What do payers pay cardiology groups in FL?

Across 1818 NPIs, the median published rate is 70.2% of locality-adjusted Medicare (September 2026 files).

Data as of the September 2026 payer files.

Across 69 procedure codes and 3 payers, the median published rate is 117 percent of locality-adjusted Medicare in the September 2026 payer files. UnitedHealthcare publishes the highest median at 137 percent and Aetna the lowest at 109 percent, a spread of 28 points on identical work. 3 of 3 payers sit at or above Medicare. The best-covered row rests on 1818 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 FL?
Payer	Code	Site	n	p25	p50	p75	% of Medicare
Aetna	99214	professional	1818	40	84.03	129.74	70.2%
UnitedHealthcare	99214	professional	1812	89.08	116.85	146.32	84.4%
Cigna	99214	professional	1808	90.05	115.01	139.26	83.4%
Aetna	93306	professional	1665	87.71	147.64	203.73	113.3%
UnitedHealthcare	93306	professional	1650	109.13	171.61	259.23	135.3%
Cigna	93306	professional	1646	92.01	142.16	236.75	124%
Aetna	93000	professional	1611	6.84	13.67	19.25	116.7%
Cigna	93000	professional	1599	12.51	18.21	26.67	119%
UnitedHealthcare	93000	professional	1593	17.15	21.98	26.52	142%
Aetna	99204	professional	1476	45	127.35	203.28	82.1%
UnitedHealthcare	99204	professional	1469	142.33	184.76	232.65	101.4%
Cigna	99204	professional	1452	128.1	168.9	210.62	94.7%
Aetna	78452	professional	1103	102.6	300.36	423.14	98%
Cigna	78452	professional	1100	86.26	277.73	387.89	82.2%
UnitedHealthcare	78452	professional	1099	84.97	326.91	394.35	92.3%
UnitedHealthcare	99213	professional	1068	60.11	76.15	95.95	79.4%
Aetna	99213	professional	1066	26.1	54.63	79.99	65.8%
Cigna	99213	professional	1066	60.89	75.38	91.82	78.4%
UnitedHealthcare	93010	professional	1019	8.52	11.61	13.58	137.1%
Cigna	93010	professional	1009	6.94	10.92	13.47	127.1%
Aetna	93010	professional	973	3.4	6.79	10.13	114.4%
Aetna	99215	professional	934	45	116.06	183.64	67.6%
UnitedHealthcare	99215	professional	929	133.5	172.07	203.07	86.4%
Cigna	93015	professional	926	57.78	75.6	107.88	104.9%
Cigna	99215	professional	918	139.19	167.7	199.23	86.4%
Aetna	93015	professional	903	30.22	60.52	81.35	104.8%
UnitedHealthcare	93015	professional	896	69.96	86.94	113.9	118%
UnitedHealthcare	93308	professional	766	41.55	94.57	135.48	143.9%
Aetna	93308	professional	758	39.24	60.02	100.19	120.9%
UnitedHealthcare	93325	professional	755	5.24	26.29	36.19	151.1%
Aetna	93325	professional	742	4.69	20.09	32.35	133.8%
Cigna	93308	professional	729	41	85.95	134.07	142.3%
Cigna	93325	professional	717	5.8	22.44	38.03	143.2%
Aetna	93880	professional	695	36.73	124.07	170.08	94.3%
Cigna	93880	professional	692	48.12	137.93	211.28	101.7%
UnitedHealthcare	93880	professional	679	55.91	169.72	232.43	118.4%
Cigna	93280	professional	651	33.29	53.25	69.9	99.6%
UnitedHealthcare	93018	professional	646	16.6	20.97	25.12	151.9%
Cigna	93294	professional	644	26.5	39.62	49.23	133.3%
UnitedHealthcare	93280	professional	640	37.27	53.35	76.54	107.9%
UnitedHealthcare	93294	professional	639	32.37	41.33	50.38	138.4%
Aetna	93294	professional	636	29.91	35.13	43.92	117.1%
