Aetna negotiated rates in Georgia
How Aetna's Georgia rates compare with the other three national payers, across the procedures that matter most to high-revenue specialties.
Aetna in Georgia at a glance
What the data shows
Aetna ranks 4th of 4 payers in Georgia with a rate index of 83 (100 = the Georgia market median), across 228 procedure codes.
Aetna has the highest median for only 2% of codes in Georgia; UnitedHealthcare leads with an index of 115 in the files analyzed.
Aetna's Georgia rates sit 30% above its own national level, the 6th highest of its 51 states.
Largest premium over the Georgia market: CPT 51729 (Cystometrogram w/vp&up) at 117% of market; largest discount: CPT 77080 (Dxa bone density axial) at 46%.
How the four payers compare in Georgia
| Payer | Index | Rank | Level | Highest on | Providers |
|---|---|---|---|---|---|
| UnitedHealthcare | 115 | 1 | 61% | 780 | |
| Cigna | 105 | 2 | 27% | 829 | |
| Blue Cross Blue Shield | 98 | 3 | 10% | 944 | |
| Aetna | 83 | 4 | 2% | 755 |
Where Aetna pays most and least against the Georgia market
Highest above market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 51729 Cystometrogram w/vp&up | $676 | $580 | +17% | 59 |
| 51728 Cystometrogram w/vp | $640 | $554 | +16% | 79 |
| 88313 Special stains group 2 | $77 | $67 | +15% | 91 |
| 92242 Fluorescein&icg angiography | $510 | $449 | +14% | 60 |
| 73564 X-ray exam knee 4 or more | $74 | $67 | +10% | 86 |
| 97110 Therapeutic exercises | $40 | $37 | +8% | 87 |
| 88312 Special stains group 1 | $104 | $99 | +5% | 165 |
| 43276 Ercp stent exchange w/dilate | $1,043 | $999 | +4% | 78 |
Furthest below market
| Code | Aetna | Market | Gap | Prov. |
|---|---|---|---|---|
| 77080 Dxa bone density axial | $42 | $93 | -54% | 98 |
| 75574 Ct angio hrt w/3d image | $336 | $723 | -54% | 84 |
| 93229 Remote 30 day ecg tech supp | $875 | $1,712 | -49% | 79 |
| 77049 Mri breast c-+ w/cad bi | $366 | $700 | -48% | 96 |
| 99487 Cplx chrnc care 1st 60 min | $77 | $140 | -45% | 55 |
| 37243 Vasc embolize/occlude organ | $652 | $1,154 | -44% | 86 |
| 72197 Mri pelvis w/o & w/dye | $434 | $756 | -43% | 98 |
| 99350 Home/res vst est high mdm 60 | $159 | $274 | -42% | 58 |
Where Aetna pays above and below its national level
Highest states
| State | Index | Prov. | |
|---|---|---|---|
| Alaska | 306 | 211 | |
| Idaho | 152 | 491 | |
| Washington | 142 | 708 | |
| Mississippi | 138 | 608 | |
| Montana | 136 | 80 |
Lowest states
| State | Index | Prov. | |
|---|---|---|---|
| Indiana | 80 | 698 | |
| South Dakota | 82 | 147 | |
| Florida | 82 | 758 | |
| Minnesota | 84 | 774 | |
| North Dakota | 85 | 211 |
Frequently asked questions
Does Aetna pay more or less than the other payers in Georgia?
Aetna ranks 4th of 4 in Georgia with an index of 83. It is highest on 2% of codes.
Are Aetna's Georgia rates above or below its national level?
About 30% above.
Which procedure does Aetna pay most above market in Georgia?
CPT 51729 (Cystometrogram w/vp&up), at 117% of the Georgia median.
Methodology
- Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
- Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
- Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
- Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
- Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
- Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.
Is your Aetna contract at market in Georgia?
Compare your negotiated rates for these codes with Georgia medians for each payer.