What do payers pay neurology groups in FL?

Across 624 NPIs, the median published rate is 93.6% of locality-adjusted Medicare (September 2026 files).

Data as of the September 2026 payer files.

Across 80 procedure codes and 3 payers, the median published rate is 110 percent of locality-adjusted Medicare in the September 2026 payer files. UnitedHealthcare publishes the highest median at 123 percent and Aetna the lowest at 102 percent, a spread of 21 points on identical work. 3 of 3 payers sit at or above Medicare. The best-covered row rests on 624 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 neurology groups in FL?
Payer	Code	Site	n	p25	p50	p75	% of Medicare
Cigna	99214	professional	624	101.8	128.37	154.16	93.6%
UnitedHealthcare	99214	professional	613	92.22	123.11	168.07	88.4%
Aetna	99214	professional	600	40	83.66	132.93	73.4%
Cigna	99215	professional	451	148.65	191.76	226.08	94.9%
UnitedHealthcare	99215	professional	449	135.13	180.02	252.22	92.6%
Aetna	99215	professional	432	45	117.08	194.44	73.2%
UnitedHealthcare	99204	professional	411	140.84	183.84	233.17	99.4%
Cigna	99204	professional	407	136.62	179.94	226.21	98.9%
Aetna	99204	professional	405	43.2	90.44	197.26	82.1%
Cigna	99205	professional	400	191.46	248.48	309.86	100.2%
UnitedHealthcare	99205	professional	388	194.16	250.2	338.36	101.1%
Aetna	99205	professional	379	45	160.19	269.35	83.7%
Cigna	99213	professional	345	70.31	85.4	108.41	90.1%
UnitedHealthcare	99213	professional	343	63.86	82.01	110.59	81.4%
Aetna	99213	professional	336	33.24	58.5	89.47	69.9%
Cigna	95816	professional	269	90.01	329.23	455.5	113.8%
Aetna	95816	professional	267	70.96	194.39	369.93	101.7%
UnitedHealthcare	95816	professional	262	92.3	300.21	483.79	123.3%
Aetna	95886	professional	231	37.07	53.06	75.5	98%
Cigna	95886	professional	231	49.07	65.97	94.27	108.5%
UnitedHealthcare	95886	professional	217	48.31	69.14	95.02	110.1%
Cigna	95819	professional	213	90.38	357.65	522.51	104.2%
Aetna	95819	professional	210	70.87	213.35	416.06	97.4%
UnitedHealthcare	95819	professional	206	92.22	329.82	563.88	117.6%
Cigna	95911	professional	130	115.93	155.75	222.94	119.8%
Aetna	95911	professional	129	94.11	130.97	200.59	115.3%
UnitedHealthcare	95911	professional	120	127.65	171.05	265.1	132.8%
Aetna	95910	professional	103	78.37	104.9	162.89	114.7%
Cigna	95910	professional	103	94.64	130.11	192.74	119.3%
UnitedHealthcare	95910	professional	102	103.9	143.14	237.29	132.9%
Aetna	64615	professional	100	25.29	94.82	145.19	93.9%
UnitedHealthcare	64615	professional	93	145.23	196.5	229.35	117.6%
Cigna	64615	professional	90	147.37	192.26	241.71	109.5%
Aetna	95909	professional	85	59.27	78.64	128.16	106.3%
Cigna	95885	professional	84	29.59	50.54	74.4	119%
UnitedHealthcare	95885	professional	82	30.17	55.49	77.63	126.1%
Aetna	95885	professional	81	22.36	39.21	56.87	109.9%
Cigna	95909	professional	80	73.8	104.41	150.47	118.5%
UnitedHealthcare	95909	professional	75	78.36	107.16	164.21	127.8%
UnitedHealthcare	95720	professional	74	284.97	352.59	419.65	159.4%
