Rate benchmarks · Aetna
What does Aetna pay?
Aetna, a CVS Health company, is one of the largest national commercial health insurers in the United States. Under the federal Transparency in Coverage rule, Aetna publishes the rates it has negotiated with providers in machine-readable files. We normalize those disclosures into clean, comparable per-procedure benchmarks — median, range, and percent of Medicare, split by office and facility setting.
Aetna benchmarks by CPT code
- CPT 99203New patient office visit, level 3
- CPT 99204New patient office visit, level 4
- CPT 99213Established patient office visit, level 3
- CPT 99214Established patient office visit, level 4
Paid at, above, or below the Aetna benchmark?
EarnestMD resolves your own providers and shows where your contracts stand against comparable practices — and builds the case for the increase.
Source: Aetna Transparency in Coverage machine-readable files. Aggregate benchmarks only; no individual practice or contract is identified. EarnestMD is independent and not affiliated with Aetna or any insurer.