What does uhc pay cardiology groups in FL?
Median published rate is 84.4% of Medicare across 1812 NPIs (September 2026 files).
Data as of the September 2026 payer files.
Across 200 procedure codes and 1 payer, the median published rate is 119 percent of locality-adjusted Medicare in the September 2026 payer files. UnitedHealthcare is the only payer with enough confirmed NPIs to publish here, at 119 percent of Medicare, so there is no spread to compare yet. The best-covered row rests on 1812 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
| Payer | Code | Site | n | p25 | p50 | p75 | % of Medicare |
|---|---|---|---|---|---|---|---|
| UnitedHealthcare | 99214 | professional | 1812 | 89.08 | 116.85 | 146.32 | 84.4% |
| UnitedHealthcare | 93306 | professional | 1650 | 109.13 | 171.61 | 259.23 | 135.3% |
| UnitedHealthcare | 93000 | professional | 1593 | 17.15 | 21.98 | 26.52 | 142% |
| UnitedHealthcare | 99204 | professional | 1469 | 142.33 | 184.76 | 232.65 | 101.4% |
| UnitedHealthcare | 78452 | professional | 1099 | 84.97 | 326.91 | 394.35 | 92.3% |
| UnitedHealthcare | 99213 | professional | 1068 | 60.11 | 76.15 | 95.95 | 79.4% |
| UnitedHealthcare | 93010 | professional | 1019 | 8.52 | 11.61 | 13.58 | 137.1% |
| UnitedHealthcare | 99215 | professional | 929 | 133.5 | 172.07 | 203.07 | 86.4% |
| UnitedHealthcare | 93015 | professional | 896 | 69.96 | 86.94 | 113.9 | 118% |
| UnitedHealthcare | 93308 | professional | 766 | 41.55 | 94.57 | 135.48 | 143.9% |
| UnitedHealthcare | 93325 | professional | 755 | 5.24 | 26.29 | 36.19 | 151.1% |
| UnitedHealthcare | 93880 | professional | 679 | 55.91 | 169.72 | 232.43 | 118.4% |
| UnitedHealthcare | 93018 | professional | 646 | 16.6 | 20.97 | 25.12 | 151.9% |
| UnitedHealthcare | 93280 | professional | 640 | 37.27 | 53.35 | 76.54 | 107.9% |
| UnitedHealthcare | 93294 | professional | 639 | 32.37 | 41.33 | 50.38 | 138.4% |
| UnitedHealthcare | 93458 | professional | 620 | 550.72 | 921.02 | 1368.51 | 137.3% |
| UnitedHealthcare | 93312 | professional | 591 | 149.95 | 204.55 | 311.07 | 144.7% |
| UnitedHealthcare | 93228 | professional | 588 | 26.64 | 32.08 | 40.72 | 127.4% |
| UnitedHealthcare | 99205 | professional | 576 | 193.78 | 244.08 | 299.11 | 102.2% |
| UnitedHealthcare | 93016 | professional | 575 | 25.78 | 32.11 | 39.14 | 154% |
| UnitedHealthcare | 93296 | professional | 528 | 24.73 | 32.77 | 38.51 | 103.4% |
| UnitedHealthcare | 93320 | professional | 483 | 28.09 | 47.16 | 68.28 | 146.8% |
| UnitedHealthcare | 93298 | professional | 476 | 29.69 | 38.47 | 51.56 | 38.5% |
| UnitedHealthcare | 93321 | professional | 436 | 12.59 | 27.49 | 38.27 | 158% |
| UnitedHealthcare | 93356 | professional | 432 | 27.96 | 35.31 | 39.68 | 98.1% |