UnitedHealthcare	95913	professional	74	150.78	218.42	311.29	122.6%
Aetna	95913	professional	73	117.31	164.47	255.71	103.5%
Cigna	95913	professional	73	137.06	196.76	288.53	106.8%
Cigna	99203	professional	73	96.47	112.7	129.01	93.9%
Cigna	95720	professional	72	288.56	344.61	421.31	153.3%
Aetna	99203	professional	72	39.41	68.4	130.57	81.2%
UnitedHealthcare	99203	professional	72	93.68	113.22	158.31	90.9%
Cigna	95912	professional	70	111.16	170.3	253.03	108.7%
Aetna	95912	professional	66	101.87	134.24	220.53	100.4%
Aetna	95720	professional	65	84.33	187.98	262.25	113.6%
UnitedHealthcare	95912	professional	65	142.33	204.06	298.7	125.2%
Cigna	99483	professional	57	168.4	221.43	280.16	74.1%
UnitedHealthcare	99483	professional	57	197.83	237.52	265.9	78.3%
Aetna	99483	professional	56	89	173.69	204	60.3%
Cigna	95874	professional	49	31.28	55.88	85.29	126.8%
Aetna	64616	professional	48	48.41	103.19	157.3	102.2%
UnitedHealthcare	64616	professional	46	145.29	166.6	248.67	123.2%
UnitedHealthcare	95874	professional	46	31.39	64.57	98.76	138.8%
Cigna	64616	professional	45	135.63	200.01	237.64	132%
Aetna	95874	professional	40	26.42	54.4	77.65	107.4%
Cigna	95718	professional	38	179.19	245.34	287.65	173.3%
UnitedHealthcare	95718	professional	38	197.08	240.97	275.69	167.4%
UnitedHealthcare	99212	professional	38	41.2	52.91	70.87	87.8%
UnitedHealthcare	96132	professional	35	107.04	114.27	154.18	93.7%
Aetna	99212	professional	35	34.17	52.83	72.21	72.7%
Cigna	96132	professional	34	95.11	107.62	152.78	88.3%
Cigna	99212	professional	34	46.32	52.85	70.79	86.9%
Aetna	96132	professional	32	47.2	104.21	113.6	93%
UnitedHealthcare	96138	professional	32	33.27	36.96	46.5	96.1%
Aetna	95718	professional	31	53.32	108.91	152.17	104.9%
Cigna	95908	professional	31	60.96	89.29	142.23	118.1%
Cigna	96138	professional	31	25.88	33.12	36.75	91.3%
Cigna	95822	professional	29	109.4	392.76	551.06	134.9%
Aetna	95908	professional	29	53.64	64.93	107.58	105.9%
UnitedHealthcare	95908	professional	29	65.68	90.64	155.83	129%
Aetna	96138	professional	29	15.08	31.62	32.69	89.8%
Cigna	95812	professional	28	123.83	341.06	480.49	126.1%
UnitedHealthcare	95812	professional	28	113.69	288.78	491.2	129.7%
UnitedHealthcare	95822	professional	28	102.24	437.8	567.01	138.2%
UnitedHealthcare	95983	professional	28	73.38	106.79	161.62	190.4%
Cigna	95983	professional	27	72	104.45	125.83	192.8%
Cigna	96372	professional	26	11.99	23.11	23.11	146.7%
Aetna	93880	professional	25	41.06	124.08	178.48	104.4%
Aetna	95822	professional	25	75.27	267.5	412.85	103.1%
Aetna	64405	professional	24	14.68	48	73.04	127.6%
Aetna	64612	professional	24	43	64.13	130.52	119.1%
Cigna	93880	professional	24	58.15	137.93	238.67	107.4%
Aetna	96372	professional	24	18.72	19.15	23.14	121.5%
Aetna	95813	professional	23	96.91	186	366.71	97.3%
Cigna	96116	professional	23	69.07	84.49	129.87	87.8%
UnitedHealthcare	93880	professional	22	63.96	146.59	282.31	138.7%
Aetna	95700	professional	22	99.17	193.32	221.67	—%
UnitedHealthcare	95984	professional	22	69.13	103.69	140.73	223.9%
Aetna	20553	professional	21	9.19	34.68	45.94	103.6%
