What does UnitedHealthcare pay for CPT 99292 in Madison, WI?

The local peer median for CPT 99292 under UnitedHealthcare in Madison, WI is $193.64, based on 106 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 99292 under UnitedHealthcare in Madison, WI?

The P90, the top of the local market and Reddenda's target rate, is $246.16.

How does UnitedHealthcare's rate for CPT 99292 compare to Medicare?

The UnitedHealthcare local median of $193.64 is 145% of Medicare's national non-facility rate of $133.94 for CPT 99292.

Reddenda · Rate Intelligence · Madison, WI

99292 under UnitedHealthcare in Madison, WI

Name: UnitedHealthcare rates for CPT 99292 in Madison, WI
Creator: Reddenda

Critical care, each additional 30 min · Local peer median $193.64 · High confidence

$193.64 local peer median. In the Madison, WI market, UnitedHealthcare pays a local peer median of $193.64 for CPT 99292 (Critical care, each additional 30 min), based on 106 providers in Reddenda's index of UnitedHealthcare's own published in-network rates. The top of the local market, the P90 target, is $246.16, 27% above the median. A provider billed below the local median is being paid less than peers holding the identical UnitedHealthcare contract in Madison, WI for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 106 providers · 106 rate records

P10

$127.52

P25

$169.35

Median

$193.64

P75

$213.78

P90 (target)

$246.16

P10$127.52

P25$169.35

Median (P50)$193.64

P75$213.78

P90 target$246.16

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $98.05 – $660.73

The local peer median for CPT 99292 under UnitedHealthcare in Madison, WI is $193.64, drawn from 106 distinct providers.Source: UnitedHealthcare’s published machine-readable files
The bottom of the local market (P10) is $127.52 and the top (P90) is $246.16; the median-to-P90 spread is $52.52.Source: UnitedHealthcare’s published machine-readable files
The lowest published rate in this market is $98.05; the highest is $660.73.Source: UnitedHealthcare’s published machine-readable files
This benchmark is drawn from 106 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 99292 is $133.94, making the UnitedHealthcare local median 145% of Medicare.Source: Medicare Physician Fee Schedule; UnitedHealthcare’s published machine-readable files
27.4% 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)

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

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This is the local market for CPT 99292 (Critical care, each additional 30 min) under UnitedHealthcare in Madison, WI. 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.

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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 23:48 UTC; the live index is queried in real time on every request.