🏥 UnitedHealth Negotiated Rates

UnitedHealth Negotiated Rates
via REST API

The largest payer. 520M+ rate rows. All UHC networks. Query UnitedHealth rates by CPT code, NPI, or billing code. No ETL. No 200 GB JSON files.

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520M+
Rate Rows Indexed
1.1M+
Providers
12,000+
Billing Codes
Monthly
Refresh Cycle
Network Coverage

All UnitedHealth Networks, Unified

UnitedHealth Group is the largest US health insurer — and publishes the most voluminous MRF files of any payer. PayerBenchmark indexes all UHC commercial networks including Choice Plus, Options PPO, Navigate, and Charter, plus full OON files.

UHC Choice Plus UHC Options PPO UHC Navigate UHC Charter UHC OON
REST API

Query UnitedHealth Rates in One Request

Filter by CPT code, NPI, network, and date range. Paginated JSON — no parsing multi-gigabyte files.

●●● GET /v1/rates 
GET https://api.payerbenchmark.com/v1/rates
  ?payer=UnitedHealth
  &procedure_code=99213
  &npi=1234567890

// Response
{
  "data": [{
    "payer":          "UnitedHealth",
    "network_key":    "UHC Choice Plus",
    "procedure_code": "99213",
    "negotiated_rate": 87.42,
    "rate_type":      "fee_for_service",
    "effective_date": "2025-01-01"
  }],
  "meta": { "total": 14, "page": 1, "per_page": 50 }
}
GET /v1/rates Negotiated rates for UnitedHealth filtered by CPT, NPI, and network.
GET /v1/benchmarks Cross-payer p10–p90 percentiles. See where UnitedHealth rates rank vs. market.
GET /v1/oon/rates UnitedHealth out-of-network allowed amounts by NPI and procedure code.
FAQ

UnitedHealth Rate Data — Common Questions

Does PayerBenchmark cover all UHC networks?

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Yes. PayerBenchmark indexes all UHC commercial networks published in CMS MRF files: Choice Plus, Options PPO, Navigate, Charter, and OON. UHC publishes MRF data for its employer, individual, and Medicare Advantage lines.

How large is UHC's rate dataset?

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UHC is the largest US payer and publishes the most rate rows of any carrier. PayerBenchmark has indexed over 520M UHC rate rows across all networks and provider types, updated monthly.

Can I compare UHC rates against other payers?

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Yes. The /v1/benchmarks endpoint returns cross-payer p50 and p90 percentiles for any CPT code, computed from all payers including UHC. You can see exactly how UHC rates compare to Cigna, Aetna, and BCBS.

What's the best way to look up UHC rates for a specific provider?

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Use GET /v1/rates?npi=YOUR_NPI&payer=UnitedHealth to retrieve all UHC rates associated with a specific NPI across every UHC network. Filter further by network_key or procedure_code as needed.

Start Querying UnitedHealth Rates Today

API access to 520M+ rate rows across all UnitedHealth networks. No ETL pipeline required.

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