UnitedHealthcare · Washington · commercial in-network

UnitedHealthcare negotiated rates in Washington

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

UnitedHealthcare in Washington at a glance

Across 228 procedure codes for 8 specialties
Rate index vs state market
106
6% above the Washington median
Rank in state
1 of 4
UHC 106 · Cigna 99 · BCBS 98 · Aetna 91
vs own national
128
UHC's level vs its national median
Codes where highest
60%
of 228 codes
695 sampled providers377 TINs228 codesMedian 221% of Medicare · method

What the data shows

Generated from Washington and UnitedHealthcare data only
1

UnitedHealthcare ranks 1st of 4 payers in Washington with a rate index of 106 (100 = the Washington market median), across 228 procedure codes.

2

UnitedHealthcare has the highest median for 60% of codes in Washington.

3

UnitedHealthcare's Washington rates sit 28% above its own national level, the 11th highest of its 51 states.

4

Largest premium over the Washington market: CPT 93298 (Rem interrog dev eval scrms) at 302% of market; largest discount: CPT 76856 (Us exam pelvic complete) at 64%.

How the four payers compare in Washington

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1061
106
60%695
Cigna992
99
13%749
Blue Cross Blue Shield983
98
8%799
Aetna914
91
19%708

Where UnitedHealthcare pays most and least against the Washington market

Codes with the largest gap to the state median

Highest above market

CodeUHCMarketGapProv.
93298
Rem interrog dev eval scrms
$217$72+202%88
43255
Egd control bleeding any
$1,239$565+120%81
52000
Cystourethroscopy
$477$252+90%93
43251
Egd remove lesion snare
$1,089$598+82%81
43239
Egd biopsy single/multiple
$831$465+79%81
52332
Cystoscopy and treatment
$883$495+78%93
43248
Egd guide wire insertion
$912$519+76%81
51700
Irrigation of bladder
$169$98+73%93

Furthest below market

CodeUHCMarketGapProv.
76856
Us exam pelvic complete
$137$214-36%93
88313
Special stains group 2
$70$99-30%81
76872
Us transrectal
$210$295-29%93
88312
Special stains group 1
$98$136-28%170
88342
Imhchem/imcytchm 1st antb
$101$130-22%89
76857
Us exam pelvic limited
$74$95-22%93
76775
Us exam abdo back wall lim
$89$114-22%93
76512
Oph us dx b-scan
$54$66-18%96

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 Washington?

UnitedHealthcare ranks 1st of 4 in Washington with an index of 106. It is highest on 60% of codes.

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

About 28% above.

Which procedure does UnitedHealthcare pay most above market in Washington?

CPT 93298 (Rem interrog dev eval scrms), at 302% of the Washington 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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