UnitedHealthcare · Utah · commercial in-network

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

Across 228 procedure codes for 8 specialties
Rate index vs state market
111
11% above the Utah median
Rank in state
1 of 4
UHC 111 · BCBS 99 · Cigna 94 · Aetna 90
vs own national
95
UHC's level vs its national median
Codes where highest
48%
of 228 codes
649 sampled providers344 TINs228 codesMedian 163% of Medicare · method

What the data shows

Generated from Utah and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Utah with a rate index of 111 (100 = the Utah market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for only 48% of codes in Utah; UnitedHealthcare leads with an index of 111 in the files analyzed.

3

UnitedHealthcare's Utah rates sit 5% below its own national level, the 32nd highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1111
111
48%649
Blue Cross Blue Shield992
99
22%667
Cigna943
94
14%751
Aetna904
90
16%418

Where UnitedHealthcare pays most and least against the Utah market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
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

CodeUHCMarketGapProv.
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

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 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

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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