What do payers pay cardiology groups in IL?

Across 929 NPIs, the median published rate is 111.3% 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 155 percent of locality-adjusted Medicare in the September 2026 payer files. UnitedHealthcare publishes the highest median at 182 percent and Cigna the lowest at 146 percent, a spread of 36 points on identical work. 3 of 3 payers sit at or above Medicare. The best-covered row rests on 929 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 IL?
Payer	Code	Site	n	p25	p50	p75	% of Medicare
UnitedHealthcare	99214	professional	929	127.39	158.59	183	111.3%
Cigna	99214	professional	913	127.13	161.49	169.34	114.8%
Aetna	99214	professional	786	14.46	82.86	127.19	77.8%
UnitedHealthcare	93306	professional	767	139.56	238.82	351.04	187.9%
UnitedHealthcare	93010	professional	761	12.77	15.12	16.11	173.6%
Cigna	93306	professional	746	107.19	193.52	285.36	146.5%
Cigna	93010	professional	741	11.81	12.86	14.26	147.6%
UnitedHealthcare	99204	professional	686	207.27	254.54	280.05	134.4%
UnitedHealthcare	93000	professional	677	26.92	30.53	33.59	193.2%
Cigna	99204	professional	675	180.74	221.73	237.06	121.9%
Cigna	93000	professional	665	22.92	24.47	31.4	154.4%
Aetna	93306	professional	644	120.04	192.1	273.78	152.2%
Aetna	93010	professional	623	4.72	10.79	14.61	160.5%
UnitedHealthcare	99215	professional	605	190.21	221.07	259.37	110%
Cigna	99215	professional	596	182.86	225.41	245.44	114.7%
Aetna	99204	professional	590	19.72	111.16	171.34	78.7%
Aetna	93000	professional	589	8.55	19.23	26.48	162.3%
Aetna	99215	professional	512	32.5	135.59	209.7	82.9%
UnitedHealthcare	93018	professional	497	22.83	25.87	28.67	186.6%
Cigna	93018	professional	482	19.52	20.75	25.3	147.4%
UnitedHealthcare	93308	professional	481	49.97	127.76	170.96	176.5%
UnitedHealthcare	93325	professional	479	6.27	39.31	47.3	191%
Cigna	93308	professional	469	40.29	111.67	148.14	145.5%
Cigna	93325	professional	469	5.4	29.76	36	148.1%
UnitedHealthcare	99213	professional	464	84.78	99.61	119.19	104.2%
UnitedHealthcare	93016	professional	453	34.82	38.7	43.3	185.7%
Cigna	99213	professional	450	89.12	107.89	116.87	109.3%
Cigna	93016	professional	442	29.45	30.96	35.72	146.3%
Aetna	93018	professional	416	7.93	17.84	24.58	166.4%
UnitedHealthcare	99205	professional	414	287.93	333.38	384.08	134.9%
Aetna	99213	professional	413	9.97	56.88	88.16	74.5%
Cigna	99205	professional	407	225.85	291.8	313.04	120%
Aetna	93325	professional	398	5.67	26.89	39.93	170.9%
Aetna	93016	professional	396	11.91	26.95	36.9	166.9%
UnitedHealthcare	78452	professional	395	136.97	566.63	707.37	170.2%
Aetna	93308	professional	393	43.89	95.36	145.46	169.1%
Cigna	78452	professional	383	119.94	498.43	617.93	145.5%
Aetna	99205	professional	348	29.62	173.57	257.5	88.3%
Aetna	78452	professional	326	136.01	402.85	533.83	128.8%
UnitedHealthcare	93312	professional	317	207.02	268.54	426.56	188.6%
UnitedHealthcare	93321	professional	313	14.62	34.8	46.04	188.1%
Cigna	93321	professional	311	11.85	26.37	37.76	145.9%
Cigna	93312	professional	309	160.06	208.44	348.39	146.9%
