Commercial rate index · metro cell
Macon-Bibb County healthcare rate index
Commercial contracted rates in Macon-Bibb County, GA run 0.95x the national Medicare fee schedule across the office-visit basket. Index 99, where 100 is the national standard.
Index 99
0.95x Medicare
27,140 verified rate points
8/8 basket codes
state index 99.6
The basket in Macon-Bibb County
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $86.00 | 1.21x | 4,777 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $104.72 | 0.95x | 3,123 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $166.83 | 1.00x | 3,118 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $233.31 | 1.06x | 4,657 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $54.13 | 0.95x | 2,227 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $83.48 | 0.90x | 2,462 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $120.15 | 0.91x | 3,739 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $169.25 | 0.91x | 3,037 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (31420). 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.
Macon-Bibb 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, Macon-Bibb County, GA. Reddenda. https://reddenda.health/atlas/ga/macon-bibb-county-31420/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 31420 · metro grainas of 2026-07-15 · methodology v1.0