What UnitedHealthcare Pays for CPT 99213 in Alaska
Established patient office visit, low complexity. Office place of service. Straight from UnitedHealthcare's own Transparency in Coverage file.
Median rate
$194.38
across 87 published rates
Typical range
$194.38
25th percentile
$224.57
75th percentile
vs Medicare
164%
Medicare pays $118.72
When a Alaska practice bills UnitedHealthcare for CPT 99213, the file shows a median negotiated office rate of $194.38. Half of the rates in the file sit above that number and half below, and most cluster between $194.38 and $224.57. Against the Medicare office rate of $118.72 for the same code and state, the median lands at about 164 percent of Medicare.
The spread matters as much as the median. A wide gap between the 25th and 75th percentile means UnitedHealthcare pays very differently for the same work depending on who negotiated the contract. If you are near the bottom of that range, the payer is already paying other Alaska practices more for identical claims, which is exactly the argument that moves a fee-schedule negotiation.
Rate Reality Check
See where your contracted rate falls against what this payer actually publishes.
Based on 87 published rates. Medicare pays about $118.72 here.
Get a free fee-schedule reviewPaid Below $194.38 for 99213?
If UnitedHealthcare pays your Alaska practice less than the median, we will benchmark the gap and take it back to the payer. Free review.
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Turn This Number Into a Negotiation
A benchmark is only useful if someone acts on it. We renegotiate fee schedules for practices every week.