| UnitedHealthcare | 93295 | professional | 416 | 42.63 | 57.57 | 76.45 | 157.9% |
| UnitedHealthcare | 92960 | professional | 385 | 149.88 | 195.93 | 231.29 | 124.3% |
| UnitedHealthcare | 92928 | professional | 370 | 677.07 | 876.15 | 1004.88 | 172% |
| UnitedHealthcare | 93970 | professional | 368 | 51.68 | 165.83 | 224.58 | 119.6% |
| UnitedHealthcare | 93244 | professional | 353 | 28 | 36.23 | 44.25 | 157.6% |
| UnitedHealthcare | 93925 | professional | 316 | 56.55 | 222.42 | 297.34 | 119.5% |
| UnitedHealthcare | 93297 | professional | 283 | 28.11 | 35.67 | 48.07 | 62.8% |
| UnitedHealthcare | 93229 | professional | 278 | 628.42 | 722.32 | 791.71 | 93.8% |
| UnitedHealthcare | 93248 | professional | 264 | 33.68 | 40.1 | 50.31 | 160.2% |
| UnitedHealthcare | 93224 | professional | 261 | 82.33 | 95.34 | 121.34 | 139.2% |
| UnitedHealthcare | 93284 | professional | 246 | 51.22 | 82.82 | 112.77 | 120.8% |
| UnitedHealthcare | 93242 | professional | 233 | 16.31 | 21.02 | 24.98 | 185.1% |
| UnitedHealthcare | 33208 | professional | 225 | 603.54 | 762.99 | 877.54 | 151.4% |
| UnitedHealthcare | 99203 | professional | 215 | 95.34 | 122.94 | 141.41 | 100.6% |
| UnitedHealthcare | 93288 | professional | 201 | 23.63 | 32.1 | 45.87 | 97.3% |
| UnitedHealthcare | 93283 | professional | 196 | 47.07 | 76.74 | 105.92 | 120.7% |
| UnitedHealthcare | 93460 | professional | 192 | 651.27 | 1093.18 | 1580.27 | 136.7% |
| UnitedHealthcare | 93656 | professional | 178 | 1309.96 | 1698.72 | 1939.31 | 192.1% |
| UnitedHealthcare | 93793 | professional | 175 | 13.55 | 17.14 | 18.33 | 147.5% |
| UnitedHealthcare | 93454 | professional | 174 | 441.77 | 846.06 | 1226.39 | 143.8% |
| UnitedHealthcare | 93246 | professional | 166 | 16.97 | 21.74 | 24.09 | 191% |
| UnitedHealthcare | 93227 | professional | 163 | 27.71 | 37.75 | 40.41 | 213.7% |
| UnitedHealthcare | 92978 | professional | 160 | 153.38 | 232.85 | 340.79 | 141.7% |
| UnitedHealthcare | 93971 | professional | 159 | 33.39 | 105.71 | 144.15 | 126.8% |
| UnitedHealthcare | 93279 | professional | 149 | 33.38 | 46.2 | 64.33 | 111.1% |
| UnitedHealthcare | 33340 | professional | 144 | 920.84 | 1194.4 | 1418.31 | 181.4% |
| UnitedHealthcare | 93459 | professional | 128 | 594.47 | 1115.32 | 1572.72 | 154.8% |
| UnitedHealthcare | 93571 | professional | 125 | 133.39 | 234.91 | 308.1 | 112.4% |
| 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% |
| UnitedHealthcare | 99212 | professional | 114 | 32.19 | 40.16 | 50.35 | 67.7% |
| UnitedHealthcare | 93657 | professional | 107 | 497.05 | 589.99 | 656.23 | 204.7% |
| UnitedHealthcare | 99454 | professional | 105 | 55.36 | 58.06 | 67.64 | 113.9% |
| UnitedHealthcare | 33361 | professional | 97 | 1511.39 | 1988.31 | 2248.42 | 170.8% |
| UnitedHealthcare | 93351 | professional | 95 | 121.81 | 178.86 | 263.97 | 123.6% |
