What does UnitedHealthcare pay for CPT 52315 in San Francisco-Oakland-Fremont, CA?

The local peer median for CPT 52315 under UnitedHealthcare in San Francisco-Oakland-Fremont, CA is $740.77, based on 466 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 52315 under UnitedHealthcare in San Francisco-Oakland-Fremont, CA?

The P90, the top of the local market and Reddenda's target rate, is $2,514.15.

Reddenda · Rate Intelligence · San Francisco-Oakland-Fremont, CA

52315 under UnitedHealthcare in San Francisco-Oakland-Fremont, CA

Name: UnitedHealthcare rates for CPT 52315 in San Francisco-Oakland-Fremont, CA
Creator: Reddenda

Local peer median $740.77 · High confidence

$740.77 local peer median. In the San Francisco-Oakland-Fremont, CA market, UnitedHealthcare pays a local peer median of $740.77 for CPT 52315, based on 466 providers in Reddenda's index of UnitedHealthcare's own published in-network rates. The top of the local market, the P90 target, is $2,514.15, 239% above the median. A provider billed below the local median is being paid less than peers holding the identical UnitedHealthcare contract in San Francisco-Oakland-Fremont, CA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 466 providers · 466 rate records

P10

$456.98

P25

$486.90

Median

$740.77

P75

$2,514.15

P90 (target)

$2,514.15

P10$456.98

P25$486.90

Median (P50)$740.77

P75$2,514.15

P90 target$2,514.15

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $166.24 – $2,514.15

The local peer median for CPT 52315 under UnitedHealthcare in San Francisco-Oakland-Fremont, CA is $740.77, drawn from 466 distinct providers.Source: UnitedHealthcare’s published machine-readable files
The bottom of the local market (P10) is $456.98 and the top (P90) is $2,514.15; the median-to-P90 spread is $1,773.38.Source: UnitedHealthcare’s published machine-readable files
The lowest published rate in this market is $166.24; the highest is $2,514.15.Source: UnitedHealthcare’s published machine-readable files
This benchmark is drawn from 466 individual rate records that UnitedHealthcare itself published for this code in this metro.Source: UnitedHealthcare’s published machine-readable files
29.8% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: UnitedHealthcare’s published machine-readable files
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

466 providers bill this code to this payer in this metro.

Find yourself on this curve. Enter your NPI: no account, no email, no PHI.

Free, forever, unmetered. Possession-channel verification only if you choose to claim the record; looking is always free.

See where your rate lands

This is the local market for CPT 52315 under UnitedHealthcare in San Francisco-Oakland-Fremont, CA. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.

Run a free RateScore on your NPI → Talk to us about UnitedHealthcare

Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from UnitedHealthcare's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: UnitedHealthcare’s published machine-readable files. Page generated 2026-08-23 23:58 UTC; the live index is queried in real time on every request.