Aetna	93280	professional	630	23.16	37.55	53.57	91.2%
Aetna	93018	professional	629	6.24	13.84	18.98	124.2%
Aetna	93458	professional	623	502.96	703.07	977.55	108.9%
UnitedHealthcare	93458	professional	620	550.72	921.02	1368.51	137.3%
Cigna	93018	professional	614	14.17	20.31	23.18	144.9%
Cigna	93458	professional	613	503.69	794.43	1195.33	131.1%
UnitedHealthcare	93312	professional	591	149.95	204.55	311.07	144.7%
Cigna	93228	professional	589	21.71	28.91	38.94	111.3%
Aetna	93228	professional	588	23.4	33.02	41.66	95.6%
UnitedHealthcare	93228	professional	588	26.64	32.08	40.72	127.4%
Aetna	93312	professional	582	50.55	129.01	207.87	123.6%
Cigna	99205	professional	577	181.75	226.23	277.11	93.5%
UnitedHealthcare	99205	professional	576	193.78	244.08	299.11	102.2%
UnitedHealthcare	93016	professional	575	25.78	32.11	39.14	154%
Aetna	99205	professional	575	45	160.19	258.85	78.6%
Aetna	93016	professional	564	9.55	21.29	28.18	127.3%
Cigna	93312	professional	564	143.85	194.05	292.59	145.1%
Cigna	93016	professional	550	21.88	31.37	34.85	150.1%
Cigna	93296	professional	537	19.05	25.78	38.87	84.5%
UnitedHealthcare	93296	professional	528	24.73	32.77	38.51	103.4%
Aetna	93296	professional	527	22.88	28.26	37.06	90.4%
UnitedHealthcare	93320	professional	483	28.09	47.16	68.28	146.8%
Aetna	93320	professional	482	21.3	37.68	55.18	123.2%
Aetna	93298	professional	479	9.19	20.21	29.63	25.4%
Cigna	93298	professional	478	25.31	42.55	74.75	91.5%
UnitedHealthcare	93298	professional	476	29.69	38.47	51.56	38.5%
Cigna	93320	professional	458	26.36	40.15	65.99	144.7%
UnitedHealthcare	93321	professional	436	12.59	27.49	38.27	158%
UnitedHealthcare	93356	professional	432	27.96	35.31	39.68	98.1%
Aetna	93356	professional	429	10.95	21.88	28.4	67.3%
Aetna	93321	professional	427	9.61	21.55	30.17	125.7%
Cigna	93295	professional	416	38.01	56.73	83.18	154.6%
UnitedHealthcare	93295	professional	416	42.63	57.57	76.45	157.9%
Aetna	93295	professional	410	54.53	61.53	78.75	168.8%
Cigna	93321	professional	407	12.62	24.41	37.68	152.6%
Cigna	93356	professional	405	25.11	33.81	42.2	92.1%
UnitedHealthcare	92960	professional	385	149.88	195.93	231.29	124.3%
Aetna	92960	professional	381	40	60	143.47	109%
Aetna	92928	professional	379	104.83	393.11	592.92	137.3%
Cigna	92960	professional	373	134.12	185.09	220.33	120%
Aetna	93970	professional	373	33.53	122.41	165.44	96.5%
Cigna	93970	professional	373	47.36	135.84	195.04	98.3%
UnitedHealthcare	92928	professional	370	677.07	876.15	1004.88	172%
UnitedHealthcare	93970	professional	368	51.68	165.83	224.58	119.6%
Cigna	92928	professional	366	555.01	827.31	999.58	164.2%
Cigna	93244	professional	358	23.34	33.17	38.72	145.5%
UnitedHealthcare	93244	professional	353	28	36.23	44.25	157.6%
Aetna	93244	professional	351	10.49	20.96	28.3	112.9%
Aetna	93925	professional	323	41.05	134.77	205.27	93.7%
Cigna	93925	professional	323	46.72	175.5	260.78	100.5%
UnitedHealthcare	93925	professional	316	56.55	222.42	297.34	119.5%
Aetna	93229	professional	283	566.79	690.51	846.22	77.8%
UnitedHealthcare	93297	professional	283	28.11	35.67	48.07	62.8%
