In this paper we give a conditional improvement to the Elekes-Szabó problem over the rationals, assuming the Uniformity Conjecture. Our main result states that for $F\in \mathbb{Q}[x,y,z]$ belonging to a particular family of polynomials, and any finite sets $A, B, C \subset \mathbb Q$ with $|A|=|B|=|C|=n$, we have \[ |Z(F) \cap (A\times B \times C)| \ll n^{2-\frac{1}{s}}. \] The value of the integer $s$ is dependent on the polynomial $F$, but is always bounded by $s \leq 5$, and so even in the worst applicable case this gives a quantitative improvement on a bound of Raz, Sharir and de Zeeuw (arXiv:1504.05012). We give several applications to problems in discrete geometry and arithmetic combinatorics. For instance, for any set $P \subset \mathbb Q^2$ and any two points $p_1,p_2 \in \mathbb Q^2$, we prove that at least one of the $p_i$ satisfies the bound \[ | \{ \| p_i - p \| : p \in P \}| \gg |P|^{3/5}, \] where $\| \cdot \|$ denotes Euclidean distance. This gives a conditional improvement to a result of Sharir and Solymosi (arXiv:1308.0814).