Commercial rate index · metro cell
Auburn-Opelika healthcare rate index
Commercial contracted rates in Auburn-Opelika, AL run 0.83x the national Medicare fee schedule across the office-visit basket. Index 85.9, where 100 is the national standard.
Index 85.9
0.83x Medicare
1,889 verified rate points
8/8 basket codes
state index 91
The basket in Auburn-Opelika
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $59.31 | 0.83x | 273 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $101.90 | 0.92x | 217 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $156.91 | 0.94x | 196 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $179.18 | 0.81x | 408 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $44.02 | 0.77x | 174 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $75.61 | 0.82x | 179 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $107.34 | 0.81x | 228 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $166.19 | 0.89x | 214 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (12220). Floor: 11 verified rate points per code, non-degenerate spread. Denominator: CMS PFS CY2026 national non-facility. Methodology v1.0.
Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.
The market around it.
Auburn-Opelika prints below its state cell (Alabama at 91) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Auburn-Opelika, AL. Reddenda. https://reddenda.health/atlas/al/auburn-opelika-12220/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 12220 · metro grainas of 2026-07-15 · methodology v1.0