National carrier
UnitedHealthcare (UHC) fee schedule 2026, by CPT code.
What UnitedHealthcare’s own published files say it pays, and the rate it lists for your practice, free by NPI.
Every UnitedHealthcare network — Choice Plus, Options PPO, Select Plus, Core, Navigate, Charter and NexusACO — and behavioral health through Optum. Answers in seconds for over 1,000 codes; if you need one outside them, tell us and it goes into the next monthly read.
Typical published UnitedHealthcare rates, September 2026 files
| Code | Visit | Middle rate | Middle half |
|---|---|---|---|
| 99213 | Office visit, established patient, 20–29 min | $78.43 | $65.06–$101.37 |
| 99214 | Office visit, established patient, 30–39 min | $115.27 | $96.15–$147.69 |
| 99215 | Office visit, established patient, 40–54 min | $155.75 | $131.71–$200.73 |
| 99212 | Office visit, established patient, 10–19 min | $48.29 | $40.27–$62.06 |
| 99203 | Office visit, new patient, 30–44 min | $114.71 | $97.36–$145.49 |
| 99204 | Office visit, new patient, 45–59 min | $173.42 | $147.30–$221.70 |
| 90791 | Psychiatric diagnostic evaluation | $167.90 | $140.86–$217.62 |
| 90834 | Psychotherapy, 45 min | $101.17 | $85.43–$130.72 |
| 90837 | Psychotherapy, 60 min | $150.12 | $127.32–$193.39 |
6 more codes
| 99212 | $48.29 | $40.27–$62.06 |
| 99203 | $114.71 | $97.36–$145.49 |
| 99204 | $173.42 | $147.30–$221.70 |
| 90791 | $167.90 | $140.86–$217.62 |
| 90834 | $101.17 | $85.43–$130.72 |
| 90837 | $150.12 | $127.32–$193.39 |
Middle of the rates UnitedHealthcare published for each code in its September 2026 files. Your contracted rate may be higher or lower. Source: UnitedHealthcare’s machine-readable files. How these are counted.
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Inside UnitedHealthcare’s files
What UnitedHealthcare publishes, and how we count it.
Published by UnitedHealthcare under the federal Transparency in Coverage rule.
The typical rates at the top of this page are in-office professional rates across the provider groups in UnitedHealthcare’s files (as of September 2026) that carry one rate for the code — 818,121 for 99213. The middle rate is the one in the middle of those groups; half are paid within the “middle half” range. A group in two networks counts once in each. Your own contract can sit inside or outside that range, which is why the figure that matters is yours: look it up.
One code at a time: UnitedHealthcare 99214 rate · UnitedHealthcare 90837 rate
How UnitedHealthcare compares with six other payers for office visits, September 2026 files: Same code, different pay.
From the published file
Your UnitedHealthcare fee schedule, without the portal.
UnitedHealthcare publishes the rate it pays each in-network practice, by billing code, in its Transparency in Coverage files. RateBench reads the rate for your NPI, so you don’t have to request a schedule or look codes up one at a time. Try a code free. On a paid plan, UnitedHealthcare sits next to your other payers for the codes you bill, re-read every month, with an email when a rate changes. How the fee schedule works →
In 2022 and 2023 UnitedHealthcare moved physicians on older commercial fee schedules, some dating back to 2008, onto a 2020 commercial fee schedule based on 2020 Medicare relative values, with a notice of amendment and a new payment appendix. If your practice hasn’t looked since, the rates in your files may not be the rates you’re paid.
Sources: California Medical Association, UnitedHealthcare begins update of commercial fee schedule.
What you get
The number, and everything behind it.
The exact dollar UnitedHealthcare negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which UnitedHealthcare network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, UnitedHealthcare becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is UnitedHealthcare paying you what it published?
Upload your allowed amounts by code and see which ones UnitedHealthcare allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleUnitedHealthcare next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
By state
Every payer we read, state by state.
Questions about UnitedHealthcare’s rates or your contract? Ask us →