UnitedHealthcare	93320	professional	301	35.36	66.06	93.63	191.2%
UnitedHealthcare	93458	professional	296	625.29	1314.5	1800.87	182.7%
Cigna	93320	professional	294	28.16	50.45	76.51	146.1%
Cigna	93458	professional	288	519.15	1052.85	1470.28	149.8%
Aetna	93312	professional	259	125.43	198.85	281.41	173.4%
Aetna	93321	professional	255	12.84	24.72	37.95	173.7%
Aetna	93320	professional	254	29.55	47.66	76.15	173.2%
Aetna	93458	professional	251	671.35	1048.13	1501.13	156.1%
UnitedHealthcare	93356	professional	242	39.5	46.28	47.88	124.5%
Cigna	93356	professional	235	28.58	33.81	38.96	89.4%
Cigna	93294	professional	230	43.82	45.55	52.18	150%
UnitedHealthcare	93294	professional	229	47.07	56.76	62.46	184.4%
UnitedHealthcare	92960	professional	210	237.22	253.39	304.33	158.8%
Cigna	92960	professional	208	180.14	194.29	234.91	121.6%
Aetna	93356	professional	208	14.2	32.11	43.99	102%
UnitedHealthcare	92928	professional	205	1003.27	1149.13	1262.94	218%
UnitedHealthcare	93244	professional	199	43.33	46.77	49.36	197.5%
Cigna	93244	professional	198	30.93	34.51	37.6	146.9%
Cigna	92928	professional	197	758.45	834.87	960.95	152.5%
Aetna	93294	professional	191	37.21	47.55	61.17	156.3%
UnitedHealthcare	93248	professional	188	48.29	52.33	54.04	203.3%
Cigna	93228	professional	187	35.19	38.56	40.54	147.4%
Cigna	93280	professional	187	52.99	61.68	100.83	143.8%
UnitedHealthcare	93280	professional	186	58.28	69.88	106.68	157.3%
UnitedHealthcare	93228	professional	182	41.14	47.17	51.85	179.9%
Aetna	92928	professional	179	102.32	326.93	749.96	163.9%
Cigna	93248	professional	179	33.46	37.45	41.73	146.7%
Aetna	92960	professional	172	29.34	115.77	219.24	147.5%
UnitedHealthcare	93793	professional	168	19.07	20.69	22.87	169.7%
Cigna	93298	professional	166	38.41	101.21	128.69	143.1%
UnitedHealthcare	93298	professional	166	40.64	50.07	58.35	50.6%
Cigna	93793	professional	166	15.92	17.12	18.32	145.5%
Cigna	93295	professional	165	53.84	55.96	77.36	150%
UnitedHealthcare	93351	professional	165	165.33	263.95	406.15	183.9%
UnitedHealthcare	93295	professional	162	68	69.76	76.69	187.5%
Cigna	93296	professional	161	41.37	45.32	48.81	143.2%
Aetna	93244	professional	159	13.4	30.15	41.53	154.3%
UnitedHealthcare	93296	professional	159	37.72	45.42	51.71	140.5%
Cigna	93351	professional	158	131.29	225.22	320.96	145.3%
Aetna	93228	professional	157	34.27	40.32	48.09	162%
Cigna	93015	professional	154	107.39	110.03	133.13	145.5%
UnitedHealthcare	93015	professional	154	107.38	122.84	139.91	165.8%
UnitedHealthcare	93227	professional	149	43.59	45.9	51.36	262.1%
Cigna	93227	professional	147	26.23	32.41	44.53	177.6%
Aetna	93280	professional	147	47.76	67.51	94.1	162.6%
Aetna	93227	professional	140	9.76	23.28	31.17	163%
Aetna	93248	professional	140	14.73	32.75	45.64	177.2%
UnitedHealthcare	92978	professional	138	201.16	368.49	509.32	169.8%
Aetna	93793	professional	138	2.08	6.34	15.48	135.6%
Cigna	92978	professional	136	165.06	258.18	389.55	140%
Aetna	93296	professional	134	31.49	40.51	51.46	123.4%
Aetna	93351	professional	134	173.48	268.68	335.85	173.4%
Aetna	93295	professional	133	47.57	60.54	78.72	162.7%
