National carrier
Aetna fee schedule 2026, by CPT code.
What Aetna’s own published files say it pays, and the rate it lists for your practice, free by NPI.
Typical published Aetna rates, September 2026 files
| Code | Visit | Middle rate | Middle half |
|---|---|---|---|
| 99213 | Office visit, established patient, 20–29 min | $76.71 | $57.59–$106.00 |
| 99214 | Office visit, established patient, 30–39 min | $119.54 | $89.71–$166.75 |
| 99215 | Office visit, established patient, 40–54 min | $180.00 | $137.00–$256.72 |
| 99212 | Office visit, established patient, 10–19 min | $50.90 | $38.00–$71.08 |
| 99203 | Office visit, new patient, 30–44 min | $114.80 | $91.80–$153.75 |
| 99204 | Office visit, new patient, 45–59 min | $183.80 | $148.48–$249.60 |
| 90791 | Psychiatric diagnostic evaluation | $160.00 | $119.63–$208.68 |
| 90834 | Psychotherapy, 45 min | $104.54 | $82.00–$142.15 |
| 90837 | Psychotherapy, 60 min | $145.00 | $110.00–$187.00 |
6 more codes
| 99212 | $50.90 | $38.00–$71.08 |
| 99203 | $114.80 | $91.80–$153.75 |
| 99204 | $183.80 | $148.48–$249.60 |
| 90791 | $160.00 | $119.63–$208.68 |
| 90834 | $104.54 | $82.00–$142.15 |
| 90837 | $145.00 | $110.00–$187.00 |
Middle of the rates Aetna published for each code in its September 2026 files. Your contracted rate may be higher or lower. Source: Aetna’s machine-readable files. How these are counted.
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Inside Aetna’s files
What Aetna publishes, and how we count it.
Published by Aetna under the federal Transparency in Coverage rule.
The typical rates at the top of this page are in-office professional rates across the provider groups in Aetna’s files (as of September 2026) that carry one rate for the code — 2,013,049 for 99213. The middle rate is the one in the middle of those groups; half are paid within the “middle half” range. A group in two networks counts once in each. Your own contract can sit inside or outside that range, which is why the figure that matters is yours: look it up.
One code at a time: Aetna 99214 rate · Aetna 99213 rate · Aetna 90837 rate
How Aetna compares with six other payers for office visits, September 2026 files: Same code, different pay.
From the published file
Your Aetna fee schedule, without the portal.
Aetna publishes the rate it pays each in-network practice, by billing code, in its Transparency in Coverage files. RateBench reads the rate for your NPI, so you don’t have to request a schedule or look codes up one at a time. Try a code free. On a paid plan, Aetna sits next to your other payers for the codes you bill, re-read every month, with an email when a rate changes. How the fee schedule works →
Aetna can pay differently by network. If you’re in more than one Aetna network, or bill under more than one tax ID (TIN), the same code can carry different rates. RateBench shows which network each rate sits in.
What you get
The number, and everything behind it.
The exact dollar Aetna negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which Aetna network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, Aetna becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
After the rate
Is Aetna paying you what it published?
Upload your allowed amounts by code and see which ones Aetna allowed below the rate it published for you, the claims affected and the dollar gap. Totals only, no patient data. →
Fee scheduleAetna next to every other payer you take, code by code, in one sheet, with the source behind every number and an alert when a rate changes. →
By state
Every payer we read, state by state.
Questions about Aetna’s rates or your contract? Ask us →