What do payers pay cardiology groups in CO?

Across 284 NPIs, the median published rate is 116.8% of locality-adjusted Medicare (September 2026 files).

Data as of the September 2026 payer files.

Across 68 procedure codes and 3 payers, the median published rate is 155 percent of locality-adjusted Medicare in the September 2026 payer files. UnitedHealthcare publishes the highest median at 177 percent and Aetna the lowest at 135 percent, a spread of 42 points on identical work. 3 of 3 payers sit at or above Medicare. The best-covered row rests on 284 confirmed NPIs, and any combination under five is withheld rather than shown thin. These are contracted amounts the payer published, not what a practice was paid, and every row clears the ghost-rate filter, so each NPI counted here actually billed the code in the Medicare utilization file.

Published rates

What do payers pay cardiology groups in CO?
Payer	Code	Site	n	p25	p50	p75	% of Medicare
Cigna	99214	professional	284	137.45	163.09	174.09	116.8%
UnitedHealthcare	99214	professional	277	134.6	151.77	187.51	108.7%
Aetna	99214	professional	264	49.31	99.99	136.74	77.2%
Cigna	93306	professional	254	113.96	214.04	319.92	155.7%
UnitedHealthcare	93306	professional	248	141.07	245.68	325.79	173.4%
Aetna	93306	professional	237	107.84	183.1	262.56	133.4%
Cigna	99204	professional	227	212.76	228.53	230.23	125.6%
UnitedHealthcare	99204	professional	224	210.93	237.6	281.11	130.1%
Aetna	99204	professional	219	63.38	136.46	211.84	79.8%
Cigna	93010	professional	210	11.73	12.51	13.69	147.3%
UnitedHealthcare	93010	professional	207	13.77	15.41	16.27	181.4%
Cigna	93000	professional	205	22.71	25.5	27.79	160.7%
UnitedHealthcare	93000	professional	200	30.05	31.65	34.8	199.6%
Aetna	93000	professional	198	7.91	19.06	22.13	127.7%
Cigna	99215	professional	196	196.01	233.15	248.54	117.8%
Aetna	93010	professional	195	4.36	10.5	11.27	131.4%
UnitedHealthcare	99215	professional	192	184.72	213.33	270.83	107.8%
Aetna	99215	professional	180	55.03	138.71	179.94	79%
Cigna	93325	professional	166	5.6	34.84	40.8	160.7%
UnitedHealthcare	93325	professional	164	6.6	34.91	47.47	171%
Aetna	93325	professional	160	5.12	25.01	32.77	131.7%
Cigna	93308	professional	154	42.14	120.7	153.73	149.3%
UnitedHealthcare	93308	professional	152	49.52	118.98	159.74	156.1%
Aetna	93308	professional	150	35.88	103.4	136.09	131.4%
Cigna	99213	professional	148	93.93	113.25	120.64	115.4%
Cigna	93018	professional	142	20.93	22	23.6	157.5%
UnitedHealthcare	99213	professional	142	90.58	103.14	130.19	105.1%
UnitedHealthcare	93018	professional	137	21.38	24.1	28.49	172.5%
Aetna	99213	professional	137	32.13	69.04	95.6	75.5%
Aetna	93018	professional	132	7.66	19.27	19.83	140.3%
Cigna	78452	professional	123	123.46	420.22	586.99	129.9%
Cigna	99205	professional	123	252.23	295.44	328.08	121.8%
UnitedHealthcare	78452	professional	120	152.55	646.14	775.48	172.1%
UnitedHealthcare	99205	professional	119	270.46	307.11	423.08	126.7%
Aetna	78452	professional	118	114.87	450.25	574.28	127.3%
UnitedHealthcare	93321	professional	116	14.99	30.83	42.82	151.8%
Cigna	93321	professional	115	12.72	31.03	41.95	157.4%
Aetna	99205	professional	114	90.32	193.44	278.65	80.1%
Aetna	93321	professional	109	9.86	25.65	35.39	132.8%
Aetna	93016	professional	102	11.32	28.96	28.96	136.8%
Cigna	93016	professional	102	32.93	32.93	36.21	155.5%
UnitedHealthcare	93016	professional	99	32.06	33.08	39.24	156.2%
