Urology · Georgia

Urology commercial reimbursement in Georgia

How Georgia urology rates compare with the national market.

Urology Georgia

Urology in Georgia

37 codes · 118 sampled providers

Index vs national

118

18% above

Rank among states

11 of 50

1 = highest

Codes above national

34 of 37

median code at 118%

Providers

118

sampled

What the data shows

Urology ranks 11th of 50 states in Georgia with an index of 118 (100 = the specialty's national median), across 37 codes and 118 sampled providers.

Of the 37 urology codes with enough data in Georgia, 34 pay above the national median and 3 below; the typical code sits at 118% of the national median.

Largest premium over the national median: CPT 51702 (Insert temp bladder cath) at 135%; largest discount: CPT 99214 (Office o/p est mod 30 min) at 98%.

Measured against Medicare, Georgia urology rates have a median of 181% of the Medicare rate across these codes.

Codes above and below the national median

The five largest gaps in each direction

Highest vs national

Code	Georgia	National	Gap	Prov.
51702 Insert temp bladder cath	$82	$61	+35%	118
51798 Us urine capacity measure	$27	$21	+28%	116
51700 Irrigation of bladder	$98	$77	+27%	118
52287 Cystoscopy chemodenervation	$463	$367	+26%	118
52648 Laser surgery of prostate	$1,891	$1,508	+25%	118

Lowest vs national

Code	Georgia	National	Gap	Prov.
99214 Office o/p est mod 30 min	$130	$134	-2%	118
99215 Office o/p est hi 40 min	$184	$187	-2%	118
99205 Office o/p new hi 60 min	$253	$257	-1%	118
99213 Office o/p est low 20 min	$92	$92	+0%	117
99204 Office o/p new mod 45 min	$200	$197	+2%	118

All urology codes in Georgia

Median across payers vs the specialty's national median and the Medicare rate; sorted by premium

Code	Georgia	National	Gap	% of Medicare	Providers	TINs
CPT 51702 Insert temp bladder cath	$82	$61	+35%	363%	118	239
CPT 51798 Us urine capacity measure	$27	$21	+29%	216%	116	201
CPT 51700 Irrigation of bladder	$98	$77	+27%	376%	118	238
CPT 52287 Cystoscopy chemodenervation	$463	$367	+26%	311%	118	235
CPT 52648 Laser surgery of prostate	$1,891	$1,508	+25%	358%	118	231
CPT 52281 Cystoscopy and treatment	$415	$334	+24%	304%	118	238
CPT 52332 Cystoscopy and treatment	$447	$360	+24%	320%	118	239
CPT 76857 Us exam pelvic limited	$92	$75	+23%	180%	118	232
CPT 52310 Cystoscopy and treatment	$387	$317	+22%	287%	118	239
CPT 93000 Electrocardiogram complete	$31	$26	+21%	203%	118	231
CPT 74178 Ct abd&plv wo cntr flwd cntr	$602	$498	+21%	178%	118	226
CPT 20610 Drain/inj joint/bursa w/o us	$103	$86	+20%	149%	118	229
CPT 76856 Us exam pelvic complete	$177	$148	+20%	168%	118	233
CPT 99426 Prin care mgmt staff 1st 30	$92	$77	+19%	135%	118	227
CPT 64566 Neuroeltrd stim post tibial	$83	$69	+19%	317%	118	233
CPT 76775 Us exam abdo back wall lim	$110	$92	+19%	181%	118	232
CPT 51720 Treatment of bladder lesion	$132	$111	+19%	348%	118	235
CPT 76770 Us exam abdo back wall comp	$181	$153	+18%	171%	118	232
CPT 52224 Cystoscopy and treatment	$542	$459	+18%	309%	118	238
CPT 52000 Cystourethroscopy	$243	$210	+16%	341%	118	241
CPT 50590 Fragmenting of kidney stone	$1,230	$1,065	+15%	162%	118	237
CPT 55866 Laps surg prst8ect rpbic rad	$2,539	$2,237	+13%	235%	118	237
CPT 55874 Tprnl plmt biodegrdabl matrl	$287	$257	+12%	201%	118	233
CPT 52356 Cysto/uretero w/lithotripsy	$721	$657	+10%	197%	118	237
CPT 52649 Prostate laser enucleation	$1,480	$1,355	+9%	225%	118	232
CPT 52601 Prostatectomy (turp)	$1,261	$1,181	+7%	240%	118	237
CPT 99212 Office o/p est sf 10 min	$56	$52	+7%	94%	118	241
CPT 51728 Cystometrogram w/vp	$554	$520	+6%	164%	118	232
CPT 76872 Us transrectal	$197	$188	+5%	164%	118	230
CPT 51729 Cystometrogram w/vp&up	$580	$554	+5%	164%	118	233
CPT 99490 Chrnc care mgmt staff 1st 20	$63	$60	+4%	95%	118	230
CPT 99203 Office o/p new low 30 min	$128	$125	+2%	109%	118	241
CPT 99204 Office o/p new mod 45 min	$200	$197	+2%	113%	118	241
CPT 99213 Office o/p est low 20 min	$92	$92	+0%	97%	117	240
CPT 99205 Office o/p new hi 60 min	$253	$257	-1%	107%	118	241
CPT 99215 Office o/p est hi 40 min	$184	$187	-2%	95%	118	241
CPT 99214 Office o/p est mod 30 min	$130	$134	-2%	96%	118	241

Frequently asked questions

How do Georgia urology rates compare with the rest of the country?

Georgia ranks 11th of 50 states with an index of 118; 34 of 37 codes are above the national median.

Which urology code has the biggest premium in Georgia?

CPT 51702 (Insert temp bladder cath), at 135% of the national median.

Are these Medicare or commercial rates?

Commercial in-network negotiated rates from four national payers' published files; the Medicare comparison column uses the CY2026 Medicare physician fee schedule.

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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