Aetna	93298	professional	133	22.72	34.29	48.56	44.4%
UnitedHealthcare	93454	professional	131	510.98	1139.49	1592.2	186.5%
UnitedHealthcare	93272	professional	127	42.18	44.06	49.3	182.1%
Cigna	93272	professional	126	33.38	35.99	40.51	146.9%
Cigna	93454	professional	125	412.21	881.59	1228.71	142.6%
UnitedHealthcare	93880	professional	123	71.84	257.33	335.31	180%
Aetna	93015	professional	121	33.31	75.04	103.98	137.5%
Cigna	93880	professional	120	59.17	215.17	271.54	144.2%
UnitedHealthcare	99203	professional	118	120.09	136.13	173.95	114.3%
Aetna	92978	professional	116	158.23	219.54	361.15	157.7%
Cigna	93284	professional	116	66.56	89.08	141.11	144.6%
UnitedHealthcare	93284	professional	115	66.43	112.11	165.65	163.9%
UnitedHealthcare	33208	professional	114	874.53	1046.12	1137.81	200.5%
Cigna	99203	professional	114	114.25	143.93	154.65	116.4%
Cigna	33208	professional	112	751.79	816.53	966.14	153.2%
Aetna	93454	professional	110	549.01	914.63	1334.09	156.3%
Cigna	93350	professional	108	105.79	180.23	255.71	147.5%
UnitedHealthcare	93350	professional	108	133.64	217.36	295.43	182.1%
Aetna	99203	professional	107	12.62	52.8	93.28	71.2%
Cigna	93229	professional	105	985.17	1078.57	1311.78	142.6%
Aetna	93880	professional	105	53.87	159.02	246.48	135.3%
Cigna	93656	professional	104	1334.36	1453.21	1672.79	152.3%
UnitedHealthcare	93656	professional	104	2019.19	2149.33	2437.74	236.1%
Aetna	93272	professional	103	13.78	35.89	42.7	152.3%
Cigna	93283	professional	103	62.17	82.23	129.59	143%
UnitedHealthcare	93229	professional	102	969.87	1164.41	1221.74	156%
UnitedHealthcare	93283	professional	102	62.76	103.6	153.3	168.8%
Aetna	33208	professional	96	127.02	444.58	848.16	179.2%
Aetna	93284	professional	95	77.82	98.96	141.73	162.6%
UnitedHealthcare	75574	professional	91	208.38	394.9	539.66	169.7%
UnitedHealthcare	93970	professional	91	69.31	272.39	347.44	185%
Cigna	75574	professional	90	190.18	330.76	491.9	151%
Cigna	93279	professional	89	44.27	53.38	85.59	140%
Cigna	93970	professional	89	53.07	214.99	264.44	145.5%
UnitedHealthcare	93279	professional	88	52.61	62.71	103.41	171.6%
UnitedHealthcare	93925	professional	87	71.3	313.38	436.06	182.2%
UnitedHealthcare	93460	professional	85	800.95	1598.98	2198.27	189%
Aetna	93656	professional	85	232.27	893.89	1519.61	181.2%
Cigna	93925	professional	85	59.24	276.22	333.44	144.8%
Aetna	93229	professional	82	1089.84	1307.81	1725.86	170.9%
Aetna	93283	professional	82	71.85	92.5	130.75	162.9%
Cigna	93460	professional	82	689.86	1232.93	1775.26	150%
UnitedHealthcare	93571	professional	82	174.32	368.49	501.85	147%
Aetna	93350	professional	80	107.03	151.02	216.88	172.1%
Cigna	93571	professional	80	158.52	248.07	366.7	135.2%
Aetna	93970	professional	79	50.98	173.27	250.2	141%
Cigna	93005	professional	78	5	7.45	11.33	300.7%
UnitedHealthcare	93005	professional	78	10.58	14.13	16.44	215.6%
UnitedHealthcare	33340	professional	76	1283.28	1510.73	1734.54	219.9%
Cigna	33340	professional	74	1030.23	1103.49	1285.54	156.9%
Aetna	93925	professional	73	51.72	210.47	286.24	131.9%
Aetna	93571	professional	72	121.7	183.24	257.57	126.3%
