What does UnitedHealthcare pay for CPT 92014 in Chicago-Naperville-Elgin, IL-IN?

The local peer median for CPT 92014 under UnitedHealthcare in Chicago-Naperville-Elgin, IL-IN is $131.07, based on 156 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 92014 under UnitedHealthcare in Chicago-Naperville-Elgin, IL-IN?

The P90, the top of the local market and Reddenda's target rate, is $206.85.

How does UnitedHealthcare's rate for CPT 92014 compare to Medicare?

The UnitedHealthcare local median of $131.07 is 103% of Medicare's national non-facility rate of $127.26 for CPT 92014.

Reddenda · Rate Intelligence · Chicago-Naperville-Elgin, IL-IN

92014 under UnitedHealthcare in Chicago-Naperville-Elgin, IL-IN

Name: UnitedHealthcare rates for CPT 92014 in Chicago-Naperville-Elgin, IL-IN
Creator: Reddenda

Eye exam, established patient, comprehensive · Local peer median $131.07 · High confidence

$131.07 local peer median. In the Chicago-Naperville-Elgin, IL-IN market, UnitedHealthcare pays a local peer median of $131.07 for CPT 92014 (Eye exam, established patient, comprehensive), based on 156 providers in Reddenda's index of UnitedHealthcare's own published in-network rates. The top of the local market, the P90 target, is $206.85, 58% above the median. A provider billed below the local median is being paid less than peers holding the identical UnitedHealthcare contract in Chicago-Naperville-Elgin, IL-IN for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 156 providers · 156 rate records

P10

$79.45

P25

$91.37

Median

$131.07

P75

$159.76

P90 (target)

$206.85

P10$79.45

P25$91.37

Median (P50)$131.07

P75$159.76

P90 target$206.85

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $39 – $690.70

The local peer median for CPT 92014 under UnitedHealthcare in Chicago-Naperville-Elgin, IL-IN is $131.07, drawn from 156 distinct providers.Source: UnitedHealthcare’s published machine-readable files
The bottom of the local market (P10) is $79.45 and the top (P90) is $206.85; the median-to-P90 spread is $75.78.Source: UnitedHealthcare’s published machine-readable files
The lowest published rate in this market is $39; the highest is $690.70.Source: UnitedHealthcare’s published machine-readable files
This benchmark is drawn from 156 individual rate records that UnitedHealthcare itself published for this code in this metro.Source: UnitedHealthcare’s published machine-readable files
Medicare's national non-facility rate for CPT 92014 is $127.26, making the UnitedHealthcare local median 103% of Medicare.Source: Medicare Physician Fee Schedule; UnitedHealthcare’s published machine-readable files
14.1% 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)

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

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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 23:50 UTC; the live index is queried in real time on every request.