What UnitedHealthcare Pays for CPT 99214 in Oregon
Established patient office visit, moderate complexity. Office place of service. Straight from UnitedHealthcare's own Transparency in Coverage file.
Median rate
$205.01
across 431 published rates
Typical range
$175.76
25th percentile
$234.53
75th percentile
vs Medicare
148%
Medicare pays $138.40
When a Oregon practice bills UnitedHealthcare for CPT 99214, the file shows a median negotiated office rate of $205.01. Half of the rates in the file sit above that number and half below, and most cluster between $175.76 and $234.53. Against the Medicare office rate of $138.40 for the same code and state, the median lands at about 148 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 Oregon 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 431 published rates. Medicare pays about $138.40 here.
Get a free fee-schedule reviewPaid Below $205.01 for 99214?
If UnitedHealthcare pays your Oregon 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.