What does UnitedHealthcare pay for CPT 99213 in Seattle-Tacoma-Bellevue, WA?

The local peer median for CPT 99213 under UnitedHealthcare in Seattle-Tacoma-Bellevue, WA is $101.72, based on 512 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 99213 under UnitedHealthcare in Seattle-Tacoma-Bellevue, WA?

The P90, the top of the local market and Reddenda's target rate, is $163.79.

How does UnitedHealthcare's rate for CPT 99213 compare to Medicare?

The UnitedHealthcare local median of $101.72 is 107% of Medicare's national non-facility rate of $95.19 for CPT 99213.

Reddenda · Rate Intelligence · Seattle-Tacoma-Bellevue, WA

99213 under UnitedHealthcare in Seattle-Tacoma-Bellevue, WA

Name: UnitedHealthcare rates for CPT 99213 in Seattle-Tacoma-Bellevue, WA
Creator: Reddenda

Office visit, established patient, 20-29 min · Local peer median $101.72 · High confidence

$101.72 local peer median. In the Seattle-Tacoma-Bellevue, WA market, UnitedHealthcare pays a local peer median of $101.72 for CPT 99213 (Office visit, established patient, 20-29 min), based on 512 providers in Reddenda's index of UnitedHealthcare's own published in-network rates. The top of the local market, the P90 target, is $163.79, 61% above the median. A provider billed below the local median is being paid less than peers holding the identical UnitedHealthcare contract in Seattle-Tacoma-Bellevue, WA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 512 providers · 512 rate records

P10

$78.50

P25

$81.45

Median

$101.72

P75

$149.12

P90 (target)

$163.79

P10$78.50

P25$81.45

Median (P50)$101.72

P75$149.12

P90 target$163.79

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $38.94 – $412.15

The local peer median for CPT 99213 under UnitedHealthcare in Seattle-Tacoma-Bellevue, WA is $101.72, drawn from 512 distinct providers.Source: UnitedHealthcare’s published machine-readable files
The bottom of the local market (P10) is $78.50 and the top (P90) is $163.79; the median-to-P90 spread is $62.07.Source: UnitedHealthcare’s published machine-readable files
The lowest published rate in this market is $38.94; the highest is $412.15.Source: UnitedHealthcare’s published machine-readable files
This benchmark is drawn from 512 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 99213 is $95.19, making the UnitedHealthcare local median 107% of Medicare.Source: Medicare Physician Fee Schedule; UnitedHealthcare’s published machine-readable files
19.3% 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)

512 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.