| UnitedHealthcare | 93272 | professional | 86 | 31.16 | 35.8 | 38.88 | 150.5% |
| UnitedHealthcare | 99458 | professional | 85 | 33.18 | 35.2 | 41.27 | 80.6% |
| UnitedHealthcare | 93623 | professional | 83 | 221.63 | 327.22 | 471.29 | 367.6% |
| 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% |
| UnitedHealthcare | 33249 | professional | 73 | 1060.84 | 1363.08 | 1487 | 158.4% |
| UnitedHealthcare | 33228 | professional | 72 | 411.33 | 495.66 | 571.22 | 141.6% |
| UnitedHealthcare | 93653 | professional | 72 | 975.39 | 1197.83 | 1468.92 | 150.7% |
| UnitedHealthcare | 92972 | professional | 71 | 163.56 | 205.49 | 231.97 | 162.8% |
| UnitedHealthcare | 93281 | professional | 71 | 44 | 61.11 | 88.24 | 117.9% |
| UnitedHealthcare | 93285 | professional | 70 | 27.84 | 38 | 53.33 | 107.5% |
| UnitedHealthcare | 75574 | professional | 69 | 166.47 | 274.14 | 355.27 | 123.6% |
| UnitedHealthcare | 93017 | professional | 69 | 39.54 | 52.73 | 76.78 | 139.8% |
| UnitedHealthcare | 93289 | professional | 64 | 34.41 | 48.12 | 64.35 | 106.3% |
| UnitedHealthcare | 93307 | professional | 64 | 76.98 | 129.99 | 175.8 | 155.2% |
| UnitedHealthcare | 75716 | professional | 59 | 68.46 | 107.04 | 152.32 | 89.3% |
| UnitedHealthcare | 99490 | professional | 57 | 33.25 | 39.98 | 44.38 | 60.6% |
| UnitedHealthcare | 33225 | professional | 52 | 548.66 | 634.1 | 768.45 | 149.6% |
| UnitedHealthcare | 93282 | professional | 49 | 39.62 | 60.06 | 89.31 | 122.1% |
| UnitedHealthcare | 93922 | professional | 48 | 20.27 | 79.44 | 112.17 | 124.7% |
| UnitedHealthcare | 93975 | professional | 48 | 106.36 | 244.78 | 356.57 | 144.1% |
| UnitedHealthcare | 75710 | professional | 47 | 65.76 | 104.43 | 138.81 | 90.3% |
| UnitedHealthcare | 93923 | professional | 46 | 32.99 | 112.18 | 167.75 | 118.8% |
| UnitedHealthcare | 99496 | professional | 46 | 179.36 | 188.51 | 220.11 | 62.4% |
| UnitedHealthcare | 33274 | professional | 40 | 561.98 | 735.68 | 788.36 | 165.5% |
| UnitedHealthcare | 78492 | professional | 39 | 96.2 | 1030.52 | 1162.86 | 85.9% |
| UnitedHealthcare | 99439 | professional | 39 | 31.43 | 35.87 | 42.89 | 71.5% |
| UnitedHealthcare | 93241 | professional | 36 | 76.66 | 84.74 | 147.62 | 31.6% |
| UnitedHealthcare | 93979 | professional | 36 | 32.23 | 101.14 | 138.82 | 116.2% |
| UnitedHealthcare | 93650 | professional | 34 | 688.5 | 821.74 | 922.08 | 143.4% |
| UnitedHealthcare | 96374 | professional | 32 | 37.35 | 46.97 | 54.08 | 128% |
| UnitedHealthcare | 99495 | professional | 32 | 138.75 | 146.44 | 166.89 | 64.6% |
| UnitedHealthcare | 75571 | professional | 31 | 41.45 | 72.18 | 102.05 | 120.9% |
| UnitedHealthcare | 93350 | professional | 29 | 112.67 | 180.65 | 231.83 | 150.7% |