Aetna	64644	professional	21	25.33	94.98	174.7	104.8%
Aetna	95812	professional	21	63.68	163.75	297.47	90.2%
Cigna	95813	professional	21	170.79	330.87	634.58	121.3%
UnitedHealthcare	95813	professional	21	153.77	299.71	569.49	123.1%
Cigna	95984	professional	21	71.05	109.31	109.31	239.9%
Cigna	64405	professional	19	63.78	83.28	102.05	103.4%
Aetna	64642	professional	19	22.58	84.69	170.9	116.4%
Cigna	95700	professional	19	209.43	232.73	302.79	—%
Cigna	95938	professional	19	92.7	455.07	619.24	153.9%
Cigna	95939	professional	19	244.17	633.34	833.47	153.4%
UnitedHealthcare	95970	professional	19	31.94	52.44	142.1	263.5%
Aetna	96413	professional	19	127.51	148.46	171.52	115%
Cigna	96413	professional	19	111.84	164.53	183.6	116%
Aetna	61624	professional	18	108.01	524.08	833	51.8%
UnitedHealthcare	64405	professional	18	58.87	81.01	104.4	126.8%
UnitedHealthcare	95700	professional	18	227.5	300.8	387.48	—%
UnitedHealthcare	95938	professional	18	103.94	426.7	683.2	160.3%
Cigna	95970	professional	18	37.56	107.36	107.36	539.4%
Aetna	96116	professional	18	76.05	99.34	145.44	81.5%
UnitedHealthcare	96116	professional	18	80.81	102.31	136.86	107.9%
Cigna	96365	professional	18	53.11	66.02	84.01	99.8%
Cigna	64612	professional	17	151.52	176.54	213.51	135.4%
UnitedHealthcare	64642	professional	17	123.85	187.95	233.83	113.5%
Aetna	92540	professional	17	31.52	79.35	98.89	99.9%
Cigna	92540	professional	17	32.82	80.52	105.8	109.5%
Cigna	95811	professional	17	188.07	517.84	721.78	98%
Aetna	95938	professional	17	61.93	205.3	338.94	94%
UnitedHealthcare	95939	professional	17	274.57	597.69	1011.26	159%
Aetna	96365	professional	17	58.48	64.63	80.84	99.1%
UnitedHealthcare	64612	professional	16	138.36	177	225.89	128%
Cigna	64642	professional	16	154.61	224.55	250.36	130.2%
UnitedHealthcare	64644	professional	16	143.1	204.22	297.51	114.1%
Aetna	92537	professional	16	10.9	30.69	37.76	110.3%
Cigna	92537	professional	16	11.56	31.87	41.78	112.3%
UnitedHealthcare	92540	professional	16	30.83	82.89	105.43	104%
Cigna	95810	professional	16	185.44	493.54	755.51	102.8%
Aetna	95811	professional	16	129.89	398.55	646.52	98.4%
UnitedHealthcare	95811	professional	16	213.04	560.7	835.21	123%
Cigna	95923	professional	16	52.24	71.92	108.39	94.3%
UnitedHealthcare	96365	professional	16	69.36	73.63	85.8	112.8%
UnitedHealthcare	96372	professional	16	12.56	20.31	23.27	132.9%
UnitedHealthcare	96413	professional	16	124.12	157.61	192.58	122.1%
Aetna	20610	professional	15	9.36	35.07	46.76	120.1%
Cigna	70551	professional	15	78.19	139.56	216.23	111.4%
UnitedHealthcare	70551	professional	15	78.66	151.99	230.65	115.3%
UnitedHealthcare	92537	professional	15	11.3	35.12	45.14	119.5%
Aetna	95810	professional	15	124.79	307.86	586.72	97.6%
UnitedHealthcare	95810	professional	15	204.71	590.94	783.25	123.2%
Aetna	95939	professional	15	126.87	307.16	496.18	102.2%
Aetna	64483	professional	14	27.9	60	133.63	54.2%
Aetna	64493	professional	14	106.02	112.47	213.57	78.7%
Aetna	64635	professional	14	54.09	188.75	269.64	51.6%
Cigna	64644	professional	14	159.5	243.49	254.14	120.4%