Aetna	93279	professional	71	50.87	66.77	98.36	162.8%
Aetna	93460	professional	71	858.11	1187.91	1794.29	156.1%
Aetna	75574	professional	70	191.15	260.29	331.51	125.9%
Cigna	93242	professional	69	5	14.01	19.91	158.2%
UnitedHealthcare	93242	professional	69	25.5	28.52	30.76	236.9%
UnitedHealthcare	93281	professional	68	59.51	75.79	118.73	158.2%
Cigna	93655	professional	68	436.61	479.84	583.51	158.1%
UnitedHealthcare	93655	professional	67	731.23	817.21	926.87	276.2%
UnitedHealthcare	33361	professional	66	2311.39	2558.16	2762.59	201.2%
Cigna	93281	professional	66	58.96	62.46	108.83	143%
Cigna	33361	professional	65	1821.02	2001.84	2349.58	152.5%
Aetna	93005	professional	64	9.71	12.08	13.11	197.3%
Cigna	93297	professional	64	36.96	52.63	69.4	143.1%
UnitedHealthcare	93297	professional	64	38.93	49.46	54.9	79.2%
UnitedHealthcare	93288	professional	63	34.44	47.41	65.46	141.3%
Aetna	33340	professional	62	161.23	479.77	1123.91	187%
Cigna	93288	professional	62	30.7	50.1	66.75	143.6%
Cigna	93282	professional	61	52.47	61.06	102.02	143.1%
UnitedHealthcare	93282	professional	61	55.94	75.79	117.06	167.7%
UnitedHealthcare	93971	professional	59	46	168.66	216.66	185.1%
Cigna	93971	professional	58	32.45	133.57	162.73	144.9%
Cigna	93922	professional	56	19.6	99.75	120.06	143.1%
UnitedHealthcare	93922	professional	56	24.09	105.48	150.66	176.7%
Aetna	93971	professional	55	29.53	113.42	148.43	135.5%
Aetna	93655	professional	54	69.17	288.81	557.4	182.5%
Aetna	33361	professional	52	297.08	876.11	1865.09	162.6%
Aetna	93281	professional	52	64.74	78.7	123.46	175.9%
UnitedHealthcare	93662	professional	52	277.68	399.58	639.2	361.2%
Cigna	93662	professional	51	73.76	110.23	160.31	150%
UnitedHealthcare	93246	professional	50	28.52	30.76	30.76	251%
Aetna	93922	professional	49	18.03	81.73	107.48	137.4%
UnitedHealthcare	99212	professional	48	47.96	53.97	67.77	90.2%
Cigna	93246	professional	47	5	14.01	21.68	162.5%
Aetna	93282	professional	47	61.15	82.74	116.15	164.5%
Aetna	93288	professional	47	35.74	56.95	76.36	156.2%
Aetna	99212	professional	47	5.89	33.25	44.88	71.9%
Cigna	93657	professional	46	444.14	478.25	572.72	158.1%
UnitedHealthcare	93657	professional	46	739.94	824.19	926.19	280.1%
UnitedHealthcare	93978	professional	46	72.74	247.16	314.64	178.2%
Cigna	99212	professional	46	45.22	57	64.96	91.4%
Cigna	93978	professional	45	61.68	202	257.82	140.8%
Aetna	93297	professional	44	18.69	28.05	41.53	73.9%
UnitedHealthcare	93653	professional	43	1523.97	1656.18	1815.1	203.3%
UnitedHealthcare	75561	professional	41	237.87	431.09	592.78	180.5%
UnitedHealthcare	93459	professional	41	716.49	1431.59	1976.27	186.1%
Cigna	93653	professional	41	1124.01	1258.03	1299.99	150.4%
Aetna	93662	professional	41	48.95	108.17	150.77	204.8%
Cigna	75561	professional	40	207.03	393.51	564.03	151%
Cigna	33249	professional	39	1314.34	1449.82	1632.04	153.5%
UnitedHealthcare	33249	professional	39	1482.43	1741.94	1975.68	197.6%
Aetna	93242	professional	39	6.97	14.2	19.17	156.1%
Cigna	93459	professional	39	678.24	1117.35	1608.55	148.8%

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