| UnitedHealthcare | 93926 | professional | 29 | 38.01 | 158.62 | 201.79 | 147% |
| UnitedHealthcare | 93270 | professional | 27 | 9.83 | 13.05 | 13.06 | 159.8% |
| UnitedHealthcare | 93622 | professional | 27 | 233.05 | 375.88 | 573.22 | 122.2% |
| UnitedHealthcare | 75561 | professional | 25 | 179.07 | 288.48 | 393.93 | 107.5% |
| UnitedHealthcare | 92979 | professional | 24 | 108.57 | 126.21 | 167.19 | 150.4% |
| UnitedHealthcare | 93456 | professional | 23 | 574.96 | 1041.53 | 1465.65 | 146.6% |
| UnitedHealthcare | 93463 | professional | 23 | 142.81 | 153.44 | 163 | 158.1% |
| UnitedHealthcare | 93268 | professional | 21 | 194.22 | 209.76 | 227.05 | 128.1% |
| UnitedHealthcare | 93641 | professional | 20 | 328.73 | 474.83 | 646.54 | 124.7% |
| UnitedHealthcare | 33418 | professional | 18 | 1983.5 | 2760.5 | 3796.08 | 164.4% |
| UnitedHealthcare | 33264 | professional | 17 | 468.07 | 481 | 680.54 | 125.8% |
| UnitedHealthcare | 96372 | professional | 17 | 12.74 | 15.57 | 22.1 | 103% |
| UnitedHealthcare | 93005 | professional | 16 | 11.25 | 13.39 | 17.64 | 192% |
| UnitedHealthcare | 93455 | professional | 15 | 452.13 | 831.72 | 1140.75 | 138.8% |
| UnitedHealthcare | 93314 | professional | 14 | 141.1 | 213.79 | 328.8 | 157.2% |
| UnitedHealthcare | 93620 | professional | 14 | 846.71 | 1249.58 | 1827.47 | 129.8% |
| UnitedHealthcare | 93245 | professional | 13 | 83.2 | 84.74 | 147.62 | 30.4% |
| UnitedHealthcare | 99202 | professional | 13 | 62.55 | 73.86 | 95.58 | 99.2% |
| UnitedHealthcare | 75565 | professional | 12 | 23.82 | 40.57 | 57.62 | 127.4% |
| UnitedHealthcare | 92941 | professional | 12 | 793.03 | 991.01 | 1070.43 | 152.4% |
| UnitedHealthcare | 93040 | professional | 12 | 9.32 | 12.4 | 16.78 | 81% |
| UnitedHealthcare | 93660 | professional | 12 | 69.12 | 108.04 | 145.79 | 91.2% |
| UnitedHealthcare | 36223 | professional | 11 | 1040.54 | 1075.15 | 1403.23 | 57.5% |
| UnitedHealthcare | 92920 | professional | 11 | 613.52 | 798.02 | 844.92 | 150.3% |
| UnitedHealthcare | 93286 | professional | 11 | 13.78 | 20.57 | 25.99 | 71.6% |
| UnitedHealthcare | 75572 | professional | 10 | 132.32 | 218.75 | 338.36 | 151.7% |
| UnitedHealthcare | 92933 | professional | 10 | 586.58 | 990.77 | 1030.96 | 135.3% |
| UnitedHealthcare | 93654 | professional | 10 | 1286.53 | 1363.56 | 1690.25 | 140.2% |
| UnitedHealthcare | 99497 | professional | 10 | 75.32 | 77.92 | 93.92 | 85.5% |
| UnitedHealthcare | 76770 | professional | 9 | 31.02 | 63.77 | 91.21 | 84.8% |
| UnitedHealthcare | 76942 | professional | 9 | 22.48 | 26.02 | 45.81 | 72.8% |
| UnitedHealthcare | 93226 | professional | 9 | 52.49 | 52.49 | 52.49 | 157.2% |
| UnitedHealthcare | 93461 | professional | 9 | 680.27 | 1140.37 | 1507.31 | 128.5% |
| UnitedHealthcare | 93888 | professional | 9 | 51.08 | 185.77 | 224.85 | 136.3% |
