Aetna · Georgia · commercial in-network

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

Across 228 procedure codes for 8 specialties
Rate index vs state market
83
17% below the Georgia median
Rank in state
4 of 4
UHC 115 · Cigna 105 · BCBS 98 · Aetna 83
vs own national
130
Aetna's level vs its national median
Codes where highest
2%
of 228 codes
755 sampled providers605 TINs228 codesMedian 150% of Medicare · method

What the data shows

Generated from Georgia and Aetna data only
1

Aetna ranks 4th of 4 payers in Georgia with a rate index of 83 (100 = the Georgia market median), across 228 procedure codes.

2

Aetna has the highest median for only 2% of codes in Georgia; UnitedHealthcare leads with an index of 115 in the files analyzed.

3

Aetna's Georgia rates sit 30% above its own national level, the 6th highest of its 51 states.

4

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

Rate index: 100 = the state four-payer median for the same codes
PayerIndexRankLevelHighest onProviders
UnitedHealthcare1151
115
61%780
Cigna1052
105
27%829
Blue Cross Blue Shield983
98
10%944
Aetna834
83
2%755

Where Aetna pays most and least against the Georgia market

Codes with the largest gap to the state median

Highest above market

CodeAetnaMarketGapProv.
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

CodeAetnaMarketGapProv.
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

Index vs the payer's own national median (100 = national)

Highest states

StateIndexProv.
Alaska306
211
Idaho152
491
Washington142
708
Mississippi138
608
Montana136
80

Lowest states

StateIndexProv.
Indiana80
698
South Dakota82
147
Florida82
758
Minnesota84
774
North Dakota85
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

How these numbers are calculated
  • 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.

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