Cigna	93886	professional	14	62.09	182.65	260.93	98%
UnitedHealthcare	93886	professional	14	77.69	194.52	251.33	92.3%
Cigna	95861	professional	14	107.55	149.85	216.58	158.7%
UnitedHealthcare	95861	professional	14	100.18	179.88	219.07	157.9%
Aetna	95923	professional	14	43.73	66.93	102.3	98.2%
UnitedHealthcare	95923	professional	14	61.83	74.93	120.04	100.8%
Aetna	20552	professional	13	8.02	30.05	45	142.1%
Aetna	36224	professional	13	376.27	1016.06	1326.91	50.3%
Cigna	36224	professional	13	1750.05	2044.39	2137.94	84.1%
UnitedHealthcare	36224	professional	13	1990.34	2370.76	2520	97.5%
Aetna	64450	professional	13	22.68	45	55.01	98.1%
Aetna	64490	professional	13	120.05	126.17	326.14	77%
Aetna	70551	professional	13	68.75	187.36	275	162.5%
Aetna	93886	professional	13	42.77	106.92	175.84	80.7%
Cigna	95870	professional	13	40	57.09	107.53	127.7%
Aetna	95983	professional	13	26.61	58.16	70.5	124.5%
Cigna	20553	professional	12	42.63	55.1	64.41	92.3%
UnitedHealthcare	61624	professional	12	1706.02	2269.94	2773.89	198.5%
Aetna	62323	professional	12	29.42	85.75	147.07	76.6%
Aetna	64633	professional	12	54.61	191.13	273.04	48%
Aetna	64646	professional	12	24.01	90.03	179.64	156.1%
Aetna	70553	professional	12	65.63	185.25	299.04	117.6%
Cigna	70553	professional	12	121.32	210.8	285.71	111.2%
UnitedHealthcare	70553	professional	12	129.55	262.73	407.4	118.6%
Cigna	72148	professional	12	78.8	136.21	172.99	111.2%
UnitedHealthcare	72148	professional	12	78.66	145.88	224.54	114.4%
Aetna	95861	professional	12	73.53	86.45	148.72	103.2%
UnitedHealthcare	95870	professional	12	44.51	81.09	132.65	123.6%
Cigna	96375	professional	12	12.32	15.03	26.23	98%
Cigna	97110	professional	12	20.38	21.76	22.44	76%
Aetna	20551	professional	11	8.87	41.28	45.22	185.4%
UnitedHealthcare	20553	professional	11	47.28	52.57	56.43	89.9%
Aetna	20611	professional	11	11.67	33.31	66.62	186.3%
Aetna	36226	professional	11	187.68	693.04	1065.62	49.9%
Cigna	61624	professional	11	1788.21	2207.21	2743.55	193%
Aetna	61645	professional	11	144.9	543.36	1010.69	127%
UnitedHealthcare	61645	professional	11	1284.35	1543.28	1954.21	187.6%
Aetna	64418	professional	11	18.93	47.33	94.65	255.5%
Aetna	72148	professional	11	68.75	185.25	262.5	163.6%
Cigna	96136	professional	11	28.46	44.94	58.24	104.5%
Cigna	96139	professional	11	26.9	29.97	34.97	88.5%
UnitedHealthcare	96139	professional	11	31.47	34.12	37.48	100.8%
Aetna	96375	professional	11	17.71	17.91	19.44	116.5%
UnitedHealthcare	96375	professional	11	15.82	20.13	23.15	131.2%
Aetna	96415	professional	11	26.08	28.36	36.4	102.1%
Cigna	96415	professional	11	24.4	36.79	43.29	126%
Aetna	20605	professional	10	7.59	33.18	50.58	662%
Aetna	20606	professional	10	9.37	28.82	57.63	398.7%
Cigna	36226	professional	10	1669.42	1809.44	2002.42	79%
UnitedHealthcare	36226	professional	10	1675.06	2102.95	2312.91	92.7%
Cigna	61645	professional	10	1241.08	1413.51	1733.85	166.7%
Aetna	62321	professional	10	30.77	115.37	153.83	78.2%
Aetna	63650	professional	10	109.37	364.56	538.91	11%

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