What does Aetna pay for CPT G0427 in Richmond, VA?

The local peer median for CPT G0427 under Aetna in Richmond, VA is $223, based on 18 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT G0427 under Aetna in Richmond, VA?

The P90, the top of the local market and Reddenda's target rate, is $223.

Reddenda · Rate Intelligence · Richmond, VA

G0427 under Aetna in Richmond, VA

Name: Aetna rates for CPT G0427 in Richmond, VA
Creator: Reddenda

Local peer median $223 · Medium confidence

$223 local peer median. In the Richmond, VA market, Aetna pays a local peer median of $223 for CPT G0427, based on 18 providers in Reddenda's index of Aetna's own published in-network rates. The top of the local market, the P90 target, is $223, which is the same as the median here: this payer's filed rates for this code cluster on one number, so the opportunity in this cell is reaching the median rather than exceeding it. A provider billed below the local median is being paid less than peers holding the identical Aetna contract in Richmond, VA for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 18 providers · 18 rate records

P10

$185.20

P25

$223

Median

$223

P75

$223

P90 (target)

$223

P10$185.20

P25$223

Median (P50)$223

P75$223

P90 target$223

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $109.74 – $223

The local peer median for CPT G0427 under Aetna in Richmond, VA is $223, drawn from 18 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
The bottom of the local market (P10) is $185.20 and the top (P90) is $223; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
The lowest published rate in this market is $109.74; the highest is $223.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
This benchmark is drawn from 18 individual rate records that Aetna itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate
77.8% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.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 over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

18 providers bill this code to this payer in this metro.

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Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Aetna's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Aetna to publish this rate. Page generated 2026-09-23 04:44 UTC; the live index is queried in real time on every request.