcare ranks 1st of 4 in Utah with an index of 111. It is highest on 48% of codes.
Are UnitedHealthcare's Utah rates above or below its national level?
About 5% below.
Which procedure does UnitedHealthcare pay most above market in Utah?
CPT 52224 (Cystoscopy and treatment), at 298% of the Utah 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 Utah?
Compare your negotiated rates for these codes with Utah medians for each payer.