UnitedHealthcare	93294	professional	96	57.17	58.97	61.98	197.4%
Cigna	93248	professional	95	38.97	42.11	43.37	167.3%
Cigna	93294	professional	95	44.73	46.14	49.11	154.5%
UnitedHealthcare	93248	professional	93	40.2	45.33	56.42	180.1%
Aetna	93294	professional	90	38.34	40.45	46.75	135.4%
Aetna	93248	professional	89	13.65	32.08	34.94	138.8%
Cigna	93320	professional	88	31.92	58.41	83.72	157.5%
Cigna	93280	professional	87	56.42	64.32	111.05	144.9%
UnitedHealthcare	93280	professional	87	62.84	74.6	116.54	164.4%
Cigna	93312	professional	87	175.29	230.73	386.46	156.3%
UnitedHealthcare	93312	professional	87	193.19	254.43	354.17	159.8%
Aetna	93312	professional	86	129.5	181.88	258.99	135.5%
UnitedHealthcare	93244	professional	85	36.63	41.31	48.24	178.6%
UnitedHealthcare	93320	professional	85	35.28	65.6	86.66	178.4%
Cigna	93244	professional	84	33.63	37.16	38.96	160.7%
Aetna	93458	professional	82	480.79	1003.22	1371.81	134.4%
Aetna	93280	professional	81	46.75	57.26	86.23	134.6%
Aetna	93320	professional	80	25.59	46.4	64.54	136.8%
UnitedHealthcare	93458	professional	80	580.54	1253.79	1605.56	168.1%
Aetna	93244	professional	79	12.37	24.73	31.66	130.1%
Cigna	93458	professional	79	476.44	1243.13	1552.98	160.2%
UnitedHealthcare	93298	professional	71	44.76	50.11	86.78	49%
Cigna	93298	professional	70	39.3	46.04	126	150.6%
Cigna	92960	professional	69	205.33	220.53	230.4	133.9%
Aetna	92960	professional	67	28.55	107.05	175.44	109.8%
UnitedHealthcare	92960	professional	67	194.13	213.07	275.91	133.9%
Aetna	93298	professional	66	34.05	86.42	113.01	132.2%
UnitedHealthcare	93295	professional	64	70.03	72.23	93.94	197%
Cigna	93295	professional	63	56.84	60.74	77.62	165.7%
UnitedHealthcare	92928	professional	62	872.2	964.82	1126.95	212.1%
Cigna	92928	professional	61	874.28	915.44	947.67	195.8%
Aetna	92928	professional	60	122.62	506.53	784.74	172.5%
Aetna	93295	professional	60	47.18	49.83	60.83	135.9%
Cigna	93356	professional	60	34.38	40.53	46.61	105.3%
UnitedHealthcare	93356	professional	58	37.4	42.41	56.49	110.1%
UnitedHealthcare	92978	professional	56	184.76	301.8	422.78	167%
Cigna	93296	professional	56	35.21	40.14	43.64	119.2%
UnitedHealthcare	93296	professional	56	44.4	47.7	54.92	141.7%
Cigna	92978	professional	55	158.23	276.01	388.51	154.6%
Aetna	92978	professional	53	126.8	192.22	291.27	137.3%
Aetna	93296	professional	52	28.93	29.11	36.22	86.5%
Cigna	93246	professional	51	18.22	23.69	23.81	192.9%
Aetna	93356	professional	51	13.34	26.56	30.22	78.5%
Cigna	93793	professional	50	17.39	17.39	20.37	144.5%
Cigna	93454	professional	49	406.64	1062.57	1389.23	160.6%
UnitedHealthcare	93454	professional	49	466.59	986.41	1358.09	157.7%
Aetna	93793	professional	49	2.5	15.97	15.97	132.7%
UnitedHealthcare	93793	professional	49	21.2	21.2	21.2	176.2%
UnitedHealthcare	93246	professional	47	22.9	22.9	29.82	185.5%
Aetna	93246	professional	45	6.58	16.12	16.83	136.3%
UnitedHealthcare	93228	professional	44	40.85	50.36	51.55	197.1%
UnitedHealthcare	93656	professional	44	1883.58	2110.85	2657.25	266.4%
Aetna	93454	professional	43	358.71	913.25	1193.91	134.3%
Cigna	93656	professional	43	1529.73	1674.91	1830.08	211.3%
Cigna	93228	professional	42	35.99	36.47	40.91	142.7%
Aetna	93015	professional	41	40.63	81.55	95.55	124.8%
Cigna	93015	professional	41	104.28	110.14	122.26	143.9%
UnitedHealthcare	93015	professional	40	104.86	132.52	150.69	173.1%
