Commercial rate index · metro cell
Athens-Clarke County healthcare rate index
Commercial contracted rates in Athens-Clarke County, GA run 0.94x the national Medicare fee schedule across the office-visit basket. Index 98, where 100 is the national standard.
Index 98
0.94x Medicare
20,730 verified rate points
8/8 basket codes
state index 99.6
The basket in Athens-Clarke County
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $73.41 | 1.03x | 2,717 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $104.89 | 0.95x | 2,719 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $170.12 | 1.02x | 2,350 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $217.17 | 0.99x | 3,317 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $53.02 | 0.93x | 2,221 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $83.48 | 0.90x | 2,225 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $120.15 | 0.91x | 2,625 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $170.25 | 0.91x | 2,556 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (12020). 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.
Athens-Clarke County prints below its state cell (Georgia at 99.6) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Athens-Clarke County, GA. Reddenda. https://reddenda.health/atlas/ga/athens-clarke-county-12020/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 12020 · metro grainas of 2026-07-15 · methodology v1.0