Is my UnitedHealthcare contract below market? Compare the contracted rate with Medicare, Medicaid FFS, and the UnitedHealthcare median for the same CPT code and state. How do I compare my payer rates? Put each rate next to those three published benchmarks. Example: $140 for 90837 in Ohio is 85.6% of Medicare and 100.2% of the UHC median.
How we got this number: Ohio Medicare non-facility for 90837 is $163.52 (CMS RVU26D). Ohio Medicaid FFS is $108.57. UHC median is $139.72 (10th percentile $104.59, 90th percentile $250.67), source file dated 2026-09-01. $140 is a sample offer, not a published rate.
Ohio 90837 rate ladder: Medicaid FFS $108.57, UHC median $139.72, Medicare NF $163.52 on /rates/90837/ohio. Use the form for your own contract numbers.
Contract Checker v1.3. A sample Ohio CPT 90837 row is filled in so you can see how it works, with CPT 90834 on the second row. Replace the sample with your contract number.
Each UnitedHealthcare state page links here with the CPT code and state already filled in. You add the offered rate. Prefill Michigan 90837 to compare an offer in Michigan. Prefill Ohio 90837 to compare an offer in Ohio. Prefill Nebraska 90837 to compare an offer in Nebraska. Prefill Indiana 90837 to compare an offer in Indiana. Want a code, payer, or state added? Tell us through the contact form.
% of Medicare = offered ÷ that state’s CY 2026 Medicare non-facility PFS (lowest to highest when a state has more than one locality). % of Medicaid = offered ÷ official FFS when parsed. % of UHC = offered ÷ the published UnitedHealthcare (Optum Behavioral Health) median, with the middle 80% of UHC rates, when UHC publishes that code and state.
Aetna and Anthem commercial cells stay Coming soon. Cigna and Humana stay Coming soon unless a fetched cell exists. UnitedHealthcare medians are loaded for 51 jurisdictions. Medicare amounts use the CMS Physician Fee Schedule. Medicaid amounts use that state's published fee-for-service schedule when parsed.
Ask us to keep these figures current
Tell us you use the CPT 90837 figures for Ohio. We use these requests to decide which codes and states to refresh first. Something missing or off? Let us know.
Questions
Is my UnitedHealthcare contract below market?
Compare your rate with the UHC 10th percentile, median, and 90th percentile for your state, and as a percent of Medicare and Medicaid FFS. In Ohio, CPT 90837 Medicare non-facility is $163.52, Medicaid FFS is $108.57, and the UHC median is $139.72 (10th percentile $104.59, 90th percentile $250.67, source file dated 2026-09-01).
How do I compare my payer rates?
Enter the CPT code, state, and contracted rate in the Contract Checker. It places that rate next to Medicare (CMS RVU26D), state Medicaid FFS when parsed, and the UnitedHealthcare 10th percentile, median, and 90th percentile. Aetna and Anthem stay Coming soon.
How do I check if an insurance contract offer is below Medicare?
Divide the offer by your locality's Medicare non-facility amount. In Ohio, Medicare non-facility for 90837 is $163.52 (CMS RVU26D). The Contract Checker shows this percent for each code you enter.
What is the Ohio 90837 rate ladder Contract Checker uses?
Official Ohio CPT 90837 cells: Medicaid FFS $108.57, UnitedHealthcare Optum Behavioral Health median $139.72 (10th percentile $104.59, 90th percentile $250.67), Medicare non-facility PFS $163.52. The worked example in the answer above is not a published contract.
How does Contract Checker compare an offered rate to Medicare?
Each offered dollar is divided by that state's CY 2026 Medicare non-facility Physician Fee Schedule amount (locality min-max when a state has more than one CMS locality). Ohio CPT 90837 Medicare NF is $163.52 on /rates/90837/ohio (national GPCI 1.0 is $167.00).
Does Contract Checker use Medicaid FFS or commercial price transparency data?
Medicaid FFS is shown only when that state and code are in the parsed official extract. Ohio 90837 Medicaid FFS is $108.57. UnitedHealthcare Optum Behavioral Health median for Ohio 90837 is $139.72 (UHC 10th percentile $104.59, median $139.72, 90th percentile $250.67). Four CPTs are loaded in 51 jurisdictions. Aetna, Anthem, Cigna, and Humana stay Coming soon.
Do you store the email or offered rates?
When you submit the email form, we receive your email and a short summary of the codes you checked. Offered-rate drafts otherwise stay in your browser. To tell us what you are trying to benchmark, use the contact form at goparite.com/contact.