Cigna	93297	professional	282	24.66	33.4	47.16	95.9%
UnitedHealthcare	93229	professional	278	628.42	722.32	791.71	93.8%
Aetna	93297	professional	278	12.57	19.18	26.3	44.3%
Cigna	93229	professional	273	632.25	705.19	894.04	94%
Cigna	93224	professional	267	57.96	73.13	91.59	106.8%
UnitedHealthcare	93248	professional	264	33.68	40.1	50.31	160.2%
Aetna	93224	professional	263	34.62	72.34	85.35	115%
Aetna	93248	professional	263	11.51	24.23	31.97	114.3%
UnitedHealthcare	93224	professional	261	82.33	95.34	121.34	139.2%
Cigna	93248	professional	256	31.66	38.7	44.97	156%
Cigna	93284	professional	247	48.65	76.35	109.94	116.3%
UnitedHealthcare	93284	professional	246	51.22	82.82	112.77	120.8%
Cigna	93242	professional	243	5	11.64	19.19	144.4%
Aetna	93284	professional	241	46.69	71.51	96.76	101.6%
Aetna	93242	professional	236	6.19	12.4	14.49	115.8%
UnitedHealthcare	93242	professional	233	16.31	21.02	24.98	185.1%
UnitedHealthcare	33208	professional	225	603.54	762.99	877.54	151.4%
Aetna	99203	professional	222	39.41	84.9	138.06	81.8%
Cigna	33208	professional	221	500.94	698.85	857.7	142.6%
Aetna	33208	professional	218	55.02	241.63	483.65	127.6%
UnitedHealthcare	99203	professional	215	95.34	122.94	141.41	100.6%
Cigna	99203	professional	213	83.79	113.18	137.22	93.3%
Cigna	93288	professional	201	22.73	32.42	43.47	90.9%
UnitedHealthcare	93288	professional	201	23.63	32.1	45.87	97.3%
Aetna	93460	professional	199	617.96	827.96	1182.22	104.4%
UnitedHealthcare	93283	professional	196	47.07	76.74	105.92	120.7%
Aetna	93288	professional	196	17.58	28.12	36.85	84.1%
Aetna	93283	professional	195	39.85	60.83	85.12	94.8%
Cigna	93283	professional	195	43.3	70.9	100.05	110%
Cigna	93460	professional	195	625.44	915.63	1406.93	130.2%
UnitedHealthcare	93460	professional	192	651.27	1093.18	1580.27	136.7%
Aetna	93656	professional	178	193.1	724.12	1240.07	152.8%
UnitedHealthcare	93656	professional	178	1309.96	1698.72	1939.31	192.1%
Aetna	93793	professional	177	4.66	10.28	11.09	92.6%
Cigna	93656	professional	176	986.26	1550.03	1847.43	174.2%
Aetna	93454	professional	175	437.64	654.21	948.47	115%
UnitedHealthcare	93793	professional	175	13.55	17.14	18.33	147.5%
UnitedHealthcare	93454	professional	174	441.77	846.06	1226.39	143.8%
Cigna	93246	professional	167	5	14.15	19.97	155.1%
Aetna	93227	professional	166	11.48	24.91	31.69	171%
Aetna	93246	professional	166	6.2	12.4	14.49	117.1%
UnitedHealthcare	93246	professional	166	16.97	21.74	24.09	191%
Cigna	93454	professional	165	422.47	744.45	1123	135.7%
UnitedHealthcare	93227	professional	163	27.71	37.75	40.41	213.7%
Cigna	93971	professional	161	31.65	89.08	137.03	117.3%
UnitedHealthcare	92978	professional	160	153.38	232.85	340.79	141.7%
Aetna	93971	professional	160	24.74	78	109.16	104.2%
UnitedHealthcare	93971	professional	159	33.39	105.71	144.15	126.8%
Aetna	92978	professional	157	115.59	152.96	234.71	112.4%
Cigna	93793	professional	156	11.09	15.2	18.54	130.8%
Cigna	92978	professional	154	139.39	209.55	323.11	129.6%
Cigna	93279	professional	150	29.75	45.68	62.62	105%
UnitedHealthcare	93279	professional	149	33.38	46.2	64.33	111.1%
