Rate benchmarks · UnitedHealthcare
What does UnitedHealthcare pay?
UnitedHealthcare, part of UnitedHealth Group, is one of the largest commercial health insurers in the United States. Under the federal Transparency in Coverage rule, UnitedHealthcare publishes the rates it has negotiated with providers in machine-readable files. We normalize those disclosures into clean, comparable per-procedure benchmarks — median, range, and percent of Medicare, split by office and facility setting.
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UnitedHealthcare benchmarks by CPT code
- CPT 99203New patient office visit, level 3
- CPT 99204New patient office visit, level 4
- CPT 99213Established patient office visit, level 3
- CPT 99214Established patient office visit, level 4
Paid at, above, or below the UnitedHealthcare benchmark?
EarnestMD resolves your own providers and shows where your contracts stand against comparable practices — and builds the case for the increase.
Source: UnitedHealthcare Transparency in Coverage machine-readable files. Aggregate benchmarks only; no individual practice or contract is identified. EarnestMD is independent and not affiliated with UnitedHealthcare or any insurer.