Sports Medicine reimbursement rates in Alabama
What UnitedHealthcare and Cigna have actually negotiated for the codes a sports medicine practice bills in Alabama, taken from the payers’ own federal Transparency in Coverage filings and compared against Medicare.
4 of these 6 codes pay below Medicare in Alabama even at the best published rate. If your contract sits under these figures, the gap is contractual rather than a billing problem, and no amount of clean claims closes it.
| CPT | UnitedHealthcare | Cigna | Medicare | Best vs Medicare |
|---|---|---|---|---|
| 20610 | $63.88 | $77.99 | $62.08 | 126% |
| 20611 | $96.72 | $113.78 | $94.21 | 121% |
| 99204 | $156.84 | $134.62 | $163.57 | 96% |
| 99213 | $72.34 | $63.70 | $87.79 | 82% |
| 99214 | $104.91 | $96.06 | $125.23 | 84% |
| 99215 | $140.91 | $159.79 | $177.86 | 90% |
Median negotiated rate per code, office place of service. A published rate is a benchmark, not a guarantee of your rate. Method at our rates methodology.
Work out what the gap costs you per year
Enter what you are paid and your monthly volume, and the calculator returns the annual difference against these published figures.
Check your ratesSports Medicine in other states
Other specialties in Alabama
These are negotiated rates, not payments. What reaches your account also depends on eligibility, medical necessity, bundling edits and whether the claim survives adjudication. Half the negotiated rates in Alabama sit above the figures shown and half below, and where you fall depends on your group size and what you signed.