Reddenda · Rate Intelligence · Albany-Schenectady-Troy, NY
81002 under Aetna in Albany-Schenectady-Troy, NY: a flat fee schedule
Urinalysis, dipstick, non-automated · No dispersion to score. Flat fee schedule
What we found
- Aetna pays exactly $2.70 for CPT 81002 (Urinalysis, dipstick, non-automated) to 100% of the 9 providers indexed in Albany-Schenectady-Troy, NY.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
- This cell has 9 individual rate records and 9 distinct providers, all converging on one number.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
- Because the rate is flat, there is no local percentile to claim here: every peer is paid the same, so "below median" is not a meaningful complaint against this specific file.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
- A rate change here would have to come from a fee-schedule renegotiation with Aetna directly, not a peer-comparison argument, since 100% of the local market already sits at the identical number.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
- Medicare's national non-facility rate for CPT 81002 is $2.46; Aetna's flat $2.70 is 110% of that Medicare rate.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
- A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute (45 CFR §149.510(c)(4)(iii)(B)).Source: 45 CFR §149.510(c)(4)(iii)(B) (No Surprises Act IDR)
9 providers bill this code to this payer in this metro.
Find yourself on this curve. Enter your NPI: no account, no email, no PHI.
See where your rate lands
This is the local market for CPT 81002 (Urinalysis, dipstick, non-automated) under Aetna in Albany-Schenectady-Troy, NY. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.
Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.
Modeled from Aetna's own published in-network rates, not guaranteed. Peer basis: same CPT, same payer file, same metro (CBSA); never a pooled payer family, never a national average. Page generated 2026-08-26 06:49 UTC.