Aetna	93228	professional	40	27.34	34.88	41.45	128.6%
Cigna	93350	professional	38	124.02	196.22	302.5	156.6%
Aetna	93656	professional	38	544.71	1258.37	1266.73	159.8%
Aetna	99203	professional	38	41.68	87.75	114.79	75.6%
UnitedHealthcare	93350	professional	36	136.99	221.31	276.64	160.6%
Cigna	93880	professional	36	60.9	257.18	312.83	158.5%
Cigna	99203	professional	36	140.51	148.18	154.59	122.7%
UnitedHealthcare	33208	professional	35	873.66	1024.77	1167.95	226.6%
Aetna	93880	professional	35	51.93	169.89	231.86	135%
UnitedHealthcare	93880	professional	35	74.87	289.73	362.09	182.2%
Cigna	93272	professional	34	33.14	34.76	41.5	143.9%
Aetna	93350	professional	34	94.32	166.75	247.76	134.5%
UnitedHealthcare	99203	professional	34	131.54	148.34	173.47	122.4%
Cigna	33208	professional	33	785.21	811.77	899.1	173.6%
Aetna	93272	professional	33	25.83	35.67	47.06	194.8%
UnitedHealthcare	93272	professional	33	42.99	57.23	57.79	236.9%
Aetna	33208	professional	32	116.76	437.87	747.29	165.2%
Cigna	93227	professional	31	29.03	31.67	37.16	175.2%
UnitedHealthcare	93279	professional	31	51.38	63.08	98.69	158.5%
Cigna	75574	professional	30	163.68	336.82	378.02	140.4%
Cigna	93279	professional	30	48.23	55.48	87.14	146.6%
Aetna	93227	professional	29	19.69	25.21	35.24	139.4%
UnitedHealthcare	93227	professional	29	38.17	41.28	49.7	228.3%
UnitedHealthcare	93284	professional	29	68.88	115.63	166.39	166.7%
UnitedHealthcare	75574	professional	28	228.14	438.32	595.73	187.2%
UnitedHealthcare	93283	professional	28	71.38	106.64	167.02	168.9%
Cigna	93284	professional	28	68.99	97.36	153.36	147.5%
Aetna	75574	professional	27	184.76	314.64	413.07	139%
Cigna	93283	professional	27	64.63	89.77	136.73	145.9%
Aetna	93284	professional	27	64.74	83.14	140.87	136.6%
Cigna	93297	professional	27	39.15	46.04	60.07	143.6%
Cigna	93623	professional	27	92.1	197.39	263.83	380.7%
UnitedHealthcare	93623	professional	27	235.21	374.75	449.95	594.8%
Cigna	93655	professional	27	584.29	634.91	706.2	247.8%
UnitedHealthcare	93655	professional	27	715.44	725.41	953.44	283.1%
Cigna	33340	professional	26	1090.38	1176.64	1257.62	190.2%
UnitedHealthcare	33340	professional	26	1324.05	1398.26	1688.16	226%
Aetna	93279	professional	26	42.97	51.67	86.54	135.8%
UnitedHealthcare	93297	professional	26	41.91	50.25	69.76	122.8%
Aetna	93623	professional	25	26.89	73.54	98.86	140.5%
Cigna	93653	professional	25	1247.2	1306.74	1407.65	178.4%
UnitedHealthcare	93653	professional	25	1402.59	1427.96	1788.3	204.3%
Aetna	93283	professional	24	60.39	79.49	130.59	136.6%
Aetna	93655	professional	24	387.95	410.21	410.21	160.1%
Aetna	33340	professional	22	546.71	1010.73	1111.1	179.6%
Cigna	93288	professional	22	35.86	47.61	71.69	143.8%
UnitedHealthcare	93288	professional	22	40.8	62.04	90.18	193.2%
Aetna	93297	professional	22	34.05	40.37	53.58	120.4%
Aetna	93653	professional	22	569.76	1087.36	1117.58	159.9%
Aetna	93017	professional	20	21.66	43.32	55.45	137.3%
Cigna	93017	professional	20	54.15	54.69	59.05	—%
UnitedHealthcare	93017	professional	19	48.35	48.35	54.15	116.8%
Aetna	93288	professional	19	31.09	40.31	62.73	130.5%
Cigna	93242	professional	18	18.12	20.25	24.52	191.9%
UnitedHealthcare	93242	professional	18	24.92	29.25	30.35	237%
Cigna	93657	professional	18	513.06	634.37	686.8	247.6%
UnitedHealthcare	93657	professional	18	714.86	844.25	1089.56	329.5%
Aetna	93460	professional	17	708.1	1368.98	1754.18	155%