Cigna	93227	professional	145	21.28	30.18	37.25	170.8%
UnitedHealthcare	33340	professional	144	920.84	1194.4	1418.31	181.4%
Cigna	33340	professional	140	757.73	1191.86	1428.41	180.8%
Aetna	93279	professional	136	26.18	38.88	55.4	94%
Aetna	93459	professional	133	565.27	856.52	1260.11	120.3%
Aetna	33340	professional	132	146.35	548.82	830.49	144.3%
UnitedHealthcare	93459	professional	128	594.47	1115.32	1572.72	154.8%
UnitedHealthcare	93571	professional	125	133.39	234.91	308.1	112.4%
Aetna	93571	professional	124	114.98	151.97	233.84	112.1%
Cigna	99457	professional	124	29.18	33.99	39.54	64.5%
Cigna	93978	professional	121	53.38	130.93	203.9	107.5%
Aetna	93978	professional	119	37.99	116.08	162.18	97.7%
Cigna	93459	professional	118	565.84	911.72	1388.7	133.9%
UnitedHealthcare	93655	professional	117	497.98	605.63	697.35	211.1%
UnitedHealthcare	93978	professional	117	59.72	153.77	213.02	116.6%
UnitedHealthcare	99457	professional	116	36.82	39.45	46.51	74.1%
Cigna	93571	professional	115	115.6	163.38	264.51	111.2%
Aetna	99212	professional	114	14.57	37.56	49.99	59.5%
UnitedHealthcare	99212	professional	114	32.19	40.16	50.35	67.7%
Aetna	99457	professional	114	10.87	23.52	34.69	65.2%
Cigna	93655	professional	113	310.06	530.63	676.9	189.2%
Cigna	99454	professional	113	37.78	41.57	48.73	81.2%
Aetna	93655	professional	112	73.29	274.82	433.1	165.3%
Cigna	99212	professional	112	33.53	39.78	50.3	66.8%
UnitedHealthcare	93657	professional	107	497.05	589.99	656.23	204.7%
Aetna	99454	professional	107	21.84	47.54	52.16	98.3%
UnitedHealthcare	99454	professional	105	55.36	58.06	67.64	113.9%
Aetna	93657	professional	104	74.68	280.06	480.14	171.5%
Aetna	93351	professional	103	111.7	163.91	236.58	115.2%
Cigna	93657	professional	103	306.32	458.65	603.57	162%
UnitedHealthcare	33361	professional	97	1511.39	1988.31	2248.42	170.8%
Cigna	93351	professional	97	119.87	175.39	274.64	127.3%
UnitedHealthcare	93351	professional	95	121.81	178.86	263.97	123.6%
Cigna	33361	professional	93	1286.58	2013.04	2475.08	167.3%
Aetna	33361	professional	88	251.64	956.78	1668.48	139.1%
Cigna	99458	professional	88	25.98	29.53	34.74	70.8%
UnitedHealthcare	93272	professional	86	31.16	35.8	38.88	150.5%
UnitedHealthcare	99458	professional	85	33.18	35.2	41.27	80.6%
Aetna	93272	professional	83	21.98	31.89	35.79	101.7%
UnitedHealthcare	93623	professional	83	221.63	327.22	471.29	367.6%
Aetna	99458	professional	83	8.4	21.01	31.11	72.8%
Aetna	93623	professional	82	50.94	132.12	186.75	275.8%
Cigna	93623	professional	81	60.19	90.34	187.77	212.7%
Cigna	99453	professional	81	14.39	16.57	22.4	76.7%
UnitedHealthcare	93225	professional	78	23.93	30.23	38	173.5%
UnitedHealthcare	93662	professional	77	203.03	328.49	478.94	259.3%
UnitedHealthcare	99453	professional	77	17.02	19.17	21.5	90.8%
Aetna	93662	professional	76	53.82	114.3	176.03	225.9%
Cigna	93662	professional	76	55.68	89.78	214.5	215.6%
Aetna	99453	professional	76	7.29	14.57	15.98	70.9%
Aetna	33249	professional	74	84.02	424.35	946.4	130.5%
Cigna	93285	professional	74	25.3	37.12	49.73	90.9%

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