| UnitedHealthcare | 93976 | professional | 9 | 56.07 | 129.33 | 152.77 | 119.1% |
| UnitedHealthcare | 10005 | facility | 8 | 322.25 | 338.5 | 527 | 87.1% |
| UnitedHealthcare | 10021 | facility | 8 | 103 | 137 | 313.25 | 216% |
| UnitedHealthcare | 11640 | facility | 8 | 322.25 | 338.5 | 527 | 238.4% |
| UnitedHealthcare | 11641 | facility | 8 | 322.25 | 338.5 | 527 | 213.7% |
| UnitedHealthcare | 11642 | facility | 8 | 322.25 | 338.5 | 527 | 196.2% |
| UnitedHealthcare | 11643 | facility | 8 | 322.25 | 338.5 | 527 | 177% |
| UnitedHealthcare | 14040 | facility | 8 | 446.75 | 571.5 | 844 | 50.7% |
| UnitedHealthcare | 14041 | facility | 8 | 446.75 | 571.5 | 844 | 50.7% |
| UnitedHealthcare | 14060 | facility | 8 | 446.75 | 571.5 | 844 | 50.7% |
| UnitedHealthcare | 14061 | facility | 8 | 446.75 | 571.5 | 844 | 50.7% |
| UnitedHealthcare | 15823 | facility | 8 | 446.75 | 571.5 | 844 | 50.7% |
| UnitedHealthcare | 19296 | facility | 8 | 1643 | 3565.5 | 4442.5 | 79.8% |
| UnitedHealthcare | 19298 | facility | 8 | 1643 | 3565.5 | 4442.5 | 61.5% |
| UnitedHealthcare | 20526 | facility | 8 | 103 | 137 | 313.25 | 263.3% |
| UnitedHealthcare | 20550 | facility | 8 | 103 | 137 | 313.25 | 412.3% |
| UnitedHealthcare | 20551 | facility | 8 | 103 | 137 | 313.25 | 408.1% |
| UnitedHealthcare | 20552 | facility | 8 | 103 | 137 | 313.25 | 485.9% |
| UnitedHealthcare | 20553 | facility | 8 | 103 | 137 | 313.25 | 416.4% |
| UnitedHealthcare | 20600 | facility | 8 | 103 | 137 | 313.25 | 425.2% |
| UnitedHealthcare | 20604 | facility | 8 | 103 | 137 | 313.25 | 250.4% |
| UnitedHealthcare | 20605 | facility | 8 | 103 | 137 | 313.25 | 420.8% |
| UnitedHealthcare | 20606 | facility | 8 | 322.25 | 338.5 | 527 | 586.3% |
| UnitedHealthcare | 20610 | facility | 8 | 103 | 137 | 313.25 | 351.8% |
| UnitedHealthcare | 20611 | facility | 8 | 103 | 137 | 313.25 | 213.7% |
| UnitedHealthcare | 20680 | facility | 8 | 852.5 | 1127.5 | 1351.75 | 90.3% |
| UnitedHealthcare | 21315 | facility | 8 | 446.75 | 571.5 | 844 | 86.7% |
| UnitedHealthcare | 21320 | facility | 8 | 446.75 | 571.5 | 844 | 38.6% |
| UnitedHealthcare | 21555 | facility | 8 | 446.75 | 571.5 | 844 | 77% |
| UnitedHealthcare | 22510 | facility | 8 | 1061 | 1622.5 | 1756.75 | 98.7% |
| UnitedHealthcare | 22511 | facility | 8 | 1061 | 1622.5 | 1756.75 | 98.7% |
| UnitedHealthcare | 22513 | facility | 8 | 1643 | 3565.5 | 4442.5 | 96.5% |
| UnitedHealthcare | 22514 | facility | 8 | 1643 | 3565.5 | 4442.5 | 96.5% |
| UnitedHealthcare | 22551 | facility | 8 | 1643 | 3565.5 | 4442.5 | 39.5% |
| UnitedHealthcare | 22558 | facility | 8 | 2271.75 | 3120.5 | 8722 | 15.6% |
| UnitedHealthcare | 22600 | facility | 8 | 2271.75 | 3120.5 | 8722 | 23.8% |
