Doctor’s fee or facility fee? These are doctors' (professional) fees only. If this is done in a hospital or surgery center, the facility bills its own fee on top — for the room, nurses and equipment — often larger than the doctor's. That fee is not included here.
Who is counted: UnitedHealthcare lists clinicians individually: 89% of the 2,030,154 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs.
Not in these files: Maternity care is often contracted as a case rate or a bundle outside the fee schedule — under a per-case or AP-DRG code set this site does not read (it reads CPT, HCPCS and MS-DRG). A hospital system paid that way is missing here, and such systems can be among the most expensive in a market.
Not on this map: Prices found in only some copies of a network: these files repeat themselves heavily, so each group of nearly identical files was read once, through one of its files. Checks on the largest groups found their files share 98-100% of their prices; the rest, typically 1-2%, is not shown. UMR: plans that UnitedHealthcare's administrator UMR runs for self-funded employers are published by UMR and shown on UMR's own page. Hospital stays: UnitedHealthcare's files price whole hospital stays for only a handful of hospitals, so its hospital-stay maps show very few places.
State
Providers
Organisations
Zip codes
Lowest
25th pct
Median
75th pct
Highest
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.