UnitedHealthcare	93460	professional	17	866.82	1605.02	2069.66	195.6%
Aetna	93571	professional	17	106.7	146.58	222.09	105.2%
UnitedHealthcare	93571	professional	17	152.4	318.38	440.03	141.4%
Aetna	93657	professional	17	311.7	410.7	410.7	160.3%
Aetna	93351	professional	16	157.69	217.11	304.86	123.3%
Cigna	93351	professional	16	155.93	248.32	361.49	153.4%
UnitedHealthcare	93351	professional	16	181.02	285.09	372.02	174%
Cigna	93460	professional	16	636.13	1444.11	1846.38	152.1%
Cigna	93571	professional	16	129.54	231.56	331.24	127.3%
UnitedHealthcare	33361	professional	15	2097.48	2436.31	2822.69	229.7%
Cigna	93005	professional	15	10.2	10.2	12.87	—%
Aetna	93242	professional	15	6.58	16.12	16.44	130.6%
Cigna	33274	professional	14	730.62	730.62	765.31	175.5%
UnitedHealthcare	33274	professional	14	815.34	815.34	936.13	195.8%
Cigna	33361	professional	14	1812.66	1914.39	2344.11	180.5%
UnitedHealthcare	93005	professional	14	15.41	15.41	15.41	209.1%
Cigna	93307	professional	14	78.92	161.63	223.94	162.8%
Cigna	93662	professional	14	75.02	175.46	285.82	296.4%
UnitedHealthcare	93662	professional	14	344.83	462.88	728.58	395.8%
Cigna	93970	professional	14	53.88	254.71	285.28	159.3%
Cigna	75572	professional	13	170.53	263.19	340	180.2%
Aetna	93005	professional	13	7.1	9.08	9.08	123.2%
Aetna	93307	professional	13	59.72	104.56	151.23	132.9%
UnitedHealthcare	93307	professional	13	80.52	137.91	203.04	148%
Aetna	93662	professional	13	33.07	96.29	111.89	137%
Aetna	93970	professional	13	46.92	172.54	245.79	136.9%
UnitedHealthcare	93970	professional	13	64.94	283.67	325.38	177.4%
Cigna	33228	professional	12	548.62	583.24	656.44	178%
UnitedHealthcare	33228	professional	12	484.54	593.6	727.66	189%
Aetna	33361	professional	12	920.87	1698.97	1720.12	162.2%
UnitedHealthcare	75572	professional	12	193.44	287.07	425.42	179.7%
Aetna	93925	professional	12	53.11	222.7	277.44	125%
Cigna	93925	professional	12	65.46	346.05	375.66	159.6%
Cigna	93971	professional	12	34.37	157.87	185.35	158.6%
Aetna	33228	professional	11	71.47	250.15	353.3	164%
Aetna	33274	professional	11	689.42	689.42	689.42	165.6%
Aetna	75572	professional	11	142.32	219.41	262.17	139.1%
UnitedHealthcare	93282	professional	11	69.05	89.44	133.62	183.9%
UnitedHealthcare	93925	professional	11	71.31	385.56	423.3	182.6%
Aetna	93971	professional	11	28.76	110.24	158.71	138.6%
UnitedHealthcare	93971	professional	11	41.75	186.08	198.94	179.9%
Cigna	75561	professional	10	178.62	393.6	575	134.6%

Median rate by payer, percent of Medicare

Solid line 100% of Medicare.

How this is measured

Rates come from each payer's published Transparency in Coverage machine-readable file, filtered to this specialty's codes and to NPIs the CMS Medicare utilization file shows billing that code. Percentiles are computed per payer, code and site of service across those NPIs, then divided by the locality-adjusted Medicare amount for the same code and place. Full methodology.

Payer files: 2026-09

Questions

Is this what the practice was paid?

No. These are contracted rates as published by the payer, not allowed or paid amounts.

Why are some cells blank?

Ghost rates are removed using Medicare utilization. A row appears only if that NPI billed the code.

What is an episode total?

Professional plus facility when both exist. We never average them or invent a total from one side.

Saran Siva

Co-founder & CTO, Insight Health · September 2026 files