| UnitedHealthcare | 22612 | facility | 8 | 1643 | 3565.5 | 4442.5 | 26.5% |
| UnitedHealthcare | 22630 | facility | 8 | 2271.75 | 3120.5 | 8722 | 15% |
| UnitedHealthcare | 22633 | facility | 8 | 2227.25 | 5235 | 10634.25 | 25.1% |
| UnitedHealthcare | 22800 | facility | 8 | 2271.75 | 3120.5 | 8722 | 23.1% |
| UnitedHealthcare | 22802 | facility | 8 | 2271.75 | 3120.5 | 8722 | 22.4% |
| UnitedHealthcare | 22804 | facility | 8 | 2271.75 | 3120.5 | 8722 | 22.4% |
| UnitedHealthcare | 22810 | facility | 8 | 2271.75 | 3120.5 | 8722 | 22.4% |
| UnitedHealthcare | 22812 | facility | 8 | 2271.75 | 3120.5 | 8722 | 22.4% |
| UnitedHealthcare | 22849 | facility | 8 | 2271.75 | 3120.5 | 8722 | 33.9% |
| UnitedHealthcare | 22850 | facility | 8 | 1643 | 3565.5 | 4442.5 | 96.5% |
| UnitedHealthcare | 22852 | facility | 8 | 1643 | 3565.5 | 4442.5 | 96.5% |
| UnitedHealthcare | 22855 | facility | 8 | 1643 | 3565.5 | 4442.5 | 96.5% |
| UnitedHealthcare | 22856 | facility | 8 | 1643 | 3565.5 | 4442.5 | 27.2% |
| UnitedHealthcare | 22861 | facility | 8 | 2271.75 | 3120.5 | 8722 | 26.7% |
| UnitedHealthcare | 23472 | facility | 8 | 2896.5 | 8929 | 11760.5 | 64.2% |
| UnitedHealthcare | 24500 | facility | 8 | 103 | 137 | 313.25 | 101.1% |
| UnitedHealthcare | 24505 | facility | 8 | 103 | 137 | 313.25 | 15.7% |
| UnitedHealthcare | 25600 | facility | 8 | 103 | 137 | 313.25 | 101.1% |
| UnitedHealthcare | 25605 | facility | 8 | 322.25 | 338.5 | 527 | 38.8% |
| UnitedHealthcare | 25607 | facility | 8 | 1643 | 3565.5 | 4442.5 | 71.8% |
| UnitedHealthcare | 25608 | facility | 8 | 1643 | 3565.5 | 4442.5 | 71.6% |
| UnitedHealthcare | 25609 | facility | 8 | 1643 | 3565.5 | 4442.5 | 71.1% |
| UnitedHealthcare | 26055 | facility | 8 | 446.75 | 571.5 | 844 | 65.5% |
| UnitedHealthcare | 26160 | facility | 8 | 446.75 | 571.5 | 844 | 65.5% |
| UnitedHealthcare | 26600 | facility | 8 | 103 | 137 | 313.25 | 101.1% |
| UnitedHealthcare | 27130 | facility | 8 | 2271.75 | 3120.5 | 8722 | 32.5% |
| UnitedHealthcare | 27134 | facility | 8 | 2271.75 | 3120.5 | 8722 | 33.5% |
| UnitedHealthcare | 27236 | facility | 8 | 1643 | 3565.5 | 4442.5 | 73.1% |
| UnitedHealthcare | 27245 | facility | 8 | 1416.75 | 2350.5 | 3114.25 | 48.7% |
| UnitedHealthcare | 27278 | facility | 8 | 2271.75 | 3120.5 | 8722 | 20.8% |
| UnitedHealthcare | 27279 | facility | 8 | 2271.75 | 3120.5 | 8722 | 21.5% |
| UnitedHealthcare | 27280 | facility | 8 | 2896.5 | 8929 | 13442.75 | 64.7% |
| UnitedHealthcare | 27446 | facility | 8 | 2896.5 | 8929 | 10414.75 | 96.9% |
| UnitedHealthcare | 27447 | facility | 8 | 2896.5 | 8929 | 11760.5 | 95.1% |
ASC versus hospital savings appears only when a hospital outpatient rate is published. Hospital